Représentations sociales du vieillissement des sujets porteurs de troubles psychiques : impacts et conséquences d’une double stigmatisation

Clesse, Christophe; Dumand, Isabelle; Nassau, Erich; Prudent, Cécile; Decker, Michael; Savini, Carlo; Lighezzolo-Alnot, Joëlle; Batt, Martine

doi:10.1016/j.npg.2016.02.001

Cited by 11 publications

(5 citation statements)

References 41 publications

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“…However, many of the results presented by the authors come from extrapolation from studies on the association of “mental disorders” and “aging.” For greater precision, it would be very useful to conduct cohort studies specifically on the mechanisms of stigmatization of the aging psychiatric population with severe and disabling disorders. Similarly, it would be relevant to extend the work on referral mechanisms for APSDMHD-H for alternatives to community hospitalization to identify the brakes and levers to be activated in order to propose equitable and ethical public policies ( 59 , 93 ). In the long term, the literature could provide a more accurate model of the influence of the mechanics of stigmatization on discrimination against APSDMHD-H.…”

Section: Discussionmentioning

confidence: 99%

Process of Deinstitutionalization of Aging Individuals With Severe and Disabling Mental Disorders: A Review

et al. 2022

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BackgroundFor more than 60 years, psychiatric services has gradually gone from an asylum model to a community model. This change has led to the emergence of a deinstitutionalization movement. This movement seems to have left behind long-term hospitalized aging individuals with severe and disabling mental disorders. The objective of this article is to conduct a review on the challenges and issues associated with the process of deinstitutionalization among hospitalized aging individuals with severe and disabling mental disorders.MethodsUsing PRISMA statement, the research methodology was carried out in English and French in 16 databases with a combination of 3 lists of keywords. The selection process was then followed by a thematic analysis which aimed at categorizing by theme and classifying the writings selected.ResultsA total of 83 articles published between 1978 and 2019 were selected and organized into six categories: (a) a forgotten population in research and health policies, (b) an economic presentation of the deinstitutionalization process, (c) an improvement in quality of life and global functioning for deinstitutionalized patients (d) from stigmatization to the rejection of elderly psychiatric inpatients from deinstutionalization process, (e) a difficult community-based care offer and a difficult epistemological identification, (f) from the lack of community services to the phenomenon of transinstitutionalization. The current state of scientific research, institutional policies and clinical practices associated with the deinstitutionalization process of SVPTSIH are then commented.ConclusionsRecommendations are proposed to researchers and professionals concerned with the support of long-term hospitalized aging individuals with severe and disabling mental disorders.

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Section: Discussionmentioning

confidence: 99%

Process of Deinstitutionalization of Aging Individuals With Severe and Disabling Mental Disorders: A Review

et al. 2022

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“…As patients with psychiatric disorders grow old, they gradually manifest functional disability, and healthcare workers would plead for their transfer to assisted living facilities. In parallel, nursing homes staff are often reluctant to take care of patients with psychiatric disorders, mostly due to behavioural disturbances they are not used to deal with, and their lack of training to provide psychiatric care 37 . This “double care demanding patients” present complexities and challenges for professional caregivers as they have to address both nursing and psychiatric care 17,38,39 .…”

Section: Discussionmentioning

confidence: 99%

“…mostly due to behavioural disturbances they are not used to deal with, and their lack of training to provide psychiatric care. 37 This "double care demanding patients" present complexities and challenges for professional caregivers as they have to address both nursing and psychiatric care. 17,38,39 The partnership between psychiatric hospitals and residential facilities is one way to overcome this difficulty, as it includes education to familiarise with mental health disorders and training to take care of patients suffering of such troubles.…”

Section: Summary Of Main Findingsmentioning

confidence: 99%

From psychiatric hospitals to residential facilities: Characteristics of patients who benefited from an institutional partnership

Stojanov

Perquier

Boiteux

et al. 2022

Int J Geriat Psychiatry

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Objectives The population of older adults is growing fast, especially in Europe and Northern America. Old age is often associated with mental health comorbidities. Moreover, life expectancy of people suffering from psychiatric disorders has increased, but with age‐related difficulties, such as loss of independence. This represents a challenge for public health policies, as this population requires specific care and living conditions. As a response, a convention was signed between living facilities for dependent elderly (EHPAD) and the GHU Paris Psychiatry and Neurosciences. The agreement included dedicated places in EHPAD for older patients with psychiatric disorders. The aim of the study was to describe the sociodemographic and clinical characteristics of those patients. Methods We conducted a cross‐sectional study among patients who applied for an EHPAD admission. Results Between 2016 and 2019, 163 patients applied for placement in an EHPAD, and 117 were admitted (72%). Applicants were 71 years old on average. Admitted patients were older than non‐admitted and lived in different Parisian sectors. Among admitted patients, nine in 10 were single, divorced or widowed, and 64.3% were childless. Almost half of them were schizophrenic or had delusional disorders (46.9%), and 65.3% were considered as moderately dependent. At the time of the study, 89 patients still lived in EHPAD. Almost half of them had anxiety and depressive disorders (48.3%), 19.1% had cognitive disorders, and 42.7% manifested agitation. Conclusions Our study highlighted older psychiatric patients' specificities regarding their admission status into long‐term living facilities.

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“…LTHIDSPMI) who have been influenced by the iatrogenic consequences of institutionalization. Indeed, given that institutionalized subjects tend to present adaptive processes that are highly inferior to their actual abilities, the practitioners in the field inherently influenced by their specific professional representations may thus underestimate the competencies of certain individuals or subsets of the population (15)(16)(17). The completion of the FIPRACS can hence represent a tool allowing better equity in psychosocial rehabilitation support.…”

Section: Discussionmentioning

confidence: 99%

“…In some institutions, some inpatients can also be pressured by teams to engage in a deinstitutionalization program where the supported accommodation could not be adjusted to their psychoaffective symptoms, their desires/expectations, and their neurocognitive potentials. Finally, certain patients such as the aged-LTHIDSPMI can be victims of stigmatization and excluded from deinstitutionalization programs (15)(16)(17).…”

Section: Introductionmentioning

confidence: 99%

The French Integrative Psychosocial Rehabilitation Assessment for Complex Situations (FIPRACS): Modelization of an Adapted Assessment Method Toward Long-Term Psychiatric Inpatients With Disabling, Severe and Persistent Mental Illness

et al. 2020

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French norms, French version, the average speed of the test, ease of use, ability to assess other dimensions). Their suitability was also assessed when applied to IDSPMI. Based on this final clinical evaluation, the authors selected one tool per function to create the French Integrative Psychosocial Rehabilitation Assessment for Complex Situations (FIPRACS). This battery is an assessment tailored to the neurocognitive and psycho-affective potentials of IDSPMI. While further validation studies of this battery are ultimately required, the practical/clinical implications of this battery are presented and discussed.

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Représentations sociales du vieillissement des sujets porteurs de troubles psychiques : impacts et conséquences d’une double stigmatisation

Cited by 11 publications

References 41 publications

Process of Deinstitutionalization of Aging Individuals With Severe and Disabling Mental Disorders: A Review

Process of Deinstitutionalization of Aging Individuals With Severe and Disabling Mental Disorders: A Review

From psychiatric hospitals to residential facilities: Characteristics of patients who benefited from an institutional partnership

The French Integrative Psychosocial Rehabilitation Assessment for Complex Situations (FIPRACS): Modelization of an Adapted Assessment Method Toward Long-Term Psychiatric Inpatients With Disabling, Severe and Persistent Mental Illness

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