scholarly journals Mental Health Service Use by Older Adults: The Role of Chronic Pain

2008 ◽  
Vol 16 (2) ◽  
pp. 156-167 ◽  
Author(s):  
Jennifer Brennan Braden ◽  
Lily Zhang ◽  
Ming-Yu Fan ◽  
Jürgen Unützer ◽  
Mark J. Edlund ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Chronic Pain ◽  
Mental Health Service ◽  
Health Service ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use

scholarly journals Higher Rates of Untreated Distress in Older Versus Younger Adults With Indolent Lymphoma

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 466-466
Author(s):  
Kelly Trevino ◽  
Peter Martin ◽  
John Leonard
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Younger Adults

Abstract Indolent lymphomas are incurable but slow-growing cancers, resulting in a large number of older adults living with these diseases. Patients typically live with their illness for years with the knowledge that disease progression is likely. Yet, little is known about psychological distress in this population. This study examined rates of and the relationship between distress and mental health service use in older and younger adults with indolent lymphomas. Adult patients diagnosed with an indolent lymphoma (e.g., follicular lymphoma, marginal zone lymphoma) within the past six months completed self-report surveys of distress (Hospital Anxiety and Depression Scale; HADS) and mental health service use since the cancer diagnosis (yes/no). Descriptive statistics, t-tests, and chi-square analyses were used to examine study questions. The sample (n=84) included 35 patients 65 years or older. Across the entire sample, 21.4% screened positive for distress on the HADS; 58.8% of these patients did not receive mental health services. Older adults reported lower distress levels than younger adults (17.1% v. 24.5%; p=.038). Among younger adults, 50% of distressed patients received mental health services; only 20% of distressed older adults received mental health services. Distress was associated with mental health service use in younger adults (p=.004) but not in older adults (p=.17). Older adults with indolent lymphomas have higher levels of untreated distress than younger adults. Research on the mechanisms underlying these age differences (e.g., stigma toward mental health services, ageism) would inform interventions to increase rates of mental health service use and reduce care disparities due to age.

scholarly journals Mental Health Service Use by Young People: The Role of Caregiver Characteristics

PLoS ONE ◽  
2015 ◽  
Vol 10 (3) ◽  
pp. e0120004 ◽  
Author(s):  
Petra C. Gronholm ◽  
Tamsin Ford ◽  
Ruth E. Roberts ◽  
Graham Thornicroft ◽  
Kristin R. Laurens ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Young People ◽  
Health Service ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use

scholarly journals Institutional Racism in Mental Health Services: The consequences of compromised conceptualisation

2010 ◽  
Vol 15 (3) ◽  
pp. 86-96 ◽  
Author(s):  
Hannah Bradby
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Service Use ◽  
Institutional Racism ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
The Face ◽  
Individual Education

Inequalities in mental health service use and outcome in the British NHS have been attributed to institutional racism. Institutional racism is widely understood in terms of the definition published in the Macpherson report, despite critique of its inability to differentiate the role of individual and institution in discrimination, and weakness in distinguishing racism from other forms of discrimination. The inquiry into David Bennett's death declared the NHS to be institutionally racist, and, although still contested, this has been widely accepted. Poor conceptualisation and the endemic failure to demonstrate how institutional racism leads to iniquitous outcomes can be seen in recommendations to tackle it through individual education. Policy based on a compromised conceptualisation of institutional racism is unlikely to reduce racialised inequalities and, in the face of progress for ethnic minorities else-where, may lead to the conclusion that discrimination is no longer a problem. In the light of recent shifts in what is implied by institutional racism, suggestions for research towards a re-conceptualisation are made.

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