Daughters as Caregivers of Aging Parents: The Shattering Myth

A review of the history of de-institutionalization is given. The problem today for the older chronic former mental hospital patient is described. A protective services model is then proposed for these ex-mental hospital patients. The proposed model follows those that were developed to help older persons who become impaired to remain in the community. This model recommends that a careful assessment be made of the patient's ability to manage his/her life prior to discharge and that a service plan be developed from the assessment. Then the community agency, preferably the community mental health center which is already mandated this duty, assumes responsibility for planning and service to the patient. This service assures that patients are receiving the basic necessities and superviser their general welfare.