The character of behavioural symptoms on admission to three Canadian long-term care homes

Kevin Brazil*, Janine Maitland, Marianne Walker, Alice Curtis

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

14 Citations (Scopus)


Objectives: We determined the prevalence and nature of behavioural symptoms at the time of admission to a long-term care home (LTCH) and occurrence of resident-to-resident aggressive behaviour associated with behavioural symptoms within three months following admission. Method: The Cohen-Mansfield Agitation Inventory and Aggressive Behaviour Scale were completed at the time residents were admitted into the LTCH. A chart review, conducted three months after admission into the LTCH, abstracted documented resident-to-resident aggression. Three LTCHs located in Ontario, Canada participated in the study. Results: During a 16-month period, 339 individuals admitted to the LTCHs comprised the study sample. A comparison was made between residents with and without dementia. At admission, residents with dementia had a greater number of behavioural symptoms than those without dementia (mean = 3.79, SD = 3.32 versus mean = 2.56, SD = 2.24, respectively; t(200) = 1.91; p = 0.059). Residents with and without dementia exhibited similar behaviours but differed on the prevalence of these behaviours. The most frequently reported behavioural symptoms for residents in both groups were verbal agitation and non-aggressive physical behaviours. The most frequently recorded aggressive behaviour for all residents was resisting care. In the three months post admission, 79 (23%) residents were involved in a documented incident that involved aggressive behaviour to another resident. Conclusion: A standardized comprehensive assessment for admission to a LTCH is an important strategy that can be used to identify behavioural symptoms and plan appropriate care management. 

Original languageEnglish
Pages (from-to)1059-1066
Number of pages8
JournalAging and Mental Health
Issue number8
Early online date18 Jun 2013
Publication statusPublished - 2013


  • Admission
  • Aggressive behaviour
  • Dementia
  • Long-term care homes
  • Standardized assessment

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Gerontology
  • Phychiatric Mental Health
  • Psychiatry and Mental health
  • Medicine(all)


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