{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:40:36Z","timestamp":1777412436471,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[1996,10,1]],"date-time":"1996-10-01T00:00:00Z","timestamp":844128000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aust N Z J Psychiatry"],"published-print":{"date-parts":[[1996,10]]},"abstract":"<jats:p>Objective: To discuss the ethical and clinical issues associated with the management of social breakdown in the elderly (SBE) in relation to the case of a 76-year-old recluse who was referred following community concerns about her living conditions and behaviour.<\/jats:p>\n                  <jats:p>Method: Longitudinal assessment and management of the patient resulted in a diagnosis of schizophrenia and treatment with fluphenazine decanoate. Results: The patient responded to treatment and was returned home, after which a relationship was maintained by community services. Conclusions: A coherent and defensible position on both clinical and ethical grounds may be made in favour of intervention with SBE. Practical aspects of the process are suggested.<\/jats:p>","DOI":"10.3109\/00048679609062665","type":"journal-article","created":{"date-parts":[[2007,11,21]],"date-time":"2007-11-21T20:55:56Z","timestamp":1195678556000},"page":"681-684","source":"Crossref","is-referenced-by-count":7,"title":["Intervention and Social Breakdown in the Elderly"],"prefix":"10.1177","volume":"30","author":[{"given":"John D.","family":"Little","sequence":"first","affiliation":[{"name":"Grampians Psychiatric Services, Lakeside Hospital, Ballarat, Victoria, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1996,10,1]]},"reference":[{"key":"bibr1-00048679609062665","first-page":"2546","volume-title":"Comprehensive textbook of psychiatry","author":"Berral Y","year":"1975","edition":"2"},{"key":"bibr2-00048679609062665","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.5521.1032"},{"key":"bibr3-00048679609062665","doi-asserted-by":"publisher","DOI":"10.1016\/0010-440X(91)90021-4"},{"key":"bibr4-00048679609062665","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(75)91280-5"},{"key":"bibr5-00048679609062665","first-page":"21","volume":"34","author":"Cybulska E","year":"1986","journal-title":"British Journal of Hospital Medicine"},{"key":"bibr6-00048679609062665","first-page":"515","volume":"1","author":"Smith Henderson SL","year":"1975","journal-title":"Lancet"},{"key":"bibr7-00048679609062665","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(75)91664-5"},{"key":"bibr8-00048679609062665","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(60)90006-0"},{"key":"bibr9-00048679609062665","volume-title":"Out of this world: a collection of hermits and recluses","author":"Erskine HW.","year":"1953"},{"key":"bibr10-00048679609062665","volume-title":"Principles of biomedical ethics","author":"Beauchamp TL","year":"1970"},{"key":"bibr11-00048679609062665","volume-title":"On liberty","author":"Mill JS.","year":"1859"},{"key":"bibr12-00048679609062665","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.159.1.1"},{"key":"bibr13-00048679609062665","volume-title":"Psychiatric ethics","author":"Reich W.","year":"1981"},{"key":"bibr14-00048679609062665","first-page":"45","volume":"6","author":"Gert B","year":"1976","journal-title":"Philosophy and Public Affairs"},{"key":"bibr15-00048679609062665","doi-asserted-by":"publisher","DOI":"10.5840\/monist197256119"},{"key":"bibr16-00048679609062665","volume-title":"A guideline for dealing with suspected or actual abuse and neglect of older persons. 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