title: Toward an integrated approach to the institutionalized aged: an encounter with the medical model.
abstract: The author describes the delivery of medical, psychiatric and social work services to residents of a facility for the aged. Although the Home had already benefited from the introduction of sound medical standards and the influence of an acute medical hospital, a satisfactory staff organization needed to be developed to answer the unique and individual needs of the aged residents. Specifically, the task was aimed at organizing services to implement a small unit concept of individual care for which the new facility was architecturally designed, to bring together those involved in patient care to coordinate services, to help the staff sustain a therapeutic attitude and to carry out specific therapeutic tasks.
mesh_terms: D000223:Adaptation, Psychological; D000275:Adjustment Disorders / Q000523:psychology / Q000628:therapy; D000368:Aged; D003191:Comprehensive Health Care / Q000379:methods*; D003695:Delivery of Health Care; D006233:Persons with Disabilities; D005260:Female; D006707:Homes for the Aged; D006801:Humans; D008603:Mental Health; D009820:Ohio; D010347:Patient Care Planning; D010348:Patient Care Team