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UCSD's Senior Behavioral Health Program
Relocates to Specially Designed Floor at Hillcrest Hospital
UCSD's Senior Behavioral Health Program, one of the nation's first in the late '90s to focus on the integrated medical and psychiatric problems of the elderly, has relocated from UCSD Thornton Hospital in La Jolla to the UCSD Medical Center in Hillcrest. The move provides a completely redesigned hospital wing that is geared to the special needs of seniors with behavioral or cognitive problems.
The newly designed unit includes mood-enhancing bright light, soothing wall colors, hand-picked paintings that show seniors in positive activities, and specially designed furniture geared to older mental-health patients.
An inpatient, outpatient, and community-based program, Senior Behavioral Health offers a combined psychiatric and medical approach for seniors age 65 and older. The number of Americans 65 and older is expected to double from 35 million today to about 70 million by 2030. In recent years, primary care physicians and geriatric specialists have seen an increase in the number of elderly patients with mental health problems, and expect this number to grow as the nation's baby boomers age.
Since UCSD's Senior Behavioral Health Program began five years ago, the number of inpatient stays has doubled. Nearly 300 individuals were hospitalized in the past year for disorders such as depression, dementia with agitation or psychosis, delirium, schizophrenia, bipolar disease, or substance abuse. Outpatient visits and consultations have grown, as well.
The patients admitted to the inpatient unit are evaluated for any underlying medical or biochemical problems, as well as their mental health disorders. Each patient receives a comprehensive assessment by a number or professionals including a geriatric internist, a registered nurse, a social worker, an occupational therapist and a board-certified geriatric psychiatrist. In addition, a neuropsychologist evaluates those patients who have concerns about memory. Treatment in the inpatient unit also includes daily participation in a diverse array of therapeutic activities designed to increase physical, mental, emotional and spiritual health.
Dilip Jeste, M.D., Estelle and Edgar Levi Chair in Aging, professor of psychiatry and neurosciences, and chief of the Division of Geriatric Psychiatry, notes that the new inpatient unit has been constructed with considerable thought about the general health care and welfare of the patients.
The program staff spent more than 18 months working with architects and interior designers to create a state-of-the-art environment for older patients who are experiencing a combination of acute psychiatric and medical problems. Design ideas were obtained from recent scientific and professional publications as well as from visits to recently constructed residential facilities in the community.
Daniel D. Sewell, M.D., the program's medical director, worked with several program staff members to select and frame museum quality posters depicting a cultural mix of older people in positive, active interactions.
Sonia Ancoli-Israel, Ph.D., a UCSD expert in sleep disorders and light therapy, provided input regarding light levels. For safety reasons, the hallways, central living room area and dining room are illuminated to a level of 2000 lux, which is sufficient to have a physiological effect and to help treat depression and circadian rhythm disturbances.
Additional design elements include:
For more information about UCSD's
Senior Behavioral Health Program, call (619) 543-3741.
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