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A study of partial thiaminerestriction in human volunteers. Am J Clin Nutrit 1980; 33: 848–61.37. Godfrey PSA, Toone BK, Carney MWP et al. Enhancement ofrecovery from psychiatric illness by methylfolate. Lancet 1990; 336:392–5.38. Committee on Medical Aspects of Food Policy. Report of the Panel onDietary Reference Values. Dietary Reference Values for Food, Energyand Nutrients for the United Kingdom. London: HMSO, 1991.39. Milio N. Nutrition and health: patterns and policy perspectives infood-rich countries. Soc Sci Med 1989; 29(3): 413–23.40. Sinclair I, Parker R, Leat D, Williams J. The Kaleidoscope of Care: aReview of Research on Welfare Provision for Elderly People. London:HMSO, 1990.41. Sinclair I, Crosbie D, O’Connor P et al. Bridging Two Worlds: SocialWork and Elderly Living Alone. Aldershot: Gower, 1988.42. Bebbington AC, Charnley H, Davies BP, Ferlie EB et al. TheDomiciliary Care Project: Meeting the Needs of the Elderly. InterimReport to the Department of Health and Social Security, Universityof Kent, UK.43. Johnson ML, Gregorio S, Harrison B. Ageing, Needs and Nutrition: aStudy of Voluntary and Statutory Collaboration in Community Carefor Elderly People. London: Policy Studies Institute, 1981.44. Suski NS, Nielsen CD. Factors affecting food intake of women withAlzheimer’s-type dementia in long-term care. J Am Dietet Assoc 1989;12: 1770–3.45. Hu T, Huang L, Cartwright WS. Evaluation of the costs of caringfor the senile demented elderly: a pilot study. Gerontologist 1986;26: 158–63.46. Department of Health and Social Security. Nutrition and Health inOld Age. Reports on Health and Social Subjects, No. 16. London:HMSO, 1979.47. Anderson EL. Eating patterns before and after dentures. J Am DietetAssoc 1971; 58: 421–6.48. MacEntee MI, Stolar E, Glick N. Influence of age and gender on oralhealth and related behaviour in an independent elderly population.Commun Dental Oral Epidemiol 1993; 21: 234–9.49. Sweeney MP, Shaw A, Yip B, Bagg J. Oral health of elderlyinstitutionalised patients. Br J Nurs 1995; 4: 1204–8.50. Dickerson JWT. Nutrition and drugs. In Davis SH, ed., Symposiumon Nutrition. Edinburgh: Royal College of Physicians (Edinburgh),1980.51. Office of Population Censuses and Surveys. General HouseholdSurvey. London: HMSO, 1980.52. Hunt A. The Elderly at Home. London: HMSO, 1978.53. Piachaud D, Webb J. The Price of Food: Missing Out on MassConsumption. London: Sticerd, 1996.54. Lennard-Jones JE. A Positive Approach to Nutrition as Treatment.London: King’s Fund, 1992.55. Parker D, Emmett PM, Heaton KW. Final year medical studentsknowledge of practical nutrition. J R Soc Med 1992; 85: 338.56. Royal College of Nursing. Nutrition Standards and the Older Adult.London: Royal College of Nursing, 1993.57. Peet M, Laugharne J, Rangarajan N. Depicted red cell membraneessential fatty acids in drug treated schizophrenic patients. J PsychiatRes 1995; 29: 227–32.58. Peet M, Laugharne JD, Mellor J. Essential fatty acid deficiency inerythrocyte membranes of chronic schizophrenic patients and theclinical effect of dietary supplementation. Prostaglandins LeukotEssent Fatty Acids 1996; 55: 71–5.59. McCreadie R, MacDonald E, Blacklock C et al. Dietary intake ofschizophrenic patients in Nithsdale, Scotland; case-control study. BrMed J 1998; 317: 784–5.Mental Illness in Nursing Homes and Hostels in AustraliaDavid AmesRoyal Melbourne Hospital, Parkville, Victoria, AustraliaAustralia has a population of over 19 000 000 people. Less than2% are descended from the original inhabitants and over 12% areaged 65+. The probability of using nursing home care at somepoint in one’s life is currently estimated to be around 25% atbirth, rising to 60% from when aged 80 and 95% from when aged90. As the life expectancy of those aged 65 now extends wellbeyond 80 years, the majority of older Australians can expect tohave some experience of residential care before their lives end 1 .Inrecent years Australian government policy has directed fundingaway from residential provision towards community care, and hasacted to blur the distinction between nursing homes providing fullnursing care 24 h/day and hostels that offer accommodation,meals, supervision and some assistance with activities of dailyliving but do not furnish residents with 24 h/day nursing care 2,3 .In 1993 there were 74 494 nursing home beds in Australia andby 2011, if the intended planning ratio of 40 beds/1000 personsaged 70+ has been reached, there will be 78 600 beds 4 . The policydirection for hostels is to increase the level of supply from a 1993level of 40 places/1000 persons aged 70+ to a projected level of52.5 by 2011. There were 54 429 hostel places in Australia in 1993.

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