Mental health of older people: the role of primary care

2011 ◽  
Vol 26 (S2) ◽  
pp. 838-838
Author(s):  
G. Ivbijaro ◽  
F. Torres-González ◽  
H. Parmentier ◽  
M. Gómez-Beneyto
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Health Problems ◽  
Traditional Approach ◽  
The Elderly ◽  
Integrated System ◽  
Physical And Mental Health ◽  
Family Doctors ◽  
Number Of Children ◽  
Health And Social Care

There are currently over 600 million people aged over 60 and it is predicted that, by 2025, the number will double and, by 2050 there will be over 2 billion people aged 60 and above and the number of over 60's will be greater than the number of children under the age of 15. Co-morbid physical and mental health conditions are associated with an aging population and many of this population will suffer from stroke, hypertension, loneliness, depression, dementia, mobility and sight problems. The traditional approach of caring for people in hospitals is increasingly inappropriate for many of the elderly population and primary care is often the first point of contact for many people seeking access to health and social care. In 2008, the WHO and Wonca (World Organisation of Family Doctors) published a document about the integration of mental health into primary care across spectrum. We will be describing the principles and method of integration of mental health problems in old age into primary care using examples from the Australian and UK setting. Also we will examine the role non-governmental organisations can play in the process of integration. Caring for the elderly is rewarding and possible in the primary care setting. The current situation where many elderly people do not have access to an integrated health care system is unacceptable. Using data and a series of case vignettes we will illustrate that primary care has an important role to play within an integrated system.

scholarly journals Number of children and the prevalence of later-life major depression and insomnia in women and men: findings from a cross-sectional study of 0.5 million Chinese adults.

2019 ◽  
Author(s):  
Hanyu Wang ◽  
Minne Chen ◽  
Tong Xin ◽  
Kun Tang
Keyword(s):  
Mental Health ◽  
Major Depression ◽  
Urban Areas ◽  
Chinese Population ◽  
Mental Health Problems ◽  
Self Report ◽  
Additional Child ◽  
Physical And Mental Health ◽  
Number Of Children ◽  
The Relationship

Abstract Pregnancy and parenthood have been associated with physical and mental health. Previous literature concerning the impacts of parity on mental health was inconsistent and lack epidemiolocal evidence. China, with growing mental health problems and changing fertility patterns, faces unique challenges. This study aims to examine the relationship between parity and the prevalence of major depression and insomnia among men and women in the Chinese population. Methods Baseline data from a Chinese population-based study of 512,891 adults (59.01% women) from 10 areas, aged 30-79 were analyzed. Number of children were based on self-report by the participants. Major depression (MD) was assessed using the Composite International Diagnostic Inventory. Insomnia symptoms were accessed by questionnaire comparable to that used in Diagnostic and Statistical Manual of Mental Disorders. Logistic regression was used to assess the relationship between MD/Insomnia and number of children, after stratifications and adjustments. Results For women, each additional child was associated with a 9% decreased odds of MD (OR: 0.91, 95%CI: 0.88-0.96), with the associations significant for those who lived in urban areas (OR: 0.76, 95%CI: 0.70-0.83), or had a lower education (OR: 0.90, 95%CI: 0.85-0.94), or had lower household income (OR: 0.89, 95%CI: 0.85-0.94), or had ever used alcohol (OR: 0.89, 95%CI: 0.84-0.93). The association between per additional children and MD was not significant in men (OR: 1.02, 95%CI: 0.97-1.07) but a decreased odds of MD with per additional child was found in men who lived in urban areas (OR: 0.81, 95%CI: 0.71-0.96). For women, each additional child was associated with a 4% decreased odds of insomnia (OR: 0.96, 95%CI: 0.95-0.96). Each additional child was also associated with a 2% decreased odds of insomnia in men (OR: 0.98, 95%CI: 0.97-1.00). Conclusions MD and insomnia was associated with number of children, particularly in women and the association was mediated by socioeconomic and lifestyle factors. Future mental health public health programs should address parity and sex differences when designing interventions.

QOL in primary care of elderly mentally ill and their caregivers’ well-being

2011 ◽  
Vol 26 (S2) ◽  
pp. 859-859
Author(s):  
N. Tataru ◽  
A. Dicker
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Primary Care ◽  
Mental Disorders ◽  
Mental Health Problems ◽  
Well Being ◽  
The Elderly ◽  
Care Staff ◽  
Care Of Elderly

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.

scholarly journals In a Stressful Social Environment, Can Using Sports Apps Relieve the Physical and Mental Stress of the Elderly? From the Perspective of Industry 4.0

2021 ◽  
Vol 2021 ◽  
pp. 1-14
Author(s):  
Po-Fang Huan ◽  
Chih-Yen Chen ◽  
Hsiao-Hsien Lin ◽  
I-Chi Wang ◽  
Chin-Hsien Hsu
Keyword(s):  
Mental Health ◽  
High Risk ◽  
Social Environment ◽  
Exercise Intensity ◽  
Mental Stress ◽  
Industry 4.0 ◽  
Mental Health Problems ◽  
The Elderly ◽  
Physical And Mental Health ◽  
Different Levels

The purpose of this research was to understand the current physical and mental health of the elderly using sports apps under the COVID-19 pandemic. A total of 711 questionnaires were collected using purposive sampling and the snowball method and were analyzed by Statistical Product and Service Solutions 22.0 and Analysis of Moment Structures 20.0 software. The survey found that elderly people who exercise at intervals of one month are more physically and mentally stressed, but that different exercise frequencies also have different levels of physical and mental health problems; the lower the exercise intensity, the more obvious the negative emotions, the stronger or the less time they spend in exercise, and the greater the pressure of sports. In a high-risk social environment, even if the elderly use sports apps to exercise, they will still change the intensity and time of the exercise, but they will not change the frequency of exercise that has become a daily habit.

scholarly journals Children as frequent attenders in primary care: a systematic review

BJGP Open ◽  
2020 ◽  
Vol 4 (4) ◽  
pp. bjgpopen20X101076
Author(s):  
Mohammed N Al-Saffar ◽  
Benedict WJ Hayhoe ◽  
Matthew J Harris ◽  
Azeem Majeed ◽  
Geva Greenfield
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Primary Care ◽  
Mental Health Problems ◽  
Psychosocial Needs ◽  
Primary Care Settings ◽  
School Absence ◽  
Frequent Attendance ◽  
Health And Social Care ◽  
High Level

BackgroundFrequent paediatric attendances make up a large proportion of a GP's workload. Currently, there is no systematic review on frequent paediatric attendances in primary care.AimTo identify the sociodemographic and clinical characteristics of children who attend primary care frequently.Design & settingA systematic review.MethodThe electronic databases MEDLINE, Embase, and PsycINFO were searched up to January 2020, using terms relating to frequent attendance in primary care settings. Studies were eligible if they considered children frequently attending in primary care (aged 0–19 years). Relevant data were extracted and analysed by narrative synthesis.ResultsSix studies, of fair quality overall, were included in the review. Frequent attendance was associated with presence of psychosocial and mental health problems, younger age, school absence, presence of chronic conditions, and high level of anxiety in their parents.ConclusionVarious sociodemographic and medical characteristics of children were associated with frequent attendance in primary care. Research on interventions needs to account for the social context and community characteristics. Integrating GP services with mental health and social care could potentially provide a response to medical and psychosocial needs of frequently attending children and their families.

Priorities for research on mental health in primary care settings

1985 ◽  
Vol 15 (3) ◽  
pp. 507-514 ◽  
Author(s):  
Greg Wilkinson ◽  
Paul Williams
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Mental Illness ◽  
Delphi Study ◽  
The Elderly ◽  
Family Doctors ◽  
Priority Area ◽  
Training Requirements ◽  
Priority Areas ◽  
Primary Care Settings

SynopsisA Delphi study was conducted with a multi-disciplinary group of experts attending a conference on mental illness in primary care settings. Respondents' priorities for research which could maximize benefits for service developments in this field were elicited by asking them to distribute hypothetical annual research budgets among (a) 6 mental health priority areas, and (b) 7 subjects ‘needing’ investigation within the primary care priority area. The respondents' three top-ranked priority areas for research were: (1) primary care; (2) the elderly mentally ill; and (3) chronically disabling mental illness. Their three top-ranked subjects for investigation within the primary care priority area were: (1) the effectiveness of treatment measures; (2) the problems of mental health presenting to primary care services; and (3) the training requirements for family doctors in psychiatric skills.The results are discussed with reference to the method used and to the economic concepts of programme budgeting and marginal analysis.

scholarly journals An Examination of the Relationship between Depression, Loneliness, and Sociability in the Old Aged Community of District DG Khan

2021 ◽  
Vol 2 (2) ◽  
pp. 243-255
Author(s):  
Ayesha Abid ◽  
Khalil Ahmad ◽  
Mussarat Hussain
Keyword(s):  
Mental Health ◽  
Logistic Regression ◽  
Elderly People ◽  
Mental Health Problems ◽  
Binary Logistic Regression ◽  
The Elderly ◽  
Health Problems ◽  
Physical And Mental Health ◽  
Regression Test ◽  
Logistic Regression Test

The present study was aimed to assess depression, loneliness, and sociability among elderly people, as well as to assess the prevalence of elder abuse, and to draw conclusions about quality of life and its effect on elderly health in DG Khan's Tehsil Taunsa Sharif. The current research was conducted for pure academic purpose by 1st author and the results of this study were extracted from that academic dissertation. Moreover, this study was supervised by 2nd author and 3rd author contributed in analysis part of this research. In this regard, study was preceded by using quantitative research design. A sample of 200 elderly people was surveyed (both male and female at the time of interview). The elderly were interviewed with the help of their relatives. The interview schedule was used to collect data. Analysis of the data was carried out using the SPSS Software 21. The data was analyzed using the univariate regression test and the multivariate binary logistic regression test. The results of the binary logistic regression test showed that sociability get decreased as people age, depression and loneliness increased. Moreover, advancement in education of the respondents led to decrease in respondent’s depression, loneliness and sociability. Life satisfaction was affected by health and social support in different ways, depending on the person major determinants, such as education and nationality, as well as savings, income, frequency of contact with their children or relatives and neighbors, the number of known and trusted people in a village or city, as well as physical and mental health, were unaffected by age and gender. Additionally, it is recommended that in addition to primary care, health stakeholders should focus on health programs for the health promotion of elderly in order to protect the elderly from serious health problems, especially mental health problems.

scholarly journals Occupational therapy: an emerging role in primary care

2019 ◽  
Vol 69 (suppl 1) ◽  
pp. bjgp19X702761 ◽  
Author(s):  
Emily Chamberlain ◽  
Juliette Truman ◽  
Samantha Scallan ◽  
Johnny Lyon-Maris ◽  
Amanda Pike
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
General Practice ◽  
Occupational Therapy ◽  
Workforce Development ◽  
Physical And Mental Health ◽  
Small Group Teaching ◽  
Study Approach ◽  
Health And Social Care

BackgroundGPs in the UK are under significant pressure in delivering primary care and this has highlighted the need for workforce development. Occupational therapists (OTs) are highly skilled practitioners working across health and social care sectors. Educated at pre-registration level to work with physical and mental health issues, OTs can potentially provide valuable support to GPs. To date OTs are not routinely utilised within primary care. For over 10 years the University of Southampton OT Department has developed placements in a range of settings for students, but never previously in primary care.AimThe focus of this study was to determine whether role emerging placements in primary care enhanced the learning of OT students and to consider what can be learned about the role of occupational therapy in primary care.MethodA case study approach was used to evaluate the project. Methods of data collection for this study included: observation of small group teaching sessions and end of placement interviews with students, educators, and members of the primary care teams involved in the placements.ResultsAnalysis of the data indicates OT skills can be utilised in general practice in a number of ways, in certain areas, potentially saving face-to-face consultations with GPs.ConclusionOTs are an underutilised profession in frontline primary care. The role of OT has not been well researched as a ‘first point of contact’ healthcare professional in primary care. OTs’ broad training in mental health, physical frailty, and learning disabilities are potentially valuable to service delivery in general practice.

scholarly journals A Feasibility Randomised Controlled Trial of the New Orleans Intervention for Infant Mental Health: A Study Protocol

2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Rachel Pritchett ◽  
Bridie Fitzpatrick ◽  
Nicholas Watson ◽  
Richard Cotmore ◽  
Philip Wilson ◽  
...  
Keyword(s):  
Mental Health ◽  
Randomised Controlled Trial ◽  
Mental Health Problems ◽  
Controlled Trial ◽  
Health Intervention ◽  
Mental Health Intervention ◽  
Physical And Mental Health ◽  
Maltreated Children ◽  
Health And Social Care ◽  
Randomised Controlled

Child maltreatment is associated with life-long social, physical, and mental health problems. Intervening early to provide maltreated children with safe, nurturing care can improve outcomes. The need for prompt decisions about permanent placement (i.e., regarding adoption or return home) is internationally recognised. However, a recent Glasgow audit showed that many maltreated children “revolve” between birth families and foster carers. This paper describes the protocol of the first exploratory randomised controlled trial of a mental health intervention aimed at improving placement permanency decisions for maltreated children. This trial compares an infant's mental health intervention with the new enhanced service as usual for maltreated children entering care in Glasgow. As both are new services, the trial is being conducted from a position of equipoise. The outcome assessment covers various fields of a child’s neurodevelopment to identify problems in any ESSENCE domain. The feasibility, reliability, and developmental appropriateness of all outcome measures are examined. Additionally, the potential for linkage with routinely collected data on health and social care and, in the future, education is explored. The results will inform a definitive randomised controlled trial that could potentially lead to long lasting benefits for the Scottish population and which may be applicable to other areas of the world. This trial is registered with ClinicalTrials.gov (NC01485510).

Socio Demographic and Clinical Profile of Indoor Female Patients of RINPAS

2017 ◽  
Vol 8 (1) ◽  
pp. 33
Author(s):  
Rajni Suri ◽  
Anshu Suri ◽  
Neelam Kumari ◽  
Amool R. Singh ◽  
Manisha Kiran
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mentally Ill ◽  
Mental Health Problems ◽  
Demographic Data ◽  
Relevant Information ◽  
Health Problems ◽  
High Rate ◽  
Physical And Mental Health ◽  
Cross Sectional

The role of women is very crucial in our society. She cares for her parents, partner, children and other relatives. She performs all types of duties in family and also in the society without any expectations. Because of playing many roles, women often face many challenges in their life including both physical and mental. Mental health problems affect women and men equally, but some problems are more common among women including both physical and mental health problems. Aim of the study - The present study is aimed to describe and compare the clinical and socio-demographic correlates of female mentally ill patients. Methods and Materials: The study includes 180 female mentally ill patients based on cross sectional design and the sample for the study was drawn purposively. A semi structured socio-demographic data sheet was prepared to collect relevant information as per the need of the study. Result: The present study reveals that the socio-demographic factors contribute a vital role in mental illness. Findings also showed that majority of patients had mental problems in the age range of 20-30 have high rate. Illiterate and primary level of education and daily wage working women as well as low and middle socio-economic status women are more prone to have mental illness. Other factors like marital status, type of family and religion etc also important factors for mental illness. Keywords: Socio demographic profile, female, psychiatric patient

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