Psychogeriatric residential care. Some remarks on the psychogeriatric communities of the Fatebenefratelli St. Ambrogio center in Cernusco sul Naviglio

Author/s Cristina Di Ronco, Gian Marco Giobbio, Alberti Spagnoli
Publishing Year 2013 Issue 2012/2-3
Language Italian Pages 18 P. 465-482 File size 246 KB
DOI 10.3280/RIP2012-002021
DOI is like a bar code for intellectual property: to have more infomation click here

Below, you can see the article first page

If you want to buy this article in PDF format, you can do it, following the instructions to buy download credits

Article preview

FrancoAngeli is member of Publishers International Linking Association, Inc (PILA), a not-for-profit association which run the CrossRef service enabling links to and from online scholarly content.

The Psychogeriatric Communities of the St. John of God, Fatebenefratelli, St. Ambrogio Center for Psychiatric Rehabilitation in Cernusco sul Naviglio, Milan, took start in 2000 as experimental project approved by the Lombardy Region Health Authority. These Communities operate within the network of the mental health services as "protected, high-care, psychiatric residential communities" (CPA). The paper presents a profile of the Communities and the results of a survey carried out to describe the patients demographic and clinical features. The survey is part of a broader project of reorganization which aims at providing therapeutic and rehabilitative interventions more in line with the wide spectrum of psychiatric and health-care needs of the patients. Taking into consideration the experience over those years, together with the results of the survey and data from the literature, we discuss some key issues of old age psychiatry, with a special focus on the residential setting.

Keywords: Old age psychiatry, rehabilitation, residential care, recovery.

  1. American Psychiatric Association (2001). DSM-IV-TR. Manuale diagnostico e statistico dei disturbi mentali. Text Revision. Milano: Masson
  2. Barnett, K., Mercer, W. S., Norbury, M., Graham, W., Wyke, S., & Guthrie, B. (2012). Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet, 380, 37-43.
  3. Boyd, C.M., Darer, J., Boult, C., Fried, L.P., Boult, L., & Wu, A.W. (2005). Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: implications for pay for performance. JAMA 294, 716-24.
  4. Butler, R. N. (1975). Why survive? Being old in America. New York: Happer Torchbooks
  5. Carozza, P. (2006). Principi di Riabilitazione Psichiatrica. Milano: FrancoAngeli.
  6. Cesa-Bianchi, M. (1998). Giovani per sempre? L’arte di invecchiare. Roma-Bari: Laterza.
  7. Cesa-Bianchi, M. (2000). Psicologia dell’invecchiamento. Roma: Carocci
  8. De Girolamo, G., Candini, V., Buizza, C., et al. (2013). Is psychiatric residential facility discharge possible and predictable? A multivariate analytical approach applied to a prospective study in Italy. Social Psychiatry and Psychiatric Epidemiology (submitted).
  9. Editorial (2010). Addressing mental health in the UK. Lancet, 376, 1514.
  10. Erikson, E.H., Erikson, J.M., & Kivinick, H.Q. (1986). Vital involvement in old age. New York: Norton.
  11. Folstein, M.F., Folstein, S.E., & McHugh, P.R. (1975). “Mini-Mental State”: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189-198
  12. Gabbard, G.O., & Westen, D. (2003). Rethinking therapeutic action. International Journal of Psychoanalysis, 84, 823-841
  13. Ghio, L., Natta, W., Gotelli, S., Ferrannini, L., & Research Group (2011). Antipsychotic utilisation and polypharmacy in Italian residential facilities: a survey. Epidemiology and Psychiatric Sciences 20, 171-179 DOI: 10.1017/S2045796011000242
  14. Goldberg, D.P., & Huxley, P. (1980). Mental illness in the community: the pathway to psychiatric care. London: Tavistock Publications.
  15. Granholm, E., McQuaid, J., McClure, F., et al. (2005). A Randomized, Controlled Trial of Cognitive Behavioral Social Skills Training for Middle-Aged and Older Outpatients With Chronic Schizophrenia. American Journal of Psychiatry 162, 520-52
  16. Ho, B-C., Andreasen, N.C., Ziebell, S., Pierson, R., & Magnotta, V. (2011). Long-term antipsychotic treatment and brain volumes. Archives of General Psychiatry, 68, 128-137.
  17. Jacoby, R., & Levy, R. (1980). Computed tomography in the elderly 3: Affective disorders. British Journal of Psychiatry, 136, 270-275
  18. Jung, C.G. (1930/1931). Gli stadi della vita. Opere, Vol. 8. Torino: Bollati Boringheri
  19. Katona, C., Chiu, E., Adelman, S., Baloyannis, S., Camus, V., Firmino, H., Gove, D., Graham, N., Ghebrehiwet, T., Icelli, I., Ihl, R., Kalasic, A., Leszek, L., Kim, S., Lima, Cde M., Peisah, C., Tataru, N., & Warner, J. (2009). World psychiatric association section of old age psychiatry consensus statement on ethics and capacity in older people with mental disorders. International Journal of Geriatric Psychiatry, 24, 1319-1324
  20. Kay, D., Beamish, P., & Roth, M. (1964). Old age mental disorders in Newcastle upon Tyne. Part I: a study of prevalence. British Journal of Psychiatry, 110, 146-158
  21. Kiloh, L. (1961). Pseudo-dementia. Acta Psychiatrica Scandinavica, 37, 336-351
  22. Kirkwood, T.B.L. (1992). Biological origins of ageing. In J.G. Evans & T.F. Williams (Eds.), Oxford Textbook of Geriatric Medicine. Oxford, Oxford University Press.
  23. Köhler, S., Thomas, A.J., Lloyd, A., Barber, R., Almeida, O.P., & O’Brien, J.T. (2010). White matter hyperintensities, cortisol levels, brain atrophy and continuing cognitive deficitsin late-life depression. British Journal of Psychiatry 196, 143-149.
  24. Krogsbøll, L.T., Jørgensen, K.J., Grønhøj, L.C., & Gøtzsche, P.C. (2012). General health checks in adults for reducing morbidity and mortality from disease. Cochrane Database of Systematic Reviews, Issue 10, Art. No.: CD009009. DOI: 10.1002/14651858.CD009009.pub2
  25. Spagnoli, A. (1995). “...E divento sempre più vecchio”. Jung, Freud, la psicologia del profondo e l’invecchiamento. Torino: Bollati Boringhieri
  26. Leucht, S., Tardy, M., Komossa, K., Heres, S., Kissling, W., Salanti, G., & Davis, J.M. (2012). Antipsychotic drugs versus placebo for relapse prevention in schizophrenia: a systematic review and meta-analysis. Lancet, 379, 2063- 2071.
  27. Lewis, D. (2011). Antipsychotic Medications and Brain Volume. Archives of General Psychiatry, 68, 126-127.
  28. Magni, E., Binetti, G., Bianchetti, A., Rozzini, R., & Trabucchi, M. (1996). Minimental state examination: a normative study in Italian elderly population. European Journal of Neurology, 3, 1-5.
  29. Mahoney, F.I., & Barthel, D. (1965). Functional evaluation: The Barthel Index. Maryland State Medical Journal, 14, 56-61
  30. Mangin, D., Heath, I., & Jamoulle, M. (2012). Beyond diagnosis: rising to the multimorbidity challenge. BMJ, 344, e3526
  31. McCleery, J. (2008). Severe and enduring mental illness in old age. In Jacoby et al. (Eds.), Oxford textbook of old age psychiatry. Oxford: Oxford University Press.
  32. McCrae, N., & Banerjee, S. (2010). The challenge of evaluating mental health services for older people. International Journal of Geriatric Psychiatry, 26, 551-557
  33. McGurk, S.R., Twamley, E.W., Sitzer, D.I., McHugo, G.J., & Mueser, K.T. (2007). A meta-analysis of cognitive remediation in schizophrenia. American Journal of Psychiatry, 164, 1791-1802
  34. Nasrallah, H. (2010). Linkage of Cognitive Impairments With Metabolic Disorders in Schizophrenia. American Journal of Psychiatry, 167, 1155-1157.
  35. Parmalee, P.A., Thuras, P.D., Katz, I.R., & Lawton, M.P. (1995). Validation of the Cumulative Illness Rating Scale in a geriatric residential population. Journal of the American Geriatrics Society 43, 130-137
  36. Rabboni, M. (Ed.) (2003). Residenzialità. Luoghi di vita, incontri di saperi. Milano: FrancoAngeli
  37. Rayner, L., Price, A., Evans, A., Valsraj, K., Higginson, I.J., & Hotopf, M. (2010). Antidepressants for depression in physically ill people (Review). The Cochrane Collaboration.
  38. Regione Lombardia (2010). Glossario sulla promozione della Salute Mentale. Bollettino Ufficiale, n. 39, edizione speciale. Settembre, Milano. Http://www.- %20Mentale[1].pdf
  39. Roder, V., Mueller, D.R., Mueser, K.T., & Brenner, H.D. (2006). Integrated Psychological Therapy (IPT) for Schizophrenia: is it effective? Schizophrenia Bulletin, 32, S81-S93
  40. Roth, M. (1955). The natural history of mental disorder in old age. Journal of Mental Science, 101, 281-301.
  41. Sanglier, T., Saragoussi, D., Milea, D., Auray, J.P., Valuck, R.J., & Tournier, M. (2011). Comparing Antidepressant Treatment Patterns in Older and Younger Adults: A Claims Database Analysis. Journal of the American Geriatrics Society, 59, 1197-1205
  42. Shah, S., Vanclay, F., & Cooper, B. (1989). Improving the sensitivity of the Barthel Index for stroke rehabilitation. Journal of Clinical Epidemiology, 42, 703 - 709
  43. Sheline, Y.I., Pieper, C.F., Barch, D.M, Welsh-Bohmer, K., McKinstry, R.C., MacFall, J.R., D’Angelo, G., Garcia, K.S., Gersing, K., Wilkins, C., Taylor, W., Steffens, D.C., Krishnan, R.R., & Doraiswamy, P.M. (2010). Support for the Vascular Depression Hypothesis in Late-Life Depression. Archives of General Psychiatry, 67, 277-285
  44. Simpson, S., Baldwin, R.C., Jackson, A., & Burns, A.S. (1998). Is subcortical disease associated with a poor response to antidepressant? Neurological, neuropsychological and neuroradiological findings in late-life depression. Psychological Medicine, 28, 1915-1026
  45. Spagnoli, A. (2012). Riflessioni sulla psicoterapia dei pazienti anziani. In C. Cristini (Ed.), Il cambiamento psicoterapeutico (pp. 215-233). Milano: FrancoAngeli
  46. Szöke, A., Trandafir, A., Dupont, M.E., Méary, A., Schürhoff, F., & Leboyer, M. (2008). Longitudinal studies of cognition in schizophrenia: meta-analysis. British Journal of Psychiatry, 192, 248-257
  47. Tiihonen, J., Suokas, J.T., Suvisaari, J. M., Haukka, J., & Korhonen, P. (2012). Polypharmacy With Antipsychotics, Antidepressants, or Benzodiazepines and Mortality in Schizophrenia. Archives of General Psychiatry, 69, 476-483
  48. Turkington, D., & Morrison, A. (2012). Cognitive Therapy for Negative Symptoms of Schizophrenia. Archives of General Psychiatry, 69, 119-120.

Cristina Di Ronco, Gian Marco Giobbio, Alberti Spagnoli, La residenzialità psicogeriatrica. Riflessioni sulle comunità psicogeriatriche del centro S. Ambrogio Fatebenefratelli di Cernusco sul Naviglio in "RICERCHE DI PSICOLOGIA " 2-3/2012, pp 465-482, DOI: 10.3280/RIP2012-002021