Search results for ‘Subject term:"mental health problems"’ Sort:
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Correlates and predictors of psychological distress among older Asian immigrants in California
- Authors:
- CHANG Miya, MOON Ailee
- Journal article citation:
- Journal of Gerontological Social Work, 59(2), 2016, pp.77-97.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Psychological distress occurs frequently in older minority immigrants because many have limited social resources and undergo a difficult process related to immigration and acculturation. Despite a rapid increase in the number of Asian immigrants, relatively little research has focused on subgroup mental health comparisons. This study examines the prevalence of psychological distress, and relationship with socio-demographic factors, and health care utilisation among older Asian immigrants. Weighted data from Asian immigrants 65 and older from 5 countries (n = 1,028) who participated in the California Health Interview Survey (CHIS) were analysed descriptively and in multiple linear regressions. The prevalence of psychological distress varied significantly across the 5 ethnic groups, from Filipinos (4.83%) to Chinese (1.64%). General health status, cognitive and physical impairment, and health care utilisation are all associated (p < .05) with psychological distress in multiple linear regressions. These findings are similar to those from previous studies. The findings reinforce the need to develop more culturally effective mental health services and outreach programmes (Edited publisher abstract)
Improving services and support for older people with mental health problems: executive summary
- Author:
- AGE CONCERN
- Publisher:
- Age Concern
- Publication year:
- 2007
- Pagination:
- 12p.
- Place of publication:
- London
This is the second and final report of the UK Inquiry into Mental Health and Well-Being in Later Life. The Inquiry was launched in late 2003 as a result of concern that mental health in later life is a much neglected area. The range of mental health problems experienced in later life is very wide, including depression, anxiety, delirium (acute confusion), dementia, schizophrenia and other severe mental health problems, and alcohol and drug misuse. This report presents a comprehensive review of key facts and figures relating to each of these, as well as facts and figures on services and sources of support. It aims to illustrate how services and support for older people with mental health problems can be improved. This report draws on evidence from older people, carers, organisations and professionals. Five main areas are identified for action: ending discrimination; prioritising prevention; enabling older people; improving current services; and facilitating change. The report concludes that the levels of unmet mental health needs amongst older people are extremely high, and that age discrimination remains the fundamental problem. The report makes 35 recommendations which are listed along with the recommendations from the Inquiry’s first report.
From the 60s to their sixties. Baby boomers - challenges and choices for public mental health
- Author:
- WILLIAMSON Toby
- Journal article citation:
- Journal of Public Mental Health, 7(1), August 2008, pp.4-8.
- Publisher:
- Emerald
This commentary considers the demographic 'bulge' of the so-called 'baby boomer' generation and the public mental health challenge that this group will represent as they move into old age. It is argued that now is the time to start a debate with the aim of identifying long-term solutions to these new challenges.
Scoping study: a research and development network for rural and remote health, social care and wellbeing
- Authors:
- EARP Alice, DEAVILLE Jennifer
- Publisher:
- Institute of Rural Health
- Publication year:
- 2005
- Pagination:
- 28p
- Place of publication:
- Newtown
Over the past five years, there has been increasing interest in Wales and other countries of the UK in research in the field of rural and remote health, social care and wellbeing. There is recognition that a large proportion of the population of Wales live in rural areas but that there is a lack of research evidence on their health, social care and well-being needs. Research has tackled a broad range of topics which can be briefly categorised as: older people (e.g. dementia, barriers to accessing healthcare, psychiatric morbidity in older people); children and young people (e.g. children and domestic violence, the uptake of childhood immunisation in rural areas, unintended teenage pregnancy and reducing sexually transmitted infection); mental health (e.g. depressive disorders, community mental health promotion, suicide); pregnancy and antenatal carep; farmers (e.g. improving access to healthcare for farming)
Health services utilization between older and younger homeless adults
- Authors:
- NAKONEZNY Paul A., OJEDA Michael
- Journal article citation:
- Gerontologist, 45(2), April 2005, pp.249-254.
- Publisher:
- Oxford University Press
This American study examineed the relationship between health services utilization delivered by means of the Homeless Outreach Medical Services (HOMES) programme and health services utilization delivered by means of the Parkland emergency room and inpatient units among a sample of older and younger homeless adults being served by the Parkland Health and Hospital System. The HOMES programme uses two 40-ft-long mobile medical units and a fixed-site outpatient clinic to provide primary health care on a walk-in, no-charge basis to individuals who are homeless. A quasi-experimental design was used, and health services utilization data was randomly selected from 293 male and 288 female homeless patients from among the 14,876 homeless patients aged 20–64 years who used HOMES and the Parkland Health and Hospital System between June 1, 1992, and June 30, 1999. The dependent variables were measurements of inpatient and outpatient utilization of psychiatric, substance abuse, and musculoskeletal services by homeless patients. Inpatient and outpatient utilization patterns by age were assessed. Results found older homeless individuals utilized the HOMES more than inpatient services for substance abuse and musculoskeletal conditions, but they utilized inpatient services the most for psychiatric-related conditions. The authors conclude this level of inpatient utilization is perhaps a result of greater severity or progression of mental illness among older homeless adults. The level of outpatient utilization is probably because the HOMES program mitigates many of the barriers that prevent homeless individuals from obtaining primary medical care.
Screening for alcohol abuse and dependence in older people using DSM criteria: a review
- Authors:
- BEULLENS J., AERTGEERTS B.
- Journal article citation:
- Aging and Mental Health, 8(1), January 2004, pp.76-82.
- Publisher:
- Taylor and Francis
Alcohol abuse and dependence in older people are important problems, which frequently remain undetected by health services. Therefore, screening instruments for alcohol abuse and dependence in elderly people would be useful in clinical practice. To assess the quality of screening instruments we performed a literature search in Medline (1966-2002) and PsycINFO (1967-2002). Seven research reports were found. The MAST-G and especially the CAGE appear appropriate. The two questions of Cyr and Wartman, AUDIT and the MAST do not appear appropriate in screening for alcohol abuse and dependence in elderly people in a clinical environment.
Low image that lead to a rough deal
- Author:
- ADAMS Trevor
- Journal article citation:
- Journal of Dementia Care, 3(5), September 1995, p.10.
- Publisher:
- Hawker
Suggests that mental health nursing is ageist, and asks, what can be done about it.
Lincolnshire Health and Lincolnshire GP fundholders: NHS responsibilities for meeting continuing healthcare needs: draft for consultation
- Author:
- LINCOLNSHIRE HEALTH
- Publisher:
- Lincolnshire Health
- Publication year:
- 1995
- Pagination:
- 30p.
- Place of publication:
- Lincoln
Consultative document putting forward Lincolnshire Health purchasers' first proposals for meeting continuing healthcare needs.
Report on services for mentally ill people and elderly people in the Islington Health District
- Author:
- NATIONAL HEALTH SERVICE HEALTH ADVISORY SERVICE
- Publisher:
- National Health Service Health Advisory Service
- Publication year:
- 1990
- Pagination:
- 75p.
- Place of publication:
- Sutton
Describes the existing services, draws attention to matters of immediate concern, gives advice on better management of resources and suggests directions for the future.
Social exclusion experienced by older adults: factors for designing healthcare settings in Taipei, Taiwan
- Authors:
- HSIEH Mei-O, LEUNG Patrick
- Journal article citation:
- Social Work in Health Care, 58(4), 2019, pp.368-381.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Research has demonstrated that social exclusion can lead to negative implications on an individual’s health status. In response to the need to examine health disparities among the older adult populations, this study explores social exclusion issues faced by older Taiwanese adults as a predictive factor to healthcare. The 80-item Social Inclusion/Exclusion Scale was developed and validated with input from 327 older adults recruited from 40 social service agencies in Taiwan. Findings suggest that to improve the overall health status among older Taiwanese adults, healthcare reforms must aim to increase social inclusion levels through a better understanding of five factors at both the service provider and individual levels: 1) knowledge of service provisions, 2) depression, 3) individual autonomy, 4) types of care home, and 5) gender-sensitive practice. (Publisher abstract)