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Psychosomatics 39:154-161, April 1998
© 1998 The Academy of Psychosomatic Medine

Psychiatric Care in an AIDS Nursing Home

Mary Ann Adler Cohen, M.D.

Received March 5 , 1997; revised July 18, 1997; accepted August 19, 1997. From the Rivington House Health Care Facility, New York Medical College, New York. Address reprint requests to Dr. Cohen, Rivington House Health Care Facility, 45 Rivington Street, New York, NY 10002.

Of the first 675 persons admitted to a new acquired immunodeficiency syndrome (AIDS) nursing home, 423 were seen in psychiatric consultation. They ranged in age from 22 to 70 years. Most were coping with multiple losses of health, fitness, homes, careers, loved ones, strength, and functional capacity. All had multiple and severe medical illnesses. Of the 423 persons evaluated, 422 (99.8%) had 1 or more psychiatric disorders. Three hundred fifty-one (83%) had a diagnosis of dementia, 349 (82.5%) substance abuse, 276 (65%) psychiatric diagnoses other than cognitive or substance abuse, and 61 (14.4%) delirium. The individuals admitted to the AIDS nursing home were younger, more medically and psychiatrically ill, on more complex medical regimens, and had a higher prevalence of both dementia and substance abuse than those in a separate study of geriatric nursing homes.

Key Words: Nursing Home • Acquired Immune Deficiency Syndrome • Acquired Immunodeficiency Syndrome • Human Immunodeficiency Virus • AIDS • HIV • Psychiatric Care




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M. Cohen, R. G. Hoffman, C. Cromwell, J. Schmeidler, F. Ebrahim, G. Carrera, F. Endorf, C. A. Alfonso, and J. M. Jacobson
The Prevalence of Distress in Persons With Human Immunodeficiency Virus Infection
Psychosomatics, February 1, 2002; 43(1): 10 - 15.
[Abstract] [Full Text]




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