The Gerontologist, Vol 31, Issue 3 371-374, Copyright © 1991 by The Gerontological Society of America

ARTICLES

Factors affecting decisions to institutionalize demented elderly

MA Lieberman and JH Kramer
Memory Clinic and Alzheimer's Center, UCSF Medical Center 94143.

This study followed 321 community-based patients with documented dementias, 22% of whom were institutionalized after 1 year. Multivariate analyses indicated that none of the patient characteristics, such as level of cognitive, psychiatric, or neurological impairment, predicted institutionalization. Social psychological characteristics, type and number of caregivers, and subjective caregiver distress did predict which patients were ultimately institutionalized. Implications for treatment planning are discussed.

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