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Personal view: depression in older people: what does the future hold?
- Author:
- WARNER James P.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 11(9), September 1996, pp.831-835.
- Publisher:
- Wiley
Demographic, economic and social changes over the next few decades are likely to have a significant effect on the care of the elderly. This personal view, from a United Kingdom perspective, examines some of these changes and assesses the impact they may have on the prevalence and treatment of depression in older people. Strategies for minimising the marginalisation of this group are discussed.
Substance use in older adults: a review of current assessment treatment and service provision
- Author:
- DERRY A.D.
- Journal article citation:
- Journal of Substance Use, 5(3), 2000, pp.252-262.
- Publisher:
- Taylor and Francis
Changes in demography and cohort attitudes in the older adult population have meant that substance use amongst older adults is emerging as an immense challenge to mental health services. Although the prevalence of alcohol-related problems decreases with age they remain significant in older adults, whilst the use of prescription and over-the-counter drugs increase in this age group. The interplay between substance use and social, psychological and physiological difficulties associated with ageing further underscores the needs for a greater understanding of this problem. The recent insurgence of clinical and research interest in this field has revealed a discrepancy in the identification of substance use in younger and older age groups, this problem remaining frequently hidden and neglected in older adults. This article reviews assessment and screening tools developed especially for this age group and indicates the need for systematic multidisciplinary screening in older adult services.
The mental health of older people: report based on the analysis of the ONS survey of psychiatric morbidity among adults in Great Britain carried out for the Department of Health, the Scottish Executive Health Department and the Welsh Assembly Government
- Authors:
- EVANS Olga, et al
- Publisher:
- Great Britain. Office for National Statistics,|Stationery Office
- Publication year:
- 2003
- Pagination:
- 110p.,tables.
- Place of publication:
- London
A chapter of the report is dedicated to each of the following areas: the prevalence of common mental disorder and variations in prevalence with socioeconomic characteristics; variations in prevalence of common mental disorder with experience of stressful life events, social support, and physical health problems; the impact of common mental disorder on self-reported mental and physical wellbeing, activities of daily living and service use; the distribution of cognitive function and variations in distribution with socioeconomic characteristics; the impact of cognitive function on self-reported mental and physical well-being, activities of daily living and service use; and the association between cognitive impairment and common mental disorder and physical health problems.
Locations of facilities with special programmes for older substance abuse clients in the US
- Authors:
- SCHULTZ Susan K., ARNDT Stephan, LIESVELD Jill
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(9), September 2003, pp.839-843.
- Publisher:
- Wiley
Given the growth of our aging population, developing strategies for managing late-life alcoholism is increasingly important. The authors compared substance abuse treatment facilities with and without services designed for older adults and explored the location of these services relative to the regional distribution of older adults across the United States. A public use dataset from a national survey of facilities offering substance abuse treatment was used to address this issue. This survey included all identified substance abuse/dependence treatment facilities in the US and surveyed the facilities' treatment services, services for special groups, number of clients admitted, type of ownership (e.g. public, private for profit), and whether or not the facility was associated with a hospital, as well as questions about licensure and income sources. Of the 13 749 responding facilities, relatively few programmes (17.7%) were specifically designed for older adults (i.e. over age 65). Facilities with such programmes tended to be associated with hospitals, particularly those with a psychiatric inpatient service. Importantly, the number of facilities with special programmes for older adults did not correlate with size of the older population in each state. Despite an increasing need for older adult substance abuse services, there are relatively few programmes available designed for this age group. The setting where patients with substance abuse are identified (e.g. in a hospital) may partially explain the pattern of locations of age-specific programmes.
The identification of trends in the utilisation of mental health services by elderly: a Dutch case register study
- Authors:
- PIJL Ysbrand, SYTEMA Sjoerd
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(5), May 2003, pp.373-380.
- Publisher:
- Wiley
In view of the rapid ageing of the population any changes in the use of mental health services by the elderly became increasingly important for policy development. This study aimed at the supply of information about trends in the numbers of elderly clients, the services they used and the volume and pattern of service utilisation. Details of elderly users and their use of community- and hospital-based services between 1990 and 1999 were retrieved from the Groningen case register. Developments in population size and age distribution in the register area were taken into account, as were the unit costs of mental health services. Large age specific changes were found that caused only the expenditures on the oldest elderly to increase due to a shift from outpatient clinics to prolonged psychogeriatric day treatment and inpatient care. Comparatively young elderly used fewer inpatient services and more community care. The number of new elderly clients declined progressively. In some age groups treated prevalence also decreased, but to a lesser extent, because of a prolonged use of mental health services. Study results seemed well in accordance with mental health policy as to deinstitutionalization and active ageing. Research on the effect of mental health care on life expectancy and the time lag between the intake of mental health providers and treated prevalence was proposed in order to improve the prediction of future service use by elderly.
The impact of two changes in service delivery on a geriatric psychiatry liaison service
- Authors:
- BAHEERATHAN Mala, SHAH Ajit
- Journal article citation:
- International Journal of Geriatric Psychiatry, 14(9), September 1999, pp.767-775.
- Publisher:
- Wiley
The impact of two changes in service delivery (alteration in the admission policy of the medical unit and the introduction of a formal liaison component to a 'consultation only' liaison geriatric psychiatry service) on the associated liaison geriatric psychiatry was examined in this study. There was a significant decline in the number of referral for each month across the three study phases. Although this study was not designed as a cost-effectiveness study, the results suggest that the liaison component has the potential to be cost-effective.