Psychosocial Impact of COVID-19 on Older Adults: A Cultural Geriatric Mental Health-Care Perspectived

2021 ◽  
pp. 175-177
Author(s):  
Sonia Mukhtar
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Care ◽  
Mental Health Care ◽  
Psychosocial Impact ◽  
Geriatric Mental Health

scholarly journals Geriatric Telepsychiatry: Promoting Access to Geriatric Mental Health Care Beyond the Physical Barriers

2020 ◽  
Vol 42 (5_suppl) ◽  
pp. 41S-46S
Author(s):  
Palanimuthu Thangaraju Sivakumar ◽  
Shiva Shanker Reddy Mukku ◽  
Nilamadhab Kar ◽  
Narayana Manjunatha ◽  
Vivek Haridas Phutane ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Care ◽  
Human Resources ◽  
Mental Health Care ◽  
Digital Literacy ◽  
Developed Countries ◽  
Psychiatric Illnesses ◽  
Geriatric Mental Health ◽  
Physical Barriers

Psychiatric illnesses are an important contributor of morbidity and mortality in older adults. There is increase in older adults with psychiatric disorders paralleling their growth in absolute numbers. This leads to challenges in mental health care and service delivery. Several barriers that exists in our community hinder older adults from receiving mental health care. Additionally, lack of adequate human resources in geriatric mental health care compounds the problem. Telemedicine, though not new in other fields of medicine, is relatively new in the practice of psychiatry in India. This is probably due to lack of clear guidelines and regulations regarding the same in India. There is a recent increase in teleconsultations in India similar to other developed countries due to ongoing COVID-19 pandemic. The recent telepsychiatry operational guidelines have made telepsychiatry a legitimate and official practice in India. Challenges specific to older adults in the form of low digital literacy, sensory issues, and cognitive impairment can be overcome by adopting telepsychiatry services in coming years. Concerns related to security and safety of telepsychiatry require further evaluation.

IMPACT OF PAIN INTERFERENCE ON TREATMENT OUTCOMES AMONG OLDER ADULTS WITH DEPRESSIVE AND ANXIETY SYMPTOMS RECEIVING COLLABORATIVE MENTAL HEALTH CARE

2020 ◽  
Vol 28 (4) ◽  
pp. S94-S95
Author(s):  
Senthil Vel Rajan Rajaram Manoharan ◽  
Senthil Vel Rajan Rajaram Manoharan ◽  
Arushi Kapoor ◽  
Shahrzad Mavandadi ◽  
Joel E. Streim
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Care ◽  
Mental Health Care ◽  
Treatment Outcomes ◽  
Anxiety Symptoms ◽  
Pain Interference ◽  
Collaborative Mental Health Care

scholarly journals COVID-19 pandemic and mental health care of older adults in India

2020 ◽  
Vol 32 (10) ◽  
pp. 1125-1127
Author(s):  
Vihang N. Vahia ◽  
Ashutosh B. Shah
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Care ◽  
Mental Health Care

Does distress screening lead to mental health care in older adult surgical patients?

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. 11543-11543
Author(s):  
Kelly Marie Trevino ◽  
Christian J. Nelson ◽  
Rebecca Saracino ◽  
Beatriz Korc-Grodzicki ◽  
Saman Sarraf ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Older Adults ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
Distress Screening ◽  
Poor Social Support ◽  
High Distress

11543 Background: Surgery is a notable stressor for older adults with cancer who are often medically complex and frail. The American College of Surgeons Commission on Cancer requires distress screening in accredited cancer care settings. The degree to which distress screening leads to mental health use is unclear. This study examined rates and predictors of post-surgical mental health care in older adults referred for a preoperative evaluation. Methods: Patients aged 75 years or older (n = 1,008) referred to the Geriatrics Service at a comprehensive cancer center were enrolled. Patients underwent elective surgery with a length of stay of 3 days or longer and were followed for at least 30 days after surgery. A comprehensive geriatric assessment (CGA) was administered as part of routine care. Surgical characteristics and post-surgical encounters with social work, psychology, and psychiatry were abstracted from the electronic medical record. Bivariate relationships between demographic and surgical characteristics and the CGA and post-operative receipt of mental health services were examined. Characteristics with significant (p < .01) bivariate relationships were entered into a multivariable regression predicting post-operative mental health service use. Results: One-quarter of the total sample (n = 246, 24.4%) received post-operative mental health services. In multivariable analyses, high distress (Distress Thermometer score≥4; p = .01), poor social support (p = .01), iADL dependence (p = .04), and longer length of stay (p < .001) were associated with receipt of mental health services after controlling for significant sociodemographic and surgical characteristics and CGA variables. Of patients with high distress, poor social support, or iADL dependence, only one-third (29-33%) received mental health care. Conclusions: Distressed older adults and those with low levels of support pre-operatively were more likely to receive mental health services after surgery, controlling for sociodemographic and surgical characteristics. Yet, only one-third of these patients received mental health care. These findings suggest that barriers to translating distress screening into provision of mental health services remain.

Associations between perceptions of care experiences and receipt of mental health care among older adults with cancer.

2020 ◽  
Vol 38 (29_suppl) ◽  
pp. 175-175
Author(s):  
Lisa M Lines ◽  
Daniel H Barch ◽  
Diana Zabala ◽  
Michael T. Halpern ◽  
Paul Jacobsen ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Care ◽  
Linear Regression ◽  
Mental Health Care ◽  
Mood Disorders ◽  
Regression Models ◽  
Case Mix ◽  
Linear Regression Models ◽  
Fair Poor

175 Background: Older adults with cancer and worse self-rated mental health report worse care experiences. We hypothesized that, controlling for health and demographic characteristics, older adults with cancer who received care for anxiety or mood disorders would report better care experiences. Methods: We used SEER-CAHPS data to identify Medicare beneficiaries, aged 66 and over, diagnosed from August 2006 through December 2013 with one of the 10 most prevalent solid tumor malignancies. To identify utilization for anxiety or mood disorders (screening, diagnosis, or treatment), we analyzed inpatient, outpatient, home health, physician, and prescription drug claims from 12 months before through up to 5 years after cancer diagnosis. Outcomes of interest were global care experience ratings (Overall Care, Personal Doctor, and Specialist; rated on a 0-10 scale) and composite measures (Getting Needed Care, Getting Care Quickly, and Doctor Communication; scored from 0-100). We estimated linear regression models and also used a Bayesian Model Averaging approach, adjusting for standard case-mix adjustors (including sociodemographics and self-reported general health and mental health status [MHS]) and other characteristics, including cancer site and stage at diagnosis. We also included interaction terms between mental health care utilization and MHS. Results: Approximately 22% of the overall sample (n = 4,998) had both cancer and a claim for an anxiety or mood disorder, and of those individuals, 18% reported fair/poor MHS. Only 7% of those in the cancer-only cohort reported fair/poor MHS. Before adjusting for mental health utilization, worse MHS was significantly associated with worse experience of care. After accounting for anxiety/mood disorder-related utilization, linear regression models showed no significant associations between fair/poor MHS and worse care experiences, while Bayesian models found that reliable associations remained between worse MHS and lower global ratings of Overall Care and Specialist. Conclusions: Utilization for anxiety/mood disorders mediates the association between fair/poor MHS and worse care experiences. Although MHS is a case-mix adjustor for CAHPS public reporting, it is important to recognize that care for anxiety or mood disorders may improve care experiences among seniors with cancer.

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