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A Multidisciplinary Geriatric Unit for the Psychiatrically Impaired in Bellevue Hospital Center

A 1968 ruling by the N.Y. State Department of Mental Hygiene refusing admission to nonpsychotic persons 65 and over, traditionally given custodial care by the state mental hospitals, left the communities, cities, and towns without resources to handle the problem. The ruling was implemented prior to any planning or funding for alternative facilities. The article describes a multidisciplmary Geriatric Unit established at Bellevue Hospital Center (Psychiatric Division) which together with available community resources, has maintained some of the mentally frail elderly in the community. Emphasis is given to the multidisciplinary character of the Geriatric Unit and to the need for similar in-hospital, mobile, and on-site as well as community-out-reach program teams to cope with the multiple health problems of the elderly indigent population in large cities. Additional types of services and facilities which are needed are discussed.