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New Zealand has a paucity of psychiatry beds for older adults, but despite the ageing population, limited attention has been given to this growing problem. BPSD patients present acutely to hospital when their behaviour becomes unmanageable. They need specialist attention and facilities. However, despite inappropriate design and no resourcing, hospitals routinely expect medical wards to accept these patients when no psychogeriatric bed is available\u00a0even when the presentation is complicated by physical or sexual violence. The authors contend that this practice is unsafe and unethical. It breaches the Code of Rights for all patients and places physicians at medico\u2010legal risk.<\/jats:p>","DOI":"10.1111\/imj.70115","type":"journal-article","created":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T03:19:11Z","timestamp":1750735151000},"page":"1392-1396","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["General medicine wards and the mental health crisis: invisible and unsafe"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2785-4623","authenticated-orcid":false,"given":"Cindy","family":"Towns","sequence":"first","affiliation":[{"name":"Department of Medicine, University of Otago Wellington University of Otago  Wellington New Zealand"},{"name":"Department of General Medicine Capital and Coast District Health Board  Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kay","family":"Hodgetts","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Otago Wellington University of Otago  Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippa","family":"Shirtcliffe","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Otago Wellington University of Otago  Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Cameron","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Otago Wellington University of Otago  Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vuk","family":"Sekicki","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Otago Wellington University of Otago  Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cathal","family":"McCloy","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Otago Wellington University of Otago  Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Giedt","sequence":"additional","affiliation":[{"name":"Acute and General Medicine Waikato Hospital  Hamilton New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolien","family":"Lourens","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Otago Wellington University of Otago  Wellington New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tracey","family":"Putt","sequence":"additional","affiliation":[{"name":"General and Renal Medicine  Dunedin New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,24]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Mentalhealthinquiry.govt.nz.He Ara Oranga \u2013 report of the government inquiry into mental health and addiction.2018(cited 2024 Jun 18). 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