title: How to facilitate the orientation of elderly subjects with psychical disabilities to a health alternative to hospitalization?
abstract: This paper is aimed to improve the socio-psycho-therapeutic support for older patients with heavy psychiatric disability. First, we review the literature to question the specific grounds reported by professionals regarding the orientation of these vulnerable subjects. Secondly, we emphasize that integration of these subjects within alternatives to hospitalization requires a type of support similar to that usually proposed, an accompaniment of psychosocial rehabilitation. Then, we propose to build an indicator called the psychosocial age, which reduces the weight of the chronological age for the orientation of these subjects. Ultimately, we question the health policies in psychiatry.
authors.affiliation: Université de Lorraine, Nancy 2, Laboratoire INTERPSY, EA 4432, Nancy, France, Centre hospitalier de Jury-les-Metz, Jury-les-Metz, France.
authors.forename: Christophe
authors.initials: C
authors.lastname: Clesse
authors.affiliation: Centre hospitalier de Jury-les-Metz, Jury-les-Metz, France.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Dumand
authors.affiliation: Université de Lorraine, Nancy 2, Laboratoire INTERPSY, EA 4432, Nancy, France.
authors.forename: Émeline
authors.initials: É
authors.lastname: Nassau
authors.affiliation: Université de Lorraine, Nancy 2, Laboratoire INTERPSY, EA 4432, Nancy, France.
authors.forename: Cécile
authors.initials: C
authors.lastname: Prudent
authors.affiliation: Centre hospitalier de Jury-les-Metz, Jury-les-Metz, France.
authors.forename: Michel
authors.initials: M
authors.lastname: Decker
authors.affiliation: Centre hospitalier de Jury-les-Metz, Jury-les-Metz, France.
authors.forename: Christine
authors.initials: C
authors.lastname: Savini
authors.affiliation: Université de Lorraine, Nancy 2, Laboratoire INTERPSY, EA 4432, Nancy, France.
authors.forename: Joëlle
authors.initials: J
authors.lastname: Lighezzolo-Alnot
authors.affiliation: Université de Lorraine, Nancy 2, Laboratoire INTERPSY, EA 4432, Nancy, France.
authors.forename: Martine
authors.initials: M
authors.lastname: Batt
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000523:psychology; D004185:Disability Evaluation; D006233:Persons with Disabilities; D005260:Female; D006707:Homes for the Aged; D006760:Hospitalization; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D009949:Orientation
keywords: aging; alternative to hospitalization; institutional support; psychosocial age; social representation