Abstract
Elderly patients suffering from both psychological disorders and long-term physical illness are often considered to be in an irreversible state of decline. A combined program of Reality Orientation, Activities of Daily Living, and Recreational Activities, together with environmental stimulation, was applied on an individualized basis to 21 such patients. Those with the motivation to participate in the available activities increased from 14% to 76% (p<.01) in just 4 months. Many who had not cared for their daily necessities, walked, or talked in years came to do so once more, some to the extent that they could leave the hospital.