title: From almshouse to dedicated unit: care of institutionalized elderly with behavioral problems.
abstract: This article provides an historical overview of the care of older persons with behavioral problems, from the almshouses of the early 20th century to the dedicated care units of today. The rôle of the psychiatric nurse in relation to the need for more mental health programming and changes in reimbursement mechanisms for the institutionalized elderly is examined.
authors.affiliation: University of Iowa Hospitals and Clinics, Iowa City.
authors.forename: G R
authors.initials: GR
authors.lastname: Hall
authors.forename: K C
authors.initials: KC
authors.lastname: Buckwalter
mesh_terms: D000368:Aged; D006707:Homes for the Aged / Q000458:organization & administration / Q000592:standards / Q000639:trends*; D006801:Humans; D001523:Mental Disorders / Q000451:nursing*; D009735:Nursing Homes / Q000458:organization & administration / Q000592:standards / Q000639:trends*; D011568:Psychiatric Nursing; D014481:United States