scholarly journals Policymakers’ perspectives on responding to the elderly’s mental health needs in post-disaster situations

Author(s):  
Ferry Efendi ◽  
Retno Indarwati ◽  
Gading Ekapuja Aurizki ◽  
Ika Adelia Susanti ◽  
Antoni Eka Fajar Maulana

Background: Mental health issues following the occurrence of disaster remain neglected area especially for older people group. The purpose of this study was to explore stakeholders’ perspectives on post-disaster management related to the elderly’s mental health needs.Design and Methods: This qualitative case study was conducted between June and October 2020. The investigators conducted in-depth interviews with policymakers who were in charge of disaster management at national, provincial, and regional levels. The policymakers were selected through purposive sampling. A policy analysis was conducted by the investigators to answer the research question.Results: The results were presented based on actor, content, context, and process. The actors engage in intersectoral collaboration between disaster agencies, health agencies, and social agencies. The content is largely comprehensive; however, the disaster management policy should not neglect to address mental health conditions after a disaster event. The context is the vulnerability and risk of the elderly in terms of experiencing physical and mental issues after a disaster, which should be considered by policymakers in Indonesia. The process is the development of disaster management policies, which are influenced by cultural, economic, political, and international factors.Conclusion: This study reveals that stakeholders need to pay attention to the mental health issue of elderly in national and regional policy, particularly during post-disaster situations. In addition, posttraumatic stress in post-disaster situations should be highlighted in order to formulate a better aged care policy.

2021 ◽  
Vol 16 (2) ◽  
Author(s):  
Khandakar Hasan Mahmud ◽  
Raju Ahmed ◽  
Jannatun Hussna Tuya

Every year Bangladesh faces enormous damages due to flooding. Facing these damages the Government adopts various recovery approaches. However, the psychological dimension of any disaster is generally overlooked in disaster management. Researchers have found that the spatial distribution of post-disaster mental health can help the authorities to apply recovery procedures where they are most needed. For this research, Posttraumatic Stress Checklist (PCL-5), Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) were used to estimate posttraumatic stress, major depressive disorder and anxiety following three episodes of severe floods in 2017 that affected at least 8 million people. To better understand the spatial pattern of psychological vulnerability and reach a comprehensive scenario of post-disaster mental health, Moran’s I was applied for spatial autocorrelation and Pearson’s correlation and regression analysis for a study of the relationship between the psychological aspects. It was found that psychological vulnerability showed a spatial clustering pattern and that there was a strong positive linear relationship among psychological aspects in the study area. This research might help to adopt disaster management policies that consider the psychological dimension and spatial distribution of various psychological aspects to identify areas characterized by high vulnerability and risk so that they can be reached without delay.


1997 ◽  
Vol 27 (3) ◽  
pp. 205-213 ◽  
Author(s):  
Henry Brodaty ◽  
Brian M. Draper ◽  
David C. Lie

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.


2015 ◽  
Vol 2 ◽  
Author(s):  
S. Diminic ◽  
G. Carstensen ◽  
M. G. Harris ◽  
N. Reavley ◽  
J. Pirkis ◽  
...  

BackgroundIt is increasingly recognised that intersectoral linkages between mental health and other health and support sectors are essential for providing effective care for individuals with severe and persistent mental illness. The extent to which intersectoral collaboration and approaches to achieve it are detailed in mental health policy has not yet been systematically examined.MethodsThirty-eight mental health policy documents from 22 jurisdictions in Australia, New Zealand, the United Kingdom, Ireland and Canada were identified via a web search. Information was extracted and synthesised on: the extent to which intersectoral collaboration was an objective or guiding principle of policy; the sectors acknowledged as targets for collaboration; and the characteristics of detailed intersectoral collaboration efforts.ResultsRecurring themes in objectives/guiding principles included a whole of government approach, coordination and integration of services, and increased social and economic participation. All jurisdictions acknowledged the importance of intersectoral collaboration, particularly with employment, education, housing, community, criminal justice, drug and alcohol, physical health, Indigenous, disability, emergency and aged care services. However, the level of detail provided varied widely. Where detailed strategies were described, the most common linkage mechanisms were joint service planning through intersectoral coordinating committees or liaison workers, interagency agreements, staff training and joint service provision.ConclusionsSectors and mechanisms identified for collaboration were largely consistent across jurisdictions. Little information was provided about strategies for accountability, resourcing, monitoring and evaluation of intersectoral collaboration initiatives, highlighting an area for further improvement. Examples of collaboration detailed in the policies provide a useful resource for other countries.


2019 ◽  
Vol 3 (2) ◽  
pp. 79
Author(s):  
Widyawati BOEDININGSIH ◽  
Afdol S.H., M.S ◽  
Woro WINANDI ◽  
Suwardi S.H., M.HUM

Indonesia is a region that disaster-affected which often arise, it is because of Indonesia is an equatorial boundary is the line where a slab of earth impact of catastrophes. Against such conditions it is with the frequent disasters continue to occur so it is necessary prepared in disaster response. So far it has provided device regulatory disaster management, namely Law No. 24 of 2007 which provides a framework for disaster management, including pre-disaster, emergency response and post-disaster. Indonesia is a country that is very rich, dazzling beauty of the panorama, so many interesting foreign tourists to come and see the beauty. In addition, Indonesia is a country that often mengalmi natural disasters, ranging from floods, volcanoes to the tsunami, Indonesia is a disaster-prone geographical location. Disasters can be caused by natural factors and due to the irresponsible behavior of the use and management of natural resources (SDA) and the environment. Although the law has outlined a comprehensive disaster management provisions, so far the response is still focused on emergency response issues. Further action such as mitigation, rehabilitation and reconstruction seems not be the main priority of disaster management activities. Another problem that is still experiencing problems is coordination, speed of relief, aid accuracy and evenness of distribution logistics. Institutional: On the mandate of Law 24/2007 also institutional been formed National Disaster Management Agency (BNPB) at the regional level throughout and Indonesia. BNPB also formed a technical executing unit area (UPTD) 12 units. BNPB Institution supported by trained human resources (HR) who are ready to be deployed to the hardest terrain even though this certainly must be supported by adequate and measurable funding in the APBN (state budget) and APBD (regional budget). Institutional Strengthening: Grand designs required in order to strengthen institutional capacity and disaster management standard that is fast, responsive, and professional in accordance with international standards. Key words: Policy, Disaster Relief, On Target


2020 ◽  
Vol 4 (1) ◽  
pp. 103-137
Author(s):  
Rabia Zonash Mir

Does Phubbing Behavior and Romantic Relation leads to Mental Health issues among married couple? The present study intended to explore the effect of how phubbing behavior and romantic relationships are affecting mental health of married couples. For the study purpose a sample of 120 Married couples were taken between the age ranges 20-60 years of age. Partner Phubbing Rating Scale developed by Roberts and David (2015) was used to measure phubbing behavior among married couples. Romantic Partner Scale (RPS) developed by Zacchilli, Hendricks, and Hendricks, (2012) was applied to assess the romantic relationship between both partners and the third scale used was short form of Mental Health Continuum developed by Keyes (2005) in order to assess the mental health issue among married couples. Phubbing behavior positively predicted interactional activity and negatively predicts compromise, avoidance, separation, dominance and submission. Phubbing behavior negatively predicts mental health among married couples. Gender difference indicates that males are higher on romantic relationship as well as mental health as compared to females. As far as demographic variables are concerned, based on the findings of current research, it was concluded that there was no gender differences found in phubbing behavior, romantic relationship, and mental health of married couples. Phubbing behavior is significantly higher in love marriage couples in comparison with arranged marriage couples.


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