Abstract
The problem of misplacement of elderly patients was examined by survey of serial admissions to the geriatric and psychiatric departments serving an area of 200,000 population over the course of a year. Total misplacement was 9%, and 80% of misplaced patients went to the geriatric department where holiday admission (not offered by the psychiatric service) was a major factor predisposing to misplacement and where the patients were typically female and suffering from dementia. Misplacements to the psychiatric department represented 14.6% of admissions and were typically males with a short history of the present illness and more often had a past history of mental illness than similar patients correctly admitted to the geriatric department. We propose that a comprehensive geriatric service would be the best solution to the misplacement problem.