An Outpatient Geriatric Psychiatry Assessment and Treatment Service
Clinics in Geriatric MedicinePublished 1 February 1987
Burton V. Reifler, Eric B. Larson, Linda Teri
Citations24
SJR quartileQ2
SJR score1.03
SNIP1.07
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
An important finding from the clinic has been to demonstrate the high frequency of excess disability in patients with dementia of the Alzheimer's type.
Abstract
An outpatient evaluation and treatment program for cognitively impaired elderly and their families opened at the University of Washington in 1978. The multidisciplinary approach includes psychiatric, medical, psychological, social, and environmental assessments. The program has been well received by the public and has served as a model for similar programs elsewhere. An important finding from the clinic has been to demonstrate the high frequency of excess disability in patients with dementia of the Alzheimer's type.
Keywords
Social SciencesMedicine
Journal of Psychiatric Research“Mini-mental state”
86,858 Citations1975Marshal F. Folstein, Susan E. Folstein +1 more
A simplified, scored form of the cognitive mental status examination, the “Mini-Mental State” (MMS) which includes eleven questions, requires only 5-10 min to administer, and is therefore practical to use serially and routinely.
Journal of Neurology Neurosurgery & PsychiatryA RATING SCALE FOR DEPRESSION
32,633 Citations1960M. Hamilton
The present scale has been devised for use only on patients already diagnosed as suffering from affective disorder of depressive type, used for quantifying the results of an interview, and its value depends entirely on the skill of the interviewer in eliciting the necessary information.
NeurologyClinical diagnosis of Alzheimer's disease
27,993 Citations1984Guy M. McKhann, David A. Drachman +4 more
The criteria proposed are intended to serve as a guide for the diagnosis of probable, possible, and definite Alzheimer's disease; these criteria will be revised as more definitive information becomes available.
The British Journal of PsychiatryThe Association Between Quantitative Measures of Dementia and of Senile Change in the Cerebral Grey Matter of Elderly Subjects
4,123 Citations1968G. Blessed, B. E. Tomlinson +1 more
The expectation of mental disorder shows a steep increase with advancing chronological age, and beyond 75 years a large part of this increase is accounted for by disorders associated with degenerative changes in the central nervous system for which the authors lack remedies at the present time.
The Journal of PsychologyA Standardized Memory Scale for Clinical Use
2,935 Citations1945David Wechsler
Neuropsychological assessment
1,845 Citations2004Lezak, Muriel Deutsch, Howieson, Diane B. +2 more
American Journal of PsychiatryCoexistence of cognitive impairment and depression in geriatric outpatients
375 Citations1982B. V. Reifler, Eric B. Larson +1 more
Although depression must be differentiated from dementia, it is equally important to consider the possibility that the diagnoses coexist, and the authors conclude that the rate of coexisting depression decreased significantly with greater severity of the cognitive impairment.
Archives of NeurologyPresenile Dementia
317 Citations1973Jay M. Coblentz
Ventriculosystemic shunting was beneficial chiefly in patients with communicating hydrocephalus consequent to postmeningeal irritation and the CSF infusion test with fewer false positives was also not diagnostic by itself, thus emphasizing that diagnosis ultimately depends on histology.
Annals of Internal MedicineDementia in Elderly Outpatients: A Prospective Study
240 Citations1984Eric B. Larson, BURTON V. REIFLER +2 more
Careful clinical observation is the most useful part of the evaluation and extensive testing may not be required for all patients, but overemphasis on distinguishing reversible from irreversible forms of dementia may detract from recognition of commoner, treatable causes of dysfunction and suffering.
Journal of GerontologyDiagnostic Evaluation of 200 Elderly Outpatients With Suspected Dementia
138 Citations1985Eric B. Larson, B. V. Reifler +3 more
A standardized diagnostic evaluation was performed on 200 consecutive patients over age 60 with suspected dementia, finding that over 70% had Alzheimer's type dementia; 31% had more than one illness contributing to the dementia state, with overlap between the two groups.
American Journal of PsychiatryA clinic for the impaired elderly and their families
60 Citations1980B. V. Reifler, Carl Eisdorfer
The authors studied the appointment-keeping behavior of the patients and also surveyed the patients' families as an indication of the clinic's success.
Journal of the American Geriatrics SocietyTreatment Results at a Multi‐Specialty Clinic for the Impaired Elderly and Their Families*
19 Citations1981Burton V. Reifler, Eric B. Larson +2 more
Although most of the 76 patients in this first‐year study had cognitive impairment, about one‐fourth of them showed unequivocal motor, cognitive and/or affective improvement with treatment for previously undetected illnesses, which led to expansion of the program.
PubMedManaging families of the demented elderly.
12 Citations1982B. V. Reifler, Shey‐Lin Wu
Doctors can assist the family in having the patient do all he or she is capable of including increasing specific activities, can help the family understand that even their best efforts may not lead to improvement, can point out ways for the family to balance the patient's needs with their own, and can teach the family how to communicate more effectively with the patient.