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Many abusers have been hospitalized repeatedly for serious psychiatric disorders (eg, schizophrenia and other psychoses). Many abuse alcohol or other drugs.
When an adult child has a mental illness requiring inpatient psychiatric care, the parents’ home is often the discharge site of last resort. Out of concern that the child will be homeless or have to stay in a shelter, or just out of love, parents often agree to take the child into their home. With the trend toward deinstitutionalization, psychiatrists who discharge a dependent child to the parents’ home must be aware of the possible effects on the parents. Patients who are not violent in an institution may be violent in the home. When the potential for domestic violence is not scrutinized and provisions for follow-up are not made, elder abuse may occur.

Tags: Psychopathology

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