scholarly journals FACTORS AFFECTING EARLY DETECTION OF MENTAL HEALTH PROBLEMS OF THE ELDERLY AND SERVICE USE IN KOREA

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 1202-1202
Author(s):  
Y. Park ◽  
D. Son ◽  
K. Park ◽  
E. Park ◽  
Y. Choi
Keyword(s):  
Mental Health ◽  
Early Detection ◽  
Service Use ◽  
Mental Health Problems ◽  
The Elderly ◽  
Health Problems ◽  
Factors Affecting

scholarly journals Predisposing, enabling, and need factors of service utilization in the elderly with mental health problems

2017 ◽  
Vol 30 (7) ◽  
pp. 1027-1037 ◽  
Author(s):  
Jana Volkert ◽  
Sylke Andreas ◽  
Martin Härter ◽  
Maria Christina Dehoust ◽  
Susanne Sehner ◽  
...  
Keyword(s):  
Mental Health ◽  
Service Utilization ◽  
Service Use ◽  
Mental Health Problems ◽  
Behavioral Model ◽  
The Elderly ◽  
Health Problems ◽  
Use Of Services ◽  
Lower Education ◽  
Comorbid Mental Disorders

ABSTRACTBackground:Empirical data on the use of services due to mental health problems in older adults in Europe is lacking. The objective of this study is to identify factors associated with service utilization in the elderly.Methods:As part of the MentDis_ICF65+ study, N = 3,142 people aged 65–84 living in the community in six European and associated countries were interviewed. Based on Andersen's behavioral model predisposing, enabling, and need factors were analyzed with logistic regression analyses.Results:Overall, 7% of elderly and 11% of those with a mental disorder had used a service due to mental health problems in the last 12 months. Factors significantly associated with underuse were male sex, lower education, living in the London catchment area, higher functional impairment and more comorbid mental disorders. The most frequently reported barrier to service use was personal beliefs, e.g. “I can deal with my problem on my own” (90%).Conclusion:Underutilization of mental health services among older people in the European community is common and interventions are needed to achieve an adequate use of services.

scholarly journals Online screening and feedback to increase help-seeking for mental health problems: population-based randomised controlled trial

BJPsych Open ◽  
2016 ◽  
Vol 2 (1) ◽  
pp. 67-73 ◽  
Author(s):  
Philip J. Batterham ◽  
Alison L. Calear ◽  
Matthew Sunderland ◽  
Natacha Carragher ◽  
Jacqueline L. Brewer
Keyword(s):  
Mental Health ◽  
Social Anxiety ◽  
Help Seeking ◽  
Service Use ◽  
Mental Health Problems ◽  
Controlled Trial ◽  
Population Based ◽  
Health Problems ◽  
Professional Service ◽  
Negative Effect

BackgroundCommunity-based screening for mental health problems may increase service use through feedback to individuals about their severity of symptoms and provision of contacts for appropriate services.AimsThe effect of symptom feedback on service use was assessed. Secondary outcomes included symptom change and study attrition.MethodUsing online recruitment, 2773 participants completed a comprehensive survey including screening for depression (n=1366) or social anxiety (n=1407). Across these two versions, approximately half (n=1342) of the participants were then randomly allocated to receive tailored feedback. Participants were reassessed after 3 months (Australian New Zealand Clinical Trials Registry ANZCTR12614000324617).ResultsA negative effect of providing social anxiety feedback to individuals was observed, with significant reductions in professional service use. Greater attrition and lower intentions to seek help were also observed after feedback.ConclusionsOnline mental health screening with feedback is not effective for promoting professional service use. Alternative models of online screening require further investigation.

scholarly journals Romanian GPs Involvement in Caring for the Mental Health Problems of the Elderly Population: A Cross-Sectional Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Raluca Sfetcu ◽  
Daciana Toma ◽  
Catalina Tudose ◽  
Cristian Vladescu
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Care Professionals ◽  
Financial Incentives ◽  
Mental Health Problems ◽  
Early Recognition ◽  
The Elderly ◽  
Health Problems ◽  
National Society

The mental health of the elderly is a matter of increased concern in the context of an aging population since currently only a small fraction of this population is receiving adequate care. The provision of treatment in primary care by the General Practitioners (GPs) has been proposed for over a decade as a potential solution, as services offered by GPs are more accessible, less susceptible to stigma, and have a more comprehensive view of the other health care problems that the elderly might suffer from. In this study, we explored the perception of Romanian GPs regarding their practice and roles in caring for the mental health of the elderly as well as the willingness to increase their future involvement in the management of dementia and other mental health problems. Data was collected via an online questionnaire structured on four dimensions: (1) GPs' sociodemographic profile and practice characteristics, (2) GPs assessment of the services available for elderly with mental health problems, (3) GPs current involvement in mental health care for different categories of problems, and (4) factors that might influence the future involvement of GPs in providing care for elderly with mental health problems. The survey was sent via the member mailing lists of the National Society for Family Medicine. Results show that GPs are currently limited by prescribing possibilities, available resources and knowledge in the area, but they are willing to expand their role in the areas of early recognition and prevention of mental health problems as well as providing disease management and collaborative care. An improved communication with mental health care professionals, a better access to resources and having more financial incentives are the three most important categories for GPs to increase their involvement. In conclusion, increasing the access to personal and professional resources and setting up functional communication channels with specialized mental health care could motivate GPs to provide timely mental health support to elderly patients.

Early detection of risk-taking, self-harming, and suicidal behaviour

2021 ◽  
pp. 429-436
Author(s):  
Corinna Reichl ◽  
Michael Kaess
Keyword(s):  
Mental Health ◽  
Early Detection ◽  
Interpersonal Relationships ◽  
Risk Taking ◽  
Suicidal Behaviour ◽  
Mental Health Problems ◽  
Developmental Trajectories ◽  
Health Problems ◽  
Risk Markers

This text outlines the role of risk-taking and self-harming behaviours in the development and detection of suicidal behaviour and mental health problems among adolescents. Risk-taking and self-harming behaviours are observable symptoms for underlying problems of emotion regulation, impulse control or interpersonal relationships and are sensitive risk markers for early detection of developmental trajectories of suicidal behaviour and mental health problems. Due to their easy accessibility and their sensitive prediction of mental health problems, risk-taking and self-harming behaviours have been included into programmes screening for adolescents at risk of suicidal behaviour in the general population. The principles and findings of those screening programmes are discussed. Professional screenings are time consuming for participants and create costs for the healthcare system, thus, longitudinal studies are needed to test whether screening programmes are effective in reducing suicidal behaviour among adolescents.

scholarly journals Impact of clinical pharmacist’s interventions on pharmacotherapy management in elderly patients on polypharmacy with mental health problems including quality of life: A prospective non-randomized study

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Matej Stuhec ◽  
Nika Bratović ◽  
Aleš Mrhar
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Elderly Patients ◽  
Mental Health Problems ◽  
Randomized Study ◽  
The Elderly ◽  
Health Problems ◽  
Potentially Inappropriate Medications ◽  
The Impact

AbstractMental health problems (MHPs) are very common in the elderly and can have an important influence on their quality of life (QoL). There is almost no data on the impact of clinical pharmacists’ (CPs) interventions on the QoL including elderly patients and MHPs. The main aim of this study was to determinate the impact of (CP’s) interventions on the QoL and quality of pharmacotherapy. A prospective non-randomized pre-post study was designed which included residents of a nursing home aged 65 age or more with at least one MHP. Each patient also filled out the EQ-5D questionnaire. The medical review MR included drug-related problems (DRPs) and potentially drug-drug interactions (pDDIs), as well as potentially inappropriate medications (PIMs). After 2 months, the participants were interviewed again. The mean number of medications before the intervention was 12,2 ± 3,1 per patient and decreased to 10,3 ± 3,0 medications per patient (p < 0,05) (n = 24). The total number of PIMs and pDDIs was also reduced and QoL was also significantly higher (p < 0,05). A collaborative care approach with a CP led to a decrease of DRPs, pDDIs, PIMs, the total number of medications and to an improvement in the patients’ QoL.

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