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Access to public mental health services among older adults with severe mental illness
- Authors:
- GILMER Todd P., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 24(3), March 2009, pp.313-318.
- Publisher:
- Wiley
Data from San Diego County, 2002-2006, were used to examine how older adults initially accessed the public mental health system, and their utilization over the subsequent 90 days. Multivariate regression models were used to control for demographic and clinical characteristics. Older adults (age 60 +) were more likely to access the public mental health system through the Psychiatric Emergency Response Team (PERT), a combined law-enforcement and psychiatric service that responds to psychiatric related 911 calls. Older adults were also less likely to receive follow-up care. This lower rate of follow-up was due to both the initial site of service - and an associated lower rate of follow-up among PERT clients - as well as a lower rate of follow-up among older adult clients initiating services in other sectors. This paper suggests two areas for intervention that would improve access to care for older adults: improving linkages and referrals between PERT and outpatient providers; and additional efforts to retain older adults at outpatient programs.
Age equality: what does it mean for older people's mental health services?
- Author:
- CARE SERVICES IMPROVEMENT PARTNERSHIP. National Older People's Mental Health Programme
- Publisher:
- Care Services Improvement Partnership. National Older People's Mental Health Programme
- Publication year:
- 2008
- Pagination:
- 4p.
- Place of publication:
- London
A 4-page report on older people's mental health services: Providing age inclusive services is an issue currently hotly debated across the country. In some cases it is even slowing progress in the implementation of Everybody's Business. This short paper attempts to clarify what is meant by service provision based on need not age.
Mental health in later life, a neglected area of policy and research allocation: summary of the UK Inquiry into Mental Health in Later Life
- Authors:
- HURST Philip, MINTER Jane
- Journal article citation:
- Housing Care and Support, 10(3), December 2007, pp.17-20.
- Publisher:
- Emerald
This article summarises the issues identified in the UK Inquiry report on Mental Health in Later Life. It looks at how the Inquiry undertook its work, how older people with mental health problems are often overlooked and what their views and experiences are of accessing services, what actions are proposed for the housing, health and care sectors, and key issues and recommendations.
How bias starts at 65
- Author:
- LISHMAN Gordon
- Journal article citation:
- Community Care, 30.08.07, 2007, pp.30-31.
- Publisher:
- Reed Business Information
The author examines findings from the recent report, UK Inquiry in Mental Health and Well-Being in Later Life', on older people's experience of mental health services. The findings indicate that a lot needs to be done before age discrimination is eradicated.
An age-old problem?
- Author:
- GEORGE Mike
- Journal article citation:
- Care and Health Magazine, 1.2.05, 2005, pp.22-23.
- Publisher:
- Care and Health
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.
Development and preliminary testing of a framework for quantifying local service provision for people with dementia
- Authors:
- HUGHES Jane, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 21(3), 2020, pp.193-202.
- Publisher:
- Emerald
Purpose: It was hypothesised that there were variations in health and social care services available for older people with dementia and their carers, and that measurement of this between localities was possible. The purpose of this paper is to present a framework for examining this. Design/methodology/approach: Using a case study approach, data from national surveys of local authorities providing social care and National Health Services Trusts providing old age mental health services conducted in 2014/2015 in England were used. From these, indicators of variation in services for people with dementia and their carers in different geographical areas were created. Measurement of the presence/absence of each service permitted the creation of a service mix score for each area. Findings: The framework comprised 16 attributes each with indicators describing the characteristics of the organisations providing the services; the skill mix of community mental health teams for older people; and the health care and social care services available in localities. Variation was evident, confirmed by quartile analysis and exemplars, suggesting that older people with dementia and their carers in different localities are likely to experience differences in the range of provision available, particularly social care services. Originality/value: The case study approach used achieved its objectives, and the resultant framework has potential for generalisability and utility, given acceptable ecological validity and discriminant validity in identifying variations in service mix. It could be used in both research and practice. (Edited publisher abstract)
Intrinsic and extrinsic barriers to mental health care among community-dwelling younger and older adults
- Authors:
- PEPIN Renee, SEGAL Daniel L., COOLIDGE Frederick L.
- Journal article citation:
- Aging and Mental Health, 13(5), September 2009, pp.769-777.
- Publisher:
- Taylor and Francis
This American study examined intrinsic and extrinsic barriers to mental health care among younger (n = 76; M age = 23 years) and older adults (n = 88; M age = 71 years) using a new 56 item self-report measure, Barriers to Mental Health Services Scale (BMHSS). The BMHSS was developed to examine 10 barriers to the utilization of mental health services: help-seeking attitudes, stigma, knowledge and fear of psychotherapy, belief about inability to find a psychotherapist, belief that depressive symptoms are normal, insurance and payment concerns, ageism, concerns about psychotherapist's qualifications, physician referral, and transportation concerns. Results indicated that younger adults perceived fear of psychotherapy, belief about inability to find a psychotherapist, and insurance concerns to be greater barriers than older adults. Men perceived stigma to be a greater barrier than women whereas women perceived finding a psychotherapist to be a greater barrier than men. The rank order of the BMHSS subscales was strongly similar for younger and older adults. These results also provide further evidence that stigma about receiving mental health services is not a primary barrier among younger or older adults.
Older Latinos and mental health services understanding access barriers
- Author:
- GONZALEZ John M.
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 14(1/2), 2006, pp.73-93.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article discusses the biopsychosocial and spiritual aspects related to older Latinos' use of mental health care in the United States. It also addresses the environment that older Latinos have to navigate to access mental health services. Structural barriers to mental health services are emphasized as critical to a holistic assessment of the client's situation.(Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Unhappy old age
- Author:
- SHEPARD Stuart
- Journal article citation:
- Health Service Journal, 1.11.07, 2007, pp.26-27.
- Publisher:
- Emap Healthcare
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.
Growing old disgracefully
- Author:
- LEE Michele
- Journal article citation:
- Mental Health Today, October 2007, pp.30-33.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Services are still failing to meet the needs of older people with mental health problems. The author discusses the issues drawing on findings from the UK Inquiry into Mental Health and Well-Being in Later Life.