Psychogeriatrics and General Practice in Australia

1997 ◽  
Vol 27 (3) ◽  
pp. 205-213 ◽  
Author(s):  
Henry Brodaty ◽  
Brian M. Draper ◽  
David C. Lie
Keyword(s):  
Mental Health ◽  
General Practice ◽  
Social Factors ◽  
The Elderly ◽  
Aged Care ◽  
Health Needs ◽  
Level Of Care ◽  
Mental Health Needs ◽  
Care Services ◽  
Economic Considerations

We describe the interface between general practice and psychogeriatrics in Australia. While aged care services are complex and there are serious deficiencies in the management of the elderly, several initiatives appear set to improve the level of care. Economic considerations, mutual education of general practitioners and psychogeriatricians, and social factors are strong determinants of good primary care of the mental health needs of older people.

scholarly journals Potential predictors of unmet health needs among the elderly: a population-based study in Serbia

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Šantrić Milićević ◽  
M Kostadinović ◽  
D Nikolić ◽  
J Todorovic ◽  
Z Terzic-Supic
Keyword(s):  
Mental Health ◽  
Waiting Times ◽  
Wealth Index ◽  
The Elderly ◽  
Health Needs ◽  
Daily Activities ◽  
Personal Care ◽  
Mental Health Needs ◽  
Unmet Health Needs ◽  
Unmet Mental Health

Abstract Background This study assessed the prevalence of unmet health needs of the elderly and the associated factors regarding socioeconomic, health and functional status. Methods A secondary analysis of the 2013 National Health Survey data was conducted on a representative sample of 3540 persons aged sixty-five and older (the lowest response rate was 99.7%). Participants characteristics such as socioeconomic status, health self-perception, diagnosed chronic disease, physical functional limitations, performing essential daily activities in the home and daily personal care were explored with logistic regression analysis (Odds Ratio - OR and 95% Confidence Interval) in relation to five aspects of unmet health needs. Results 15.8% participants had unmet health needs due to the long waiting times, 16.1%, had unmet needs for medical care, 17.7% for dental care, 15.2% for drugs prescription and 96.9% participants for mental health care. Common predictors exist for medical, dental drug prescription and due to long waiting times unmet needs including older age years, middle education, rural residence, lower wealth index, single persons, with average or bad self-perceived health, chronic disease and difficult daily performance of personal care and of home activities. Unmet mental health needs by 61% less likely had participants with average wealth index, while a greater likelihood had participants with average and bad self-perceived health by 3.7 times and 8.4 times (p = 0.035, p = 0.001) respectively, by 6.2 times those with difficulties (p < 0.001) and by 5.9 times unable (p = 0.045) to perform daily activities of personal care and by 1.7 times those with difficulties (p = 0.037) to perform home activities. Conclusions Unmet health needs reported less than 20% of the elderly but almost all have unmet mental health needs. Unmet health needs are associated with negative health outcomes, age, low education level, single persons, rural settings, poorer households, and limited daily activities. Key messages Unmet mental health needs of the elderly are an extremely important problem for the health system and healthy ageing in Serbia. A strong association of unmet health needs of old, low educated elderly without partners, from rural settings and poor households with health and functional outcomes, requires responsive policies.

Clinicians' attitudes to spirituality in old age psychiatry

2006 ◽  
Vol 19 (5) ◽  
pp. 962-973 ◽  
Author(s):  
Robert M. Lawrence ◽  
Julia Head ◽  
Georgina Christodoulou ◽  
Biljana Andonovska ◽  
Samina Karamat ◽  
...  
Keyword(s):  
Mental Health ◽  
Older People ◽  
Old Age ◽  
Spiritual Care ◽  
Health Needs ◽  
Mental Health Needs ◽  
Care Services ◽  
The United Kingdom ◽  
Old Age Psychiatry ◽  
Chaplaincy Service

Background: The aim of this survey is to investigate professional attitudes to the presence and value of spiritual care from Old Age Psychiatrists.Method: All registered members of the Faculty of the Psychiatry of Old Age in the United Kingdom were asked to complete a 21-question semi-structured questionnaire. The first mail shot took place in 2002 and the second mail shot to non-respondents in 2003. Quantitative and qualitative analyses were carried out on the answers received.Results: The response rate was 46%. The majority of respondents (92%) recognize the importance of spiritual dimensions of care for older people with mental health needs and about a quarter of respondents appear to consider referring patients to the chaplaincy service. In contrast, integration of spiritual advisors within the assessment and management of individual cases is rare.Conclusions: Opinions vary as to whether provision of spiritual care should become widely available to older people with mental health needs who are admitted to hospital. Old age psychiatrists recognize that awareness of spiritual dimensions may be important for their patients. They seem less clear about the role of spiritual advisors and how NHS multidisciplinary clinical teams and spiritual and pastoral care services can be best integrated. Much work needs to be done on developing effective training and operational policies in this area.

Responding to Mental Health Needs of the Elderly in Rural Areas:

1988 ◽  
Vol 8 (3-4) ◽  
pp. 69-80 ◽  
Author(s):  
Kathleen Coen Buckwalter ◽  
Hermine McLeran ◽  
Susan Mitchell ◽  
Patricia H. Andrews
Keyword(s):  
Mental Health ◽  
Rural Areas ◽  
The Elderly ◽  
Health Needs ◽  
Mental Health Needs

Mental Health Needs of the Elderly Vary by Setting

1993 ◽  
Vol 1 (1) ◽  
pp. 74-81 ◽  
Author(s):  
Susan W. Lehmann ◽  
Peter V. Rabins ◽  
Geetha Jayaram ◽  
Virginia Byer
Keyword(s):  
Mental Health ◽  
The Elderly ◽  
Health Needs ◽  
Mental Health Needs

Multi-agency and specialist working to meet the mental health needs of children in care and adopted

2010 ◽  
Vol 15 (4) ◽  
pp. 573-587 ◽  
Author(s):  
Kim S. Golding
Keyword(s):  
Mental Health ◽  
Health Needs ◽  
Adopted Children ◽  
Mental Health Needs ◽  
Vulnerable Children ◽  
Case Examples ◽  
Care Experience ◽  
Care Services ◽  
Children In Care ◽  
Agency Service

Many of the children and young people who are looked after in foster and residential care or are adopted have complex mental health needs that are not well met by traditional mental health services. These vulnerabilities stem from an interaction between pre- and post-care experience, and often include trauma, attachment and developmental difficulties. It is now widely recognized that these children are best served by dedicated services provided by professionals with expertise in meeting the needs of looked after and adopted children. This involves effective joint working between health, education and social care services and requires supportive policies and structures at all levels of the organizations. This paper will explore the strengths, challenges and barriers of multi-agency and specialist working to meet the needs of these vulnerable children and young people.This will be illustrated with case examples drawn from a multi-agency service in Worcestershire, UK.

scholarly journals Psychogeriatric research comes of age in developing countries

2007 ◽  
Vol 19 (4) ◽  
pp. 615-621 ◽  
Author(s):  
K. S. JACOB ◽  
MARY GANGULI
Keyword(s):  
Mental Health ◽  
Developing Countries ◽  
Mental Disorders ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Mentally Ill ◽  
The Elderly ◽  
Health Needs ◽  
Mental Health Needs ◽  
High Quality

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.

scholarly journals Strategies To Support Older Adults’ Mental Health During the Transition Into Residential Aged Care: A Qualitative Study of Multiple Stakeholder Perspectives

2022 ◽  
Author(s):  
Meg Polacsek ◽  
Marta Woolford
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Residential Care ◽  
Significant Risk ◽  
Well Being ◽  
Aged Care ◽  
Health Needs ◽  
Residential Aged Care ◽  
Mental Health Needs ◽  
Major Life

Abstract BackgroundThe move from home into residential care is one of the most stressful life experiences for older adults. ‘Relocation stress’ is a significant risk factor for anxiety and/or depression in aged care residents. Whether long-term or recently diagnosed, these mood disorders are associated with a decline in overall well-being, daily functioning and independence. The mental health needs of older adults are often poorly recognised and supported, including during the transition into residential care. Despite growing interest in how to facilitate this major life transition, few studies have taken the perspective of multiple stakeholders. The aim of this study was to explore resident, relative and staff experiences of the transition into residential aged care, and to identify strategies to support the mental health of older adults at this time. MethodsSemi-structured interviews were conducted with 35 aged care residents, relatives and staff, between January and April 2021. Participants were selected using purposive and convenience sampling. Interviews were audio recorded and transcribed verbatim. Data were analysed inductively and grouped into themes. ResultsResults were distilled into three main categories related to the overall transition experience, residents’ mental health needs and strategies to support residents’ mental health. A novel contribution of this study relates to the need to address a broad misunderstanding of the role of pastoral care and subsequent under-utilisation of a potentially valuable resource. ConclusionsBy describing transition experiences and the resources to support residents’ mental health, findings of this study provide practical, ‘real world’ suggestions for reducing relocation stress. New resources developed from the findings include guides, checklists and short question-and-answer films, in which current residents and staff describe strategies to support mental health and overall quality of life. Similar resources could be used to support transitions in other care settings.

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