Discusses how the perception that depression is a 'natural' part of old age, may mean that many older people are not getting the help they need. Looks at the need for specialist services, but those that also ensure older people have access to the full range of mental health services, rather than assuming any treatment must be in the form of medication. Looks at initiatives in Hertforshire
Discusses how the perception that depression is a 'natural' part of old age, may mean that many older people are not getting the help they need. Looks at the need for specialist services, but those that also ensure older people have access to the full range of mental health services, rather than assuming any treatment must be in the form of medication. Looks at initiatives in Hertforshire and East Kent NHS and Social Care Partnership Trust.
Subject terms:
mental health services, older people, access to services, depression;
British Journal of Clinical Psychology, 60(1), 2021, pp.1-37.
Publisher:
Wiley
Objectives: Improving Access to Psychological Therapies (IAPT) is a national‐level dissemination programme for provision of evidence‐based psychological treatments for anxiety and depression in the United Kingdom. This paper sought to review and meta‐analyse practice‐based evidence arising from the programme. Design: A pre‐registered (CRD42018114796) systematic review and meta‐analysis. Methods: suitable for meta‐analysis. The primary meta‐analysis showed large pre‐post treatment effect sizes for depression (d = 0.87, 95% CI [0.78–0.96], p < .0001) and anxiety (d = 0.88, 95% CI [0.79–0.97], p < .0001), and a moderate effect on functional impairment (d = 0.55, 95% CI [0.48–0.61], p < .0001). The methodological features of studies influenced ESs (e.g., such as whether intention‐to‐treat
(Edited publisher abstract)
Objectives: Improving Access to Psychological Therapies (IAPT) is a national‐level dissemination programme for provision of evidence‐based psychological treatments for anxiety and depression in the United Kingdom. This paper sought to review and meta‐analyse practice‐based evidence arising from the programme. Design: A pre‐registered (CRD42018114796) systematic review and meta‐analysis. Methods: A random effects meta‐analysis was performed only on the practice‐based IAPT studies (i.e. excluding the clinical trials). Subgroup analyses examined the potential influence of particular methodologies, treatments, populations, and target conditions. Sensitivity analyses investigated potential sources of heterogeneity and bias. Results: The systematic review identified N = 60 studies, with N = 47 studies suitable for meta‐analysis. The primary meta‐analysis showed large pre‐post treatment effect sizes for depression (d = 0.87, 95% CI [0.78–0.96], p < .0001) and anxiety (d = 0.88, 95% CI [0.79–0.97], p < .0001), and a moderate effect on functional impairment (d = 0.55, 95% CI [0.48–0.61], p < .0001). The methodological features of studies influenced ESs (e.g., such as whether intention‐to‐treat or completer analyses were employed). Conclusions: Current evidence suggests that IAPT enables access to broadly effective evidence‐based psychological therapies for large numbers of patients. The limitations of the review and the clinical and methodological implications are discussed.
(Edited publisher abstract)
Subject terms:
psychotherapy, evidence-based practice, anxiety, depression, access to services;
Journal of Gay and Lesbian Social Services, 23(4), October 2011, pp.507-522.
Publisher:
Taylor and Francis
Place of publication:
Philadelphia, USA
... Survey. The study sample reported less health care access than did the general population and was more likely to report smoking, alcohol use, and depression. In addition, a recent health care visit mediated sample differences in smoking and depression, suggesting that health care disparities between gay and non-gay are associated with important health outcomes. This study is the first to examine gay men
Gay men often engage in detrimental health behaviours more frequently than non-gay men. Current evidence also supports the idea that gay men experience barriers to accessing health care. This study investigated health care disparities and health behaviours by comparing data from 871 gay men gathered from gay/bisexual venues in Chicago to data from 7,783 men from the US National Health Interview Survey. The study sample reported less health care access than did the general population and was more likely to report smoking, alcohol use, and depression. In addition, a recent health care visit mediated sample differences in smoking and depression, suggesting that health care disparities between gay and non-gay are associated with important health outcomes. This study is the first to examine gay men versus general population health care discrepancies using a gay sample that was not exclusively partnered. The implications for future research in this area are discussed.
Subject terms:
smoking, access to services, depression, gay men, health;
Health and Social Care in the Community, 20(1), January 2012, pp.52-60.
Publisher:
Wiley
Depression in older people is common, under-diagnosed and often undertreated. It has been thought that 10-15% of older people meet the clinical criteria for depression, but less than a third of these discuss their symptoms with their general practitioner (GP), and less than a half of these will be offered guideline-concordant treatment. The aim of this study was to explore the reasons why older people with depression may not present to primary care. Secondary analysis was carried out of qualitative data collected in 2 previous studies of older people with depression in North-West England. Data consisted of 19 transcripts of semi-structured, in-depth interviews. The findings show that older people are reluctant to recognise and name depression as a set of symptoms that legitimises attending
Depression in older people is common, under-diagnosed and often undertreated. It has been thought that 10-15% of older people meet the clinical criteria for depression, but less than a third of these discuss their symptoms with their general practitioner (GP), and less than a half of these will be offered guideline-concordant treatment. The aim of this study was to explore the reasons why older people with depression may not present to primary care. Secondary analysis was carried out of qualitative data collected in 2 previous studies of older people with depression in North-West England. Data consisted of 19 transcripts of semi-structured, in-depth interviews. The findings show that older people are reluctant to recognise and name depression as a set of symptoms that legitimises attending their GP. They do not consider themselves candidates for help for their distress, partly due to perceptions of the role of the GP but also to previous negative experiences of help seeking. In addition, the treatments offered, which are predominantly biomedical, may not be acceptable to older people. The article concludes that interventions may need to encourage social engagement, such as befriending, and enhancement of creative, physical and social activity.
Subject terms:
older people, user views, access to services, depression, general practitioners;
British Journal of General Practice, 59(566), September 2009, pp.660-664.
Publisher:
Royal College of General Practitioners
... for psychological problems consulted for that reason and this rate was positively associated with the frequency of consultations to the GP. However, 80% of young people who did not consult for psychological problems visited their GP at least once during the previous year. Being older or a student, having a higher depression score, or a history of suicide attempt were linked with a higher rate of help seeking.
Among young people, about one in three females and one in five males report experiencing emotional distress but 65-95% of them do not receive help from health professionals. This study assesses the differences among young people who seek help and those who do not seek help for their psychological problems, considering the frequency of consultations to their GP and their social resources. Among a Swiss national representative sample of 7,429 students and apprentices (45.6% females) aged 16-20 years, 1,931 young people reported needing help for a problem of depression/sadness (26%) and were included in the study. They were divided into those who sought help (n = 256) and those who did not (n = 1675), and differences between them were assessed. Results found only 13% of young people needing help for psychological problems consulted for that reason and this rate was positively associated with the frequency of consultations to the GP. However, 80% of young people who did not consult for psychological problems visited their GP at least once during the previous year. Being older or a student, having a higher depression score, or a history of suicide attempt were linked with a higher rate of help seeking. Moreover, confiding in adults positively influenced the rate of help seeking.
Subject terms:
service uptake, young people, access to services, depression, general practitioners;
The author look at the situation of the over-65s who suffer from depression, how they are often neglected and face unmet need. The article also briefly highlights initiatives in the NHS that aim to tackle these problems.
The author look at the situation of the over-65s who suffer from depression, how they are often neglected and face unmet need. The article also briefly highlights initiatives in the NHS that aim to tackle these problems.
Subject terms:
mental health problems, mental health services, older people, access to services, depression;
... will need support already have existing mental health needs, including severe mental illness. The majority of people will need support for depression or anxiety, or both. Others will need help for trauma symptoms and a range of other difficulties, including complicated grief arising from bereavement and loss. As further evidence becomes available, the figures may rise: for example when the extent
(Edited publisher abstract)
This is the third Centre for Mental Health forecast of the mental health impacts of the Covid-19 pandemic in England. The forecast model predicts that up to 10 million people (almost 20% of the population) will need either new or additional mental health support as a direct consequence of the crisis. 1.5 million of those will be children and young people under 18. About two-thirds of people who will need support already have existing mental health needs, including severe mental illness. The majority of people will need support for depression or anxiety, or both. Others will need help for trauma symptoms and a range of other difficulties, including complicated grief arising from bereavement and loss. As further evidence becomes available, the figures may rise: for example when the extent of the unequal effects of the pandemic on Black and minority ethnic communities, on care homes and disabled people becomes clear. Further waves of the virus, and its consequences, will exacerbate the effects on mental health and the numbers of people needing support. The Government and the NHS can and must take steps now to prepare for this additional need among people of all ages. Mental health problems cannot be ignored. A proactive, timely, compassionate and effective response will help people experiencing mental health difficulties before they reach crisis point.
(Edited publisher abstract)
Subject terms:
Covid-19, mental health problems, risk, mental health services, access to services, depression, anxiety;
Examines the extent to which the current provision of mental health services fails to meet the increasingly high demand from the ageing population. The report shows that currently 3 million people in the UK over the age of 60 are living with depression; this figure is set to rise to 4.3 million in the next 15 years due to the growing number of older people in our society; the NHS is not providing
(Edited publisher abstract)
Examines the extent to which the current provision of mental health services fails to meet the increasingly high demand from the ageing population. The report shows that currently 3 million people in the UK over the age of 60 are living with depression; this figure is set to rise to 4.3 million in the next 15 years due to the growing number of older people in our society; the NHS is not providing those in later life with mental health problems with sufficient treatment options, such as talking therapies and integrated care plans. The report makes a number of recommendations to build on progress already made and ensure that older people’s mental health gains not only parity of esteem with physical health concerns but parity with other age groups. These include: creation of a work stream dedicated to meeting older people’s mental health needs, as part of the implementation of Mental Health Taskforce recommendations; local health and care commissioners should fully understand the prevalence of common mental health conditions among the over 65s in their areas; each clinical commissioning group and local authority should consider appointing “older people’s mental health champions”; and all services should be appropriately funded and equipped to deliver fully integrated care that addresses mental and physical health and comorbidity.
(Edited publisher abstract)
Subject terms:
older people, mental health, depression, psychotherapy, integrated care, access to services;
KEEFE Robert H., BROWNSTEIN-EVANS Carol, POLMANTEER Rebecca S. Rouland
Journal article citation:
Social Work in Health Care, 55(1), 2016, pp.1-11.
Publisher:
Taylor and Francis
Place of publication:
Philadelphia, USA
This article identifies variables at the micro/individual, mezzo/partner/spouse and family, and macro/health care-system levels that inhibit mothers at risk for perinatal mood disorders from accessing health and mental health care services. Specific recommendations are made for conducting thorough biopsychosocial assessments that address the mothers’ micro-, mezzo-, and macro-level contexts. Finally, the authors provide suggestions for how to intervene at the various levels to remove access barriers for mothers living with perinatal mood disorders as well as their families.
(Publisher abstract)
This article identifies variables at the micro/individual, mezzo/partner/spouse and family, and macro/health care-system levels that inhibit mothers at risk for perinatal mood disorders from accessing health and mental health care services. Specific recommendations are made for conducting thorough biopsychosocial assessments that address the mothers’ micro-, mezzo-, and macro-level contexts. Finally, the authors provide suggestions for how to intervene at the various levels to remove access barriers for mothers living with perinatal mood disorders as well as their families.
(Publisher abstract)
Subject terms:
access to services, mental health services, postnatal depression, depression, pregnancy, assessment, social work;
Journal of Evidence-Informed Social Work, 12(6), 2015, pp.614-627.
Publisher:
Taylor and Francis
Place of publication:
Philadelphia, USA
Older American Indians experience high rates of depression and other psychological disorders, yet little research exist on the depression literacy of this group. Depression literacy is fundamental for individuals seeking help for depression in a timely and appropriate manner. In the present study the authors examine levels and predictors of knowledge of depression symptoms in a sample of rural older American Indians (N = 227) living in the Midwestern United States. Data from self-administered questionnaires indicate limited knowledge of depression and negative attitudes toward seeking help for mental health problems. Additional findings and implications for social work practice and policy are discussed.
(Publisher abstract)
Older American Indians experience high rates of depression and other psychological disorders, yet little research exist on the depression literacy of this group. Depression literacy is fundamental for individuals seeking help for depression in a timely and appropriate manner. In the present study the authors examine levels and predictors of knowledge of depression symptoms in a sample of rural older American Indians (N = 227) living in the Midwestern United States. Data from self-administered questionnaires indicate limited knowledge of depression and negative attitudes toward seeking help for mental health problems. Additional findings and implications for social work practice and policy are discussed.
(Publisher abstract)
Subject terms:
older people, black and minority ethnic people, depression, mental health problems, indigenous people, attitudes, access to services;