Teaching and training in old age psychiatry: a general survey of the World Psychiatric Association member societies

Aging of the world population risks to be accompanied by an increase of chronic health problems, and most particularly of mental health problems. To face to these problems the organization of care and education in old age psychiatry is still quite insufficient worldwide. Like in all countries in this part of the world, the geriatric psychiatry is still not enough represented. Only in some countries in Europe old age psychiatry is a recognized specialty (18% of European region countries responded at a WPA survey of teaching and training in OAP). The number of professionals working in the field is still very low to satisfy the needs of care of elderly with mental disorders. There is inadequate training for formal caregivers and lack of support for informal ones. This is the reason to support the development of postgraduate education on old age psychiatry as a priority in Europe. We discuss about teaching and training in old age psychiatry, psychiatric and psychological expertise exams and the assessment of competence in dementia and ethical aspect of care and research in elderly demented people.We also present some aspects of elderly sexuality and abuse and about mental health from strategy to reality and dementia care in different Europe countries.Chairs: Horacio Firmino-Portugal, Nicoleta Tataru-Romania.Speakers:1.Alexandra Milicevic-Kalasic, Serbia: ‘Mental Health in Serbia-from Strategy to Reality’.2.Horacio Firmino, Portugal: ‘Education on Old Age Psychiatry at Europe: facts and proposals’.3.Ilkin Icelly, Turkey: ‘Elderly abuse in Turkey’.4.Jerzy Leszek, Poland: ‘Dementia care in Poland’.

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112 - Teaching and Training Old Age Psychiatry around the world

International Psychogeriatrics ◽

10.1017/s1041610220001908 ◽

2020 ◽

Vol 32 (S1) ◽

pp. 26-26

Keyword(s):

Mental Health ◽

Older Adults ◽

Old Age ◽

Mental Health Professionals ◽

Health Professionals ◽

Clinical Training ◽

Educational Strategies ◽

The World ◽

Old Age Psychiatry ◽

And Training

Summary:In response to the global challenges of population aging in the World, it is crucial to improve research, education and clinical training in old age in order to meet the growing demands placed on psychogeriatric care services.An overview is provided on the status of old age psychology and psychiatry, and other health professionals, as part of the multidisciplinary care delivery system for the elderly in the World. Available educational offerings and clinical training in geriatric mental health and geriatrics at both undergraduate and postgraduate level are described.Important issues raised include the need for more educational and clinical training programs for specialists, a broader commitment to aging research and the need to increase interest in working with older adults among students across disciplines at the medical, psychological and education faculties and hospitals.This educational initiative must focus not only on the transmission of knowledge on aging-related topics, but also on the training of specific skills and competencies.An effective intervention in psychogeriatrics should involve a strategy with the participation of a multidimensional network that includes the commitment of researchers, educators, clinicians, health policy-makers and older adults.Several recommendations to improve educational strategies concerning late life mental health care are presented to promote discussion, and develop new educational strategies.Presenters:Horácio Firmino – Advances at educational at the curriculum of the new Psychiatrists and other mental health professionals at PortugalCarlos A. de Mendonça Lima- The WPA survey on Teaching and Training in Old Age Psychiatry: 2001-2018Manuel Sanchez Perez – Mental Health Educational Reality at SpainManuel Teixeira Verissimo – Geriatrics New or Old discipline- educational perspectives of Europe and the reality of Portugal

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A new opportunity: three tales of training in liaison psychiatry of old age

Psychiatric Bulletin ◽

10.1192/pb.26.11.433 ◽

2002 ◽

Vol 26 (11) ◽

pp. 433-435 ◽

Cited By ~ 1

Author(s):

John Holmes ◽

Jon Millard ◽

Susie Waddingham

Keyword(s):

General Hospital ◽

Old Age ◽

Psychiatric Comorbidity ◽

Psychiatric Symptoms ◽

Specialist Training ◽

Liaison Psychiatry ◽

Adult Psychiatry ◽

Old Age Psychiatry ◽

Hospital Wards ◽

And Training

Liaison psychiatry has emerged as a sub-speciality within general adult psychiatry, with specific experience and training being required to develop the skills and knowledge to address comorbid physical and psychiatric symptoms and illness (House & Creed, 1993; Lloyd, 2001). Older people often present with significant physical and psychiatric comorbidity (Ames et al, 1994; Holmes & House, 2000) and most old age psychiatry services receive one-quarter to one-third of referrals from general hospital wards (Anderson & Philpott, 1991). Despite this, there are no specific requirements for training in liaison psychiatry for old age psychiatrists at any level. The experience gained in assessing and treating general hospital referrals during basic and higher specialist training is felt to be adequate (Royal College of Psychiatrists, 1998).

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Epidemiology of old age psychiatry

Oxford Textbook of Old Age Psychiatry ◽

10.1093/med/9780198807292.003.0004 ◽

2020 ◽

pp. 45-76

Author(s):

Thais Minett ◽

Carol Brayne ◽

Blossom C.M Stephan

Keyword(s):

Old Age ◽

Demographic Data ◽

Functional Decline ◽

The Other ◽

Economic Systems ◽

Epidemiological Research ◽

Rational Planning ◽

The World ◽

Old Age Psychiatry ◽

Neuropsychiatric Conditions

Epidemiology is the foundation of public health and rational planning of services. In the field of old age psychiatry, the information provided by epidemiological research has been highly influential. As the world older population is growing proportionally faster than the other age segments, there is a continuous need for further epidemiological research in old age psychiatry. Neuropsychiatric conditions, such as depression and dementia, cognitive impairment, and behavioural and functional decline, place a considerable onus on the health, social, and economic systems. This chapter presents some of the world demographic data and basic epidemiological concepts, discusses some methodological issues in the epidemiology of mental disorders in old age, and presents a summary of many of the most important studies in this field.

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Epidemiology of old age psychiatry: an overview of concepts and main studies

10.1093/med/9780199644957.003.0005 ◽

2013 ◽

Cited By ~ 2

Author(s):

Thais Minett ◽

Blossom Stephan ◽

Carol Brayne

Keyword(s):

Old Age ◽

Demographic Data ◽

Functional Decline ◽

Economic Systems ◽

Methodological Issues ◽

Epidemiological Research ◽

Rational Planning ◽

The World ◽

Old Age Psychiatry ◽

Neuropsychiatric Conditions

Epidemiology is the foundation of public health and rational planning of services. In the field of old age psychiatry, the information provided by epidemiological research has been highly influential. As the world older population is growing proportionally faster than the other age segments, there is a continuous need for further epidemiological research in old age psychiatry. Neuropsychiatric conditions, such as depression and dementia, cognitive impairment, behavioural and functional decline, place a considerable onus on the health, social and economic systems. This chapter presents some of the world demographic data and basic epidemiological concepts, discusses some methodological issues in the epidemiology of mental disorders in old age, and presents a summary of many of the most important studies in this field.

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Survey of Curriculum and Training Opportunities for Higher Old Age Psychiatry Speciality Trainees in the UK

10.23937/iaphcm-2017/1710006 ◽

2018 ◽

Vol 2 (1) ◽

Author(s):

Aziz Victor M ◽

Hill Natalie ◽

Rafferty Danika

Keyword(s):

Old Age ◽

Old Age Psychiatry ◽

The Uk ◽

Training Opportunities ◽

And Training

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Organization of old age psychiatry services

Reviews in Clinical Gerontology ◽

10.1017/s095925989800834x ◽

1998 ◽

Vol 8 (3) ◽

pp. 217-225 ◽

Cited By ~ 6

Author(s):

Sube Banerjee

Keyword(s):

Old Age ◽

The World ◽

Old Age Psychiatry

In the last review on this topic for this journal the focus was mainly upon service principles and an overview of variation in provision around the world. While there have been important developments and challenges within old age psychiatry in the last five years, these fundamental principles remain valid. This paper will therefore not simply present an updated version of the last but will instead concentrate on specific issues which seem to be of particular salience in the consideration of the organization and delivery of old age psychiatry services.

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