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2016 ; 60
(2
): 206-28
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English Wikipedia
Psychogeriatrics in England: Its Route to Recognition by the Government as a
Distinct Medical Specialty, c 1970-89
#MMPMID26971597
Hilton C
Med Hist
2016[Apr]; 60
(2
): 206-28
PMID26971597
show ga
Demographic trends, and older people over 65 years disproportionately occupying
beds in psychiatric hospitals, pointed to their increasing clinical needs.
Clinical work with older people often required different skills from work with
younger people. 'General psychiatrists', nominally working with adults of all
ages, usually had little interest in working with older people. By 1977, it was
clear to clinical leaders in the field of psychogeriatrics that official
recognition of their specialty by the government was essential to ensure service
development. Official recognition would provide the means to collect data to
identify gaps in services, to obtain information on the implementation of
government guidance and to advocate for resources, including ensuring high
quality training posts for doctors wanting to specialise in the field. Doctors
have traditionally taken the lead in creating new medical specialties, and
psychogeriatrics was no exception. However, support fluctuated towards the
specialty from the leadership of the Royal College of Psychiatrists. Health
service leaders who did not undertake work with older people, were incredulous
that others wished to do so. Negotiations between the Royal College of
Psychiatrists and the Department of Health and Social Security about recognising
psychogeriatrics were convoluted and prolonged. Recognition was achieved in 1989,
following intervention by the Royal College of Physicians of London.