Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 22
Mental health service use among Canadian older adults with anxiety disorders and clinically significant anxiety symptoms
- Authors:
- SCOTT Tiffany, et al
- Journal article citation:
- Aging and Mental Health, 14(7), September 2010, pp.790-800.
- Publisher:
- Taylor and Francis
Using data from the Canadian Community Health Survey-Mental Health and Well-Being, a nationally representative survey of community-dwelling Canadians, the use of mental health services by older adults with anxiety disorders were investigated. This study examined past-year use of mental health services in both the specialty mental health and general medical sectors by the 12,792 adults aged 55 and over. Logistic regression analyses were used to examine predictors of service use among the 279 individuals with anxiety disorders and 880 individuals with clinically significant anxiety symptoms. The results showed that only 20.8% of older adults with an anxiety disorder and no mood disorder used services in the past year, compared to 43.1% of those with a mood disorder, and 72.7% of those with comorbid disorders. The findings indicate that anxious older adults are less likely to use mental health services than those who are depressed. While predisposing and enabling factors do not appear to impede service use, the need for help does. Anxious older adults and those they interact with may not be interpreting their anxiety symptoms as warranting services.
Impact of facility type on assisted living facilities' response to residents' mental health needs
- Author:
- CUMMINGS Sherry
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 8(1), 2003, pp.25-41.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Assisted living facilities (ALFs) are the most rapidly growing type of residential care for the elderly in the United States. However, little is known about facilities' responses to residents' mental health needs. A survey of the administrators of two different types of assisted living facilities in the state of Tennessee-Assisted Living Care Facilities (ALCFs) and Homes for the Aged (HFA)-was conducted in 2001. Results indicate that 94% of the facilities house residents with mental health disorders. Considerable overlap was found in the characteristics (number of beds, number of staff, cost, years of operation) of the ALCFs and HFAs. However, when examined in aggregate, significant differences emerged. Significant differences were also found in the percent of elders with specific mental health disorders and the methods used to identify and respond to these elders by facility type. Policy and research implications are discussed. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Service provision for older people with mental health problems in a rural area of Australia
- Authors:
- MUIR-COCHRANE Eimear, et al
- Journal article citation:
- Aging and Mental Health, 18(6), 2014, pp.759-766.
- Publisher:
- Taylor and Francis
Objectives: Unmet mental health care needs of older people (aged 65 and over) have been identified as a serious problem internationally, particularly in rural areas. In this study the authors explored the views of health and social care providers of the barriers to effective mental health care for older people in a rural region in Australia.Method: Semi-structured interviews were conducted with 19 participants from 13 organisations providing care and support to older people in a rural region of Australia. A framework analysis approach was used to thematically analyse the data.Results: Two main themes were identified: ‘Recognising the Problem’ and ‘Service Availability and Access’. In particular the participants identified the impact of the attitudes of older people and health professionals, as well as service inadequacies and gaps in services, on the provision of mental health care to older people in a rural region.Conclusion: This study supports previous work on intrinsic and extrinsic barriers to older people with mental health problems accessing mental health services. The study also offers new insight into the difficulties that arise from the separation of physical and mental health systems for older people with multiple needs, and the impact of living in a rural region on unmet mental health care needs of older people. (Publisher abstract)
An examination of the needs of older patients with chronic mental illness in public mental health services
- Authors:
- FUTERAN Shuli, DRAPER Brian M.
- Journal article citation:
- Aging and Mental Health, 16(3), April 2012, pp.327-334.
- Publisher:
- Taylor and Francis
Meeting the needs of patients is likely to influence their experienced quality of life. The aim of this study was to describe the needs of patients aged 50 years and over with chronic mental illness being case managed within a public mental health service, and to determine factors that influence these needs. The participants were 97 patients recruited from community-based Adult Mental Health (AMH) teams and Specialist Mental Health Services for Older People (SMHSOP) teams. Eligibility criteria included a diagnosis of schizophrenia or mood disorder. Patient, carer and key worker interviews were carried out using the Camberwell Assessment of Need for the Elderly (CANE). The findings showed that patients self-rated fewer needs overall on the CANE than their key workers or the researcher, and also rated a higher proportion of their needs being met (83%) than the key worker (77%) or researcher (76%). From each perspective, over 80% of psychiatric and around 95% of identified medical needs were being met. The majority of social needs were unmet, with patients reporting only 42%, and key workers only 33%, met needs. The key unmet social needs were company, daily activities and having a close confidant. The article concludes that the social needs of older patients with chronic mental illness require greater attention by public mental health services.
Women only
- Author:
- WELLARD Sarah
- Journal article citation:
- Community Care, 10.4.03, 2003, pp.34-35.
- Publisher:
- Reed Business Information
Looks at attempts to provide services for women with mental health problems that also include their specific needs, such as child care and female-only wards.
Service needs of depressed older adults following acute psychiatric care
- Authors:
- MORROW-HOWELL N.L., et al
- Journal article citation:
- Aging and Mental Health, 4(4), November 2000, pp.330-338.
- Publisher:
- Taylor and Francis
Older persons with mental disorder need mental health services, but the extent to which they have service needs in other domains (medical, functional and psychosocial) is not established, although these needs may compromise the attainment of psychiatric outcomes. This study focuses on 169 older adults hospitalised for depression and documents their post-acute service needs in four domains: psychiatric, medical, functional and psychosocial. Eighty-four per cent needed assistance with routine activities. Nearly two-thirds were experiencing one or more psychosocial or environmental problems that warranted intervention. Older adults admitted to acute care for depression have high levels of service needs stemming from multiple domains: psychiatric, medical, functional and psychosocial. This biopsychosocial model suggests that needs in each domain should be identified and addressed if desired psychiatric outcomes are to be attained.
A map of mental health
- Author:
- SMITHIES Rachel
- Publisher:
- London School of Economics, Centre for Economic Performance
- Publication year:
- 2010
- Pagination:
- 42p., bibliog.
- Place of publication:
- London
This report provides a comprehensive picture of mental health services in England, including staffing and expenditure, and the number of people in need and the number treated. Historically, this information has been split across sub-sections of the health and social services; and the readily available information often appeared to give inconsistent answers. This paper brings together and interprets the available evidence to provide a single coherent map of mental health need and services, from children to older adults and across both health and social care services, in England. The paper begins in Part I with the need – the number of people with clinically significant problems and the fraction of them who are getting help. It then looks at the organisation and staffing of the services for people with different types of need. It ends in Part III with the cost – the cost of the services, and the much greater cost to the economy of so many people with continuous problems of distress.
Looking ahead: future development of UK mental health services: recommendations from a Royal College of Psychiatrists' enquiry
- Author:
- ROYAL COLLEGE OF PSYCHIATRISTS
- Publisher:
- Royal College of Psychiatrists
- Publication year:
- 2010
- Pagination:
- 16p., bibliog.
- Place of publication:
- London
In February and March 2010, the Royal College of Psychiatrists held hearings, hosted a one-day seminar and invited written submissions to gather the views of more than 50 contributors, including psychiatrists, psychologists, social workers, commissioners, trust chief executives, academics, health economists, carers, and medical directors, on the future of UK mental health services. The enquiry considered the need for service redesign in mental healthcare. It aimed to identify areas for future service development that reflect the needs and aspirations of users of mental health services, those who care for them, and also the people who deliver those services. The recommendations provided in this report relate to the following areas: creating efficiencies and improving productivity through redesigned services and care pathways; consultant expertise at the beginning of the pathway; standardised outcomes; investing to save through the development of family mental healthcare; out-of-area treatments; mental health of older people; in-patient care; statutory and voluntary sector partnerships; housing; employment and mental health; substance misuse; relationship between physical and mental health; psychological therapies; and peer support.
Meeting the mental health needs of older people from black and minority ethnic communities
- Authors:
- SHAH Ajit, ADELMAN Simon
- Journal article citation:
- Mental Health Today, November 2009, pp.25-29.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The proportion of people from black and minority ethnic (BME) groups over the age of 65 has progressively increased over the last three decades in England and Wales, and now stands at 8.2 per cent. This article describes the inequality in access to mental health care in older people from BME groups and potential ways forward under the sub-headings: scale of the problem; inequality in mental health care; barriers to receiving appropriate care; recognising and tackling suicide risk; policy context; finding a way forward; and beyond psychiatry
Elders with serious and persistent mental illness (SPMI): assessing needs, resources,and service utilization
- Authors:
- ROGERS Anissa, DELEWSKI Cathie
- Journal article citation:
- Journal of Gerontological Social Work, 43(1), 2004, pp.19-35.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
With the growing elderly population, service needs for elders with serious and persistent mental illness (SPMI) will also increase. The current study examines some of the unique challenges and needs faced by the SPMI elderly population. This study describes elders' perceptions of service access, utilization, and satisfaction as well as therapists' perceptions of chronic mental illness among the elderly and their mental health service utilization. The sample consisted of 30 rural-dwelling SPMI elders and their respective service providers (N = 30). Results indicate that elderly participants were utilizing a variety of community and social supports. Further, elderly participants perceived fewer negative effects from their illnesses than did their clinicians. Elderly participants responded more positively than did their clinicians on ratings of interference with functioning, adjustment to living, and social competence suggesting that participants viewed the consequences of their mental illnesses as less disabling than did their clinicians. Implications for social work practice are discussed. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)