scholarly journals Defining agitation in the cognitively impaired–a work in progress

2014 ◽  
Vol 27 (1) ◽  
pp. 5-6
Author(s):  
Edmond Chiu

The International Psychogeriatric Association (IPA) being the leading international organization in the promotion of mental health and effective treatment of mental disorders in the elderly, has a long standing enviable tradition and track record in providing leadership in this field.

2005 ◽  
Vol 17 (3) ◽  
pp. 371-382 ◽  
Author(s):  
Perla Werner

Studies on laypersons' beliefs and knowledge about mental disorders have proliferated in recent years. However, attention has been focused mainly on depression and schizophrenia and on young adults. The aim of this paper is to summarize research in the area, and to discuss the need to expand research in the elderly population. The unique characteristics of older persons in terms of the prevalence and type of mental disorders, especially Alzheimer's disease (AD) and other dementias, as well as in terms of their being victims of “double jeopardy” require special attention and research. The present review has three main objectives. First, it summarizes the findings of studies examining different aspects of mental health literacy. Second, the importance of age in the study of mental health literacy is discussed. Third, findings of the few studies examining laypersons' beliefs in the area of AD are presented. Finally, research directions are suggested with special emphasis on the importance of geriatric mental health and mental health literacy.


2014 ◽  
Vol 11 (2) ◽  
pp. 39-40 ◽  
Author(s):  
Joshua Ssebunnya ◽  
Sheila Ndyanabangi ◽  
Fred Kigozi

Ugandan mental health legislation, which dates from 1964, principally aims to remove persons with mental disorders from the community but also to protect their safety, by keeping them in confinement, although this has been without consideration for clinical care. In response to criticism from various stakeholders and advocates and the need to reflect modern clinical care, Uganda undertook to review and amend the mental health legislation, as part of the Mental Health and Poverty Project (MHaPP). We report on work in progress advancing new legislation.


2007 ◽  
Vol 19 (5) ◽  
pp. 807-817 ◽  
Author(s):  
JOEL SADAVOY

The International Psychogeriatric Association (IPA) was founded 25 years ago as a multidisciplinary organization with the ambitious vision of improving the mental health of the elderly around the world. For a variety of reasons, some leaders were skeptical about the value of an international organization and it was the vision and energy of Dr. Sanford Finkel, together with a relatively small group of colleagues, who brought IPA to life and nurtured it through its infancy. Dr. Finkel, known to all as Sandy, has chronicled some of the history of IPA elsewhere and I won't repeat it here other than to emphasize the profound effect that IPA's first executive director, the dedicated and beloved Fern Finkel, had on IPA until her retirement in 2006. The importance of IPA as a leading professional organization is now well established, but beyond its many achievements in molding and guiding the profession, IPA is also a professional home for our members, a place of intellectual comfort where colleagues speak a common language and share common goals. Within IPA we can relax, share universal concerns for the ambivalently viewed population of elders that the world worries about but often avoids or ignores at the same time. We can share our challenges and they are many, our hopes, our successes and our uncertainties.


2011 ◽  
Vol 26 (S2) ◽  
pp. 859-859
Author(s):  
N. Tataru ◽  
A. Dicker

It is difficult to talk about quality of life of elderly with mental disorders. Thus, there appeared serious ethical challenges for psychiatry: to cut mental health costs and to provide care to as many as possible through all duration of their diseases, from the onset to the end-of-life. The psychiatrists have to face these challenges and treat the elderly with or without mental disorders from primary care to residential one, assuring them the best quality of life as it is possible. The goal of medical policy is to optimize the patients’ and their caregivers’ well-being. Multiple loses in old age are important in decreasing of quality of life and increasing of mental health problems in the elderly. They have more social and medical problems, which include depression and suicide. Caring for a family member with dementia can be both challenging and stressful. Primary care-staff need to develop the skills to detect and manage signs of caregivers stress. Health care professionals can promote well-being of the caregivers not only the patients’ well-being, educate them how to access help and manage their stress effectively. Recognition of the importance of the role of caregivers and finding the effective ways of supporting them, respecting their personal perception of the quality of this offer, improve the quality of primary care of elderly patients with mental disorders and also improve the quality of life of their relative or caregivers.


2007 ◽  
Vol 19 (4) ◽  
pp. 615-621 ◽  
Author(s):  
K. S. JACOB ◽  
MARY GANGULI

Psychogeriatrics and psychogeriatric research have been particularly slow to take hold in developing countries. In part this is because the elderly constitute relatively small proportions of those countries' populations, and are thus of low priority for specialized services. A recent report in Science (Miller, 2006) addresses mental health needs in developing countries worldwide but does not include old-age mental disorders other than dementia. Similarly, an article from Brazil (Garcez-Leme et al., 2005), in another international journal, provides an overview of that country's resources and needs in geriatrics, but neglects to mention mental disorders or mental health professionals. Yet, these countries are aging faster than the industrialized world and have fewer resources with which to care for their mentally ill elderly. High-quality, locally acquired information will be essential for planning appropriate mental health services.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S513-S514
Author(s):  
Md Mahbub Hossain ◽  
Samia Tasnim ◽  
Abida Sultana ◽  
Nishat Tasnim Hasan ◽  
Hoimonty Mazumder ◽  
...  

Abstract Background: Many studies have reported the widespread application of digital technologies in improving mental health. However, little is known about how these technological advancements can help the geriatric population who suffer from a wide range of mental disorders. There is no extensive review of evidence which can guide effective policy-making and implementation of such interventions. Objectives: To identify digital interventions addressing mental disorders among elderly people and evaluate the outcomes of these interventions. Methodology: According to the PRISMA guidelines, we searched six major health databases and screened the literature using these criteria: 1) journal articles reporting an intervention delivered using any of the digital platforms, 2) the interventions aimed to improve at least one mental disorder among geriatric population, 3) articles published in English language, 4) studies conducted in in any settings and time frame reporting any of the mental health-related outcomes. Results: Among 4870 articles found in the preliminary literature search, only 19 studies met our criteria. Most of the studies (n=14) described digital interventions addressing depressive illness among the elderly population. However, many interventions targeted multiple mental conditions including dementia, stress, anxiety, mood disorders, phobia, and functional disabilities. These interventions used internet-based therapies, mindfulness, digital assistants, and applications improving mental health behavior and practices. Most of the interventions (n=12) were evaluated using randomized study designs. Reported outcomes included improved symptoms, better quality of living, emotional and functional advancements, and decreased cost of treatment. This evidence necessitates further research and application of such technologies to improve geriatric mental health.


2007 ◽  
Vol 15 (6) ◽  
pp. 455-466 ◽  
Author(s):  
Julian N. Trollor ◽  
Tracy M. Anderson ◽  
Perminder S. Sachdev ◽  
Henry Brodaty ◽  
Gavin Andrews

2018 ◽  
Vol 54 (1) ◽  
pp. 53-63 ◽  
Author(s):  
Andrew A Fingelkurts ◽  
Alexander A Fingelkurts

Contemporary psychiatry faces serious challenges because it has failed to incorporate accumulated knowledge from basic neuroscience, neurophilosophy, and brain–mind relation studies. As a consequence, it has limited explanatory power, and effective treatment options are hard to come by. A new conceptual framework for understanding mental health based on underlying neurobiological spatial-temporal mechanisms of mental disorders (already gained by the experimental studies) is beginning to emerge.


Author(s):  
Rebecca McKnight ◽  
Jonathan Price ◽  
John Geddes

Current mental healthcare services in most of the de­veloped world are unrecognizable compared with those of the mid twentieth century. There has been a major shift from long- term institutional to community care. This chapter describes current approaches to pro­viding mental health services, particularly for people between the ages of 18 and 65 (services for children are discussed in Chapter 17, and services for the elderly in Chapter 18). It is important for all doctors to have a basic understanding of the structure of services for three main reasons: … 1 It will help you to get the most out of clinical rotations in psychiatry, either at undergraduate or postgraduate level. 2 All clinicians need to know when and how to refer their patient to appropriate services. 3 Patients being treated by other medical specialties may have psychiatric co- morbidities. Effective management and liaison with mental health services requires a working knowledge of common conditions and their treatment. … Mental health services are organized in different ways from country to country. This chapter describes mainly the provision of services in the UK, but the prin­ciples apply generally. To understand the range of psychiatric services that are required for a specific community it is necessary to know: … 1 the frequency of mental disorders in the population; 2 the severity of these conditions and the impact they have upon a person’s ability to function; 3 how patients with these disorders come into contact with the health services; 4 what type of services people engage with and find effective. … The local prevalence of mental disorders will vary, but approximate estimates can be obtained from national surveys (Table 11.1). Approximately 20 per cent of adults and 10 per cent of children experi­ence a mental health problem in any given year. A more detailed discussion of the epidemiology of mental health as a whole can be found in Chapter 2, p. 5, and for specific disorders in their individual chapters. The basic principles of the provision of mental health services are the same as for any other health ser­vice. Services should be accessible, comprehensive, appropriate to the needs of the community, offer up- to- date treatments, effective, and economical. Patients should be offered a choice in the treatment they receive, although the caveat to this is when an individual is being treated under the Mental Health Act.


2019 ◽  
Vol 2 (2) ◽  
pp. 11
Author(s):  
Ayu Wulandari ◽  
Yuliana Syam ◽  
Arnis Puspitha

Introduction:mental status of elderly is an emotional or cognitive state in the elderly is shown by the behavior of the stand. Mental health problems are very important for the elderly and often occurs in the elderly. The incidence of mental disorders in the elderly status is very high. paired mental status in elderly pose a variety of problems that can affect physical health, psychological, social and quality of life of the elderly so that the necessary nursing services for the early detection of mental status disorders that occur among the elderly. Method: The study design quantitative descriptive survey method. Samples numbered 97 people were selected using cluster random sampling. Primary data was collected by questionnaire the Mini Mental Status Examination (MMSE). Result:T he study of 97 respondents showed that 55.7% had normal mental status, impaired mental status light there are 29.9% and 14.4% of elderly with impaired mental status severe. Based propporsi elderly who suffer from mental status of the most widely experienced by women (52.4%), greater in very old age (100%), greater in elderly unmarried (100%), greater in elderly are not in school ( 70.6%), greater in elderly with a history of self-employed work (44.7%), and greater in the elderly with a history of rheumatic disease (61.1%). Conclusions: Mental status of elderly in Puskesmas Kota Makassar Pampang mostly normal. Therefore, elderly mental health need to be detected early to avoid the impact of mental disorders in the elderly.


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