Intervention and Social Breakdown in the Elderly

Author:

Little John D.1

Affiliation:

1. Grampians Psychiatric Services, Lakeside Hospital, Ballarat, Victoria, Australia

Abstract

Objective: To discuss the ethical and clinical issues associated with the management of social breakdown in the elderly (SBE) in relation to the case of a 76-year-old recluse who was referred following community concerns about her living conditions and behaviour. Method: Longitudinal assessment and management of the patient resulted in a diagnosis of schizophrenia and treatment with fluphenazine decanoate. Results: The patient responded to treatment and was returned home, after which a relationship was maintained by community services. Conclusions: A coherent and defensible position on both clinical and ethical grounds may be made in favour of intervention with SBE. Practical aspects of the process are suggested.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health,General Medicine

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