Service Use and Mental Impairment Among the Elderly: Arguments for Consultation and Education

Compared the service use patterns of older adults with varying levels of mental impairment, and assessed the effects of services received on their mental health status over a 1-yr period. Data were obtained from a US General Accounting Office (1977, 1979) study of 531 elderly persons (mean age 76.1 yrs), which included administration of a modified version of the Older Americans Resources and Services Multidimensional Functional Assessment Questionnaire. Ss were interviewed twice, 1 yr apart. 174 Ss were classified as having a mild psychiatric impairment, and 118 Ss had a severe psychiatric impairment. The existence of mental impairment was related to marital status, race, and level of education. Usage of mental health services was low, although mentally impaired Ss were more likely than unimpaired Ss to use social and medical services. Results also suggest that such services can have an important effect on the mental health of older persons.

Stability of Art Preference in Frontotemporal Dementia

We examined aesthetic preference for reproductions of paintings among frontotemporal dementia (FTD) patients, in two sessions separated by 2 weeks. The artworks were in three different styles: representational, quasirepresentational, and abstract. Stability of preference for the paintings was equivalent to that shown by a matched group of Alzheimer's disease patients and a group of healthy controls drawn from an earlier study. We expected that preference for representational art would be affected by disruptions in language processes in the FTD group. However, this was not the case and the FTD patients, despite severe language processing deficits, performed similarly across all three art styles. These data show that FTD patients maintain a sense of aesthetic appraisal despite cognitive impairment and should be amenable to therapies and enrichment activities involving art.