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Religion, health beliefs and the use of mental health services by the elderly
- Authors:
- NG Tze Pin, et al
- Journal article citation:
- Aging and Mental Health, 15(2), March 2011, pp.143-149.
- Publisher:
- Taylor and Francis
Health beliefs that people have about their mental health and services influence their perception of need and use of health services. This study investigated whether elderly people of particular religious affiliations are more or less likely to seek treatment for mental illness, and whether this is related to their health beliefs. The study used data from the National Mental Survey of Elderly Singaporeans in 2004, a population-based survey with a total of 1092 participants aged 60 and above. Data were collected on reported religious affiliations, and 1-year prevalence of mental disorders from diagnostic interviews using the Geriatric Mental State schedule, self-report of treatment for mental health problems, and health beliefs about the curability of mental illness, embarrassment and stigma, ease in discussing mental problems, effectiveness and safety of treatment, and trust in professionals. The results showed that, compared to those with no religious affiliation, elderly people of all religious affiliations showed higher prevalence of mental health problems, yet reported less frequent treatment by healthcare professionals. In multivariate analyses, the adjusted odds ratio of association with seeking treatment were for Christianity, 0.12; Islam, 0.12; Buddhism/Taoism, 0.59; and Hinduism, 0.21 versus no affiliation. Various religious affiliations differ from each other and from non-religious affiliation on some negative health beliefs, but they did not adequately explain why religious affiliates were less likely to seek treatment.
2010/11 national survey of investment in mental health services for older people
- Author:
- MENTAL HEALTH STRATEGIES
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2011
- Pagination:
- 43p.
- Place of publication:
- London
This report provides details of the level of investment in mental health services for older people’s mental health services (OPMH) covering people aged 65 and above, in England for 2010/11 and compares it with the reported results in previous in OPMH in England since 2006/07. Analysis is provided for England as a whole and also for geographical regions. The report notes that local authorities (LA’s) experience greater difficulty in separating out mental health from their more general social care investment, so figures may not be as accurate as those from NHS organisations. Based on the reported information real term investment has increased 35.5% since 2006/07 and 3.8% since 2009/10. Although differences in the English average of expenditure may be narrowing there are still inequalities in expenditure per head. Commissioners must reduce health inequalities, improve services and ensure value for money.
Establishment of memory services: results of a survey of primary care trusts, final figures, 2011
- Author:
- NATIONAL HEALTH SERVICE. Information Centre for Health and Social Care
- Publisher:
- National Health Service. Information Centre for Health and Social Care
- Publication year:
- 2011
- Pagination:
- 13p.
- Place of publication:
- Leeds
This report describes the results of a voluntary survey of primary care trusts and care trusts conducted during May and June 2011, which asked about commissioned memory services. The survey covered expenditure on and take-up of dementia services in 2008/9, 2009/10 and 2010/11 as well future plans for these services.
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)
Perceived mental health needs and adequacy of service provision to older people in care homes in the UK: a national survey
- Authors:
- PURANDARE Nitin, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 19(6), June 2004, pp.549-553.
- Publisher:
- Wiley
A postal survey of managers of a stratified random sample of 2638 (14% of 18,698) care homes in the UK caring for older residents. Reminders were sent to those not returning the questionnaires. The response rate was 64% (n = 1689). Forty-one percent of care home managers felt that at least 50% of their residents needed psychiatric evaluation. Cognitive impairment, depressive symptoms and challenging behaviour was thought to be present in at least a quarter of residents by 78%, 29% and 17% respectively. Thirty-eight percent of managers reported that their homes never received any visits from OAPs and only a half described the current frequency of visits as adequate. Pharmacological advice was perceived to be adequate by about three-quarters but less than a half perceived non-pharmacological advice as adequate. Eighty percent wanted more input for staff education and training. Perceived need ( p < 0.001), frequency of visits by OAPs ( p = 0.001), availability of geriatrician ( p = 0.001), amount of non-pharmacological advice ( p = 0.014) and direct referral access to OAPs for known patients ( p = 0.036) were found to be independent predictors of perceived inadequacy of service provision by OAPs. The survey highlights the perception of unmet need and inadequacy of service provision by OAPs amongst managers of care homes in the UK. The study findings, if confirmed by direct observational studies, may have a considerable impact on already sparse resources with a need to explore efficacy of different models of care in meeting this need.
Attitudes towards mental health care in younger and older adults: similarities and differences
- Authors:
- ROBB C., et al
- Journal article citation:
- Aging and Mental Health, 7(2), March 2003, pp.142-152.
- Publisher:
- Taylor and Francis
It is commonly assumed that older and younger adults have very different attitudes about seeking mental health services and that this is a major factor in reducing the use of mental health services by the elderly. However, little evidence exists to illustrate how elders actually perceive mental health care. Responses from a survey of 474 older adults age 65 and over were compared with data from a national survey of 1001 persons age 21-65. Results indicate similarities in many attitudes including likelihood of seeking treatment for severe mental disorders, importance of mental health care, and concerns about cost and coverage as barriers to care. Differences included use of services, perceptions about less severe disorders, referral sources, and preferred providers. Clinical, policy and public education implications are discussed.
A survey of the relationship between community mental health teams and residential homes for the elderly
- Author:
- BAILLON Sarah
- Journal article citation:
- International Journal of Geriatric Psychiatry, 11(9), September 1996, pp.807-811.
- Publisher:
- Wiley
In recent years it has been widely reported that the levels of dementia and dependency in local authority social services residential homes for the elderly (Part III homes) have been increasing. This article reports on a survey of members of community mental health teams for the elderly (CMHTE), officers in local authority residential homes and GPs in Leicestershire regarding the contact and the relationship between CMHTE and Part III homes. Results found that there was general agreement between the three groups on the role of CMHTE members in the homes and the benefits of regular liaison involvement of a team member in a home.
Community care and older people
- Authors:
- SCURFIELD Maria, HAMILTON Jean
- Journal article citation:
- Impact, 7, June 1994, p.14.
During 1993 the Northern Regional Health Authority commissioned research on the views and needs of service users and cares for mental health services on Wearside. Outlines some of the findings.