CHU St-Pierre is a down town public university hospital (tertiary referral) in Brussels (Belgium), with 636 beds and 177 148 hospitalisation’s day/year. The care program for the geriatric patient is implemented in the following settings in all the Belgian hospitals:

• outpatients geriatric consultations
• “geriatric day hospital”
• acute geriatric units
• “inpatients consultation service team” (liaison geriatrics) in non-geriatric wards

In the framework of geriatric consultations and geriatric day hospital, most of the patients assessed are referred for “geriatric syndromes” (falls, cognitive disorders, malnutrition, incontinence, pain, social complexity, potentially inappropriate prescription).

The care program for the geriatric patient is legally instituted in Belgian hospitals and provides an interdisciplinary approach to frail geriatric patients. Sixty percent of this activity involves patients with cognitive impairment. We developed in our hospital an interdisciplinary approach of the patients presenting cognitive disorders with the collaboration of the neurologists and psychiatrists (see below).