Article ID: CBB895582960

Dementia in Nineteenth-Century Australia (2021)

unapi

Ageing of nineteenth-century Australia resulted in increasing asylum admissions of older people with dementia. Dementia prevalence in the colonial population is estimated to have increased from eight hundred in 1861 to nine thousand in 1901. Dementia diagnosis had broader usage in the lunatic asylums than in current practice. Examination of medical casebooks from three asylums found 50–60% concordance with current dementia diagnoses. Lunatic asylums were reluctant to admit people with dementia but lack of alternatives for those with challenging behaviour, inability to self-care, and with limited or no family support meant admissions increased. Dementia care in benevolent asylums focused on those who were cooperative. Quality of dementia care was poor with badly designed built environments, few trained staff, and high use of restraints.

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Authors & Contributors
Coleborne, Catharine
Picozzi, Mario
Pinto, Sarah Ann
Christophe Capuano
Weston, Kathryn M.
Priani, Egidio
Concepts
Psychiatric hospitals
Health care
Mental disorders and diseases
Institutionalization
Medicine and politics
Therapeutic practice; therapy; treatment
Time Periods
19th century
20th century, early
20th century, late
20th century
21st century
18th century
Places
Australia
New Zealand
New South Wales (Australia)
Italy
Great Britain
United Kingdom
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