Academic literature on the topic 'Mentally ill older people Care Australia'

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Journal articles on the topic "Mentally ill older people Care Australia"

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Lloyd, Chris, and Pam Samra. "Healthy Lifestyles: A Community Programme for Chronically Mentally Ill People." British Journal of Occupational Therapy 59, no. 1 (January 1996): 27–32. http://dx.doi.org/10.1177/030802269605900110.

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This article outlines a Healthy Lifestyles Programme (HLP) for chronically mentally ill people in the South Coast Regional Health Authority in Australia, in the area of integrated mental health services. This programme has provided practical community-based experiences for chronically mentally ill people, focusing on functional deficits in daily living skills. Major reforms in service delivery in mental health have resulted in a move to community-based care. The 1994 Queensland Mental Health Plan set out specific objectives and strategies for the implementation of mental health service reform. One of the immediate priorities for Queensland is the establishing of mainstream integrated services to promote continuity of care across service components. The HLP reflects this priority in providing a community-based service in an integrated mental health setting, using the principles of community-based integration, family support, collaboration, rehabilitation and case management, as outlined in the community care model.
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Davidson, Sandra, Fiona Judd, Damien Jolley, Barbara Hocking, Sandra Thompson, and Brendan Hyland. "Risk Factors for HIV/AIDS and Hepatitis C Among the Chronic Mentally Ill." Australian & New Zealand Journal of Psychiatry 35, no. 2 (April 2001): 203–9. http://dx.doi.org/10.1046/j.1440-1614.2001.00867.x.

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Objective: The objective of this study was to document the prevalence of risk factors for HIV/AIDS and hepatitis C among people with chronic mental illness treated in a community setting. Method: 234 patients attending four community mental health clinics in the North-western Health Care Network in Melbourne, Australia, completed an interviewer-administered questionnaire which covered demographics, risk behaviour and psychiatric diagnosis. Results: The sample was 58% male, and 79% of the sample had a primary diagnosis of schizophrenia. Forty-three per cent of mentally ill men and 51% of mentally ill women in the survey had been sexually active in the 12 months preceding the survey. One-fifth of mentally ill men and 57% of mentally ill women who had sex with casual partners never used condoms. People with mental illness were eight times more likely than the general population to have ever injected illicit drugs and the mentally ill had a lifetime prevalence of sharing needles of 7.4%. Conclusions: The prevalence of risk behaviours among the study group indicate that people with chronic mental illness should be regarded as a high-risk group for HIV/AIDS and hepatitis C. It is essential that adequate resources and strategies are targeted to the mentally ill as they are for other high-risk groups.
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Davidson, Sandra, Fiona Judd, Damien Jolley, Barbara Hocking, Sandra Thompson, and Brendan Hyland. "Cardiovascular Risk Factors for People with Mental Illness." Australian & New Zealand Journal of Psychiatry 35, no. 2 (April 2001): 196–202. http://dx.doi.org/10.1046/j.1440-1614.2001.00877.x.

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Objective: The objective of this study was to document the prevalence of risk factors for cardiovascular disease among people with chronic mental illness. Method: A cross-sectional survey was conducted of 234 outpatients attending a community mental health clinic in the North-western Health Care Network in Melbourne, Australia. Prevalence of smoking, alcohol consumption, body mass index, hypertension, salt intake, exercise and history of hypercholesterolemia was assessed. Results: Compared with a community sample, the mentally ill had a higher prevalence of smoking, overweight and obesity, lack of moderate exercise, harmful levels of alcohol consumption and salt intake. No differences were found on hypertension. Men, but not women, with mental illness were less likely to undertake cholesterol screening. Conclusions: Psychiatric outpatients have a high prevalence of cardiovascular risk factors which may account for the higher rate of cardiovascular mortality among the mentally ill. Further research is needed to trial and evaluate interventions to effectively modify risk factors in this vulnerable population.
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Grocke, Denise, Sidney Bloch, and David Castle. "Is There a Role for Music Therapy in the Care of the Severely Mentally Ill?" Australasian Psychiatry 16, no. 6 (January 1, 2008): 442–45. http://dx.doi.org/10.1080/10398560802366171.

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Objective: The role of music therapy in psychiatric care in Australia is briefly traced from the early 1990s to the present. With the shift to community-based care, contemporary music therapy practice for the severely mentally ill is reappraised alongside the principles of the recovery model. Conclusions: Music therapy is a viable option within the creative arts therapies for enhancing quality of life in people with severe and enduring mental illness.
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Castle, David J. "Letter from Australia: mental healthcare in Victoria." Advances in Psychiatric Treatment 17, no. 1 (January 2011): 2–4. http://dx.doi.org/10.1192/apt.bp.110.008375.

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SummaryMental health services in the state of Victoria, Australia, have undergone enormous change over the past 15 years, with the closure of all stand-alone psychiatric hospitals and a shift of resources and services into the community. Although successful overall, various areas cause concern, including pressure on acute beds, a paucity of alternative residential options, and suboptimal integration of government and non-government agencies concerned with the care of people with mental illnesses. Certain groups, notably those with complex symptom sets such as substance use and mental illness, intellectual disability and forensic problems, remain poorly catered for by the system. Finally, community stigma and lack of work inclusion for mentally ill individuals are ongoing challenges.
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Drew, Leslie R. H. "Mortality and Mental Illness." Australian & New Zealand Journal of Psychiatry 39, no. 3 (March 2005): 194–97. http://dx.doi.org/10.1080/j.1440-1614.2005.01543.x.

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Background: The finding by Lawrence, Holman and Jablensky (Duty to Care) that mortality among the mentally ill in Western Australia was 2.5 times that of the general population, seemingly, has great significance for public policy concerning the mentally ill. ‘Mortality’ could be a useful outcome measure for mental health services. Objectives: To replicate that study in the Australian Capital territory (ACT), comparing mortality rates in the mentally ill with those of the total population. Method: A list of all people who contacted the ACT mental health services between 1985 and 2000 was compiled. Using the national register of deaths (Australian Institute of Health and Welfare), persons known to the mental health services who died between 1990 and 2000 were identified and sex, date of birth, date of death, cause of death and place of death were noted. Using Australian Bureau of Statistics data for all deaths in the ACT, deaths in the total population and in the mentally ill population were tabulated for the period 1996–2000. With 1996 data as the base, using total population data from the ABS and mental health population data derived by amending ‘the list’ to remove duplications, pre1996 deaths and post1996 additions, mortality rates for the period 1996–2000 were compared. Results: The gender and age distribution of the mentally ill population and the total population, and of deaths in those populations, were very different. One third of all deaths in the mentally ill occurred outside of the ACT. Compared with the general population, mortality in the mentally ill (including deaths outside of the ACT) was only slightly excessive for ‘all causes’ and ischaemic heart disease but grossly excessive for ‘suicide’. Conclusions: This study did not confirm the excessive mortality rate in the mentally ill reported by Lawrence et al. except for suicide. Many methodological issues in using population studies to attempt to measure the size of the increase were identified. Differences in method between the ACT and WA studies probably explain the differences in results. Caution is urged in using the results of mortality studies as determinants of public policy or to evaluate services.
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Laqua, Carolin, Eric Hahn, Kerem Böge, Lara K. Martensen, Tat Dinh Nguyen, Georg Schomerus, Tien Duc Cao, et al. "Public attitude towards restrictions on persons with mental illness in greater Hanoi area, Vietnam." International Journal of Social Psychiatry 64, no. 4 (March 9, 2018): 335–43. http://dx.doi.org/10.1177/0020764018763685.

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Background and Aims: In recent years, there has been a growing awareness of the need to protect human rights in psychiatry. Within the last years, considerable effort has been made to reduce restrictive measures in mental health settings. Reducing restrictive measures within mental health care has also moved increasingly into the focus of public debate. This study aims, for the first time in a Southeast Asian sample, to explore whether socio-demographic factors affect public attitudes toward restrictions on mentally ill people in Hanoi, Vietnam. Methods: A general population-based survey (self-report questionnaire) was carried out in 2013 in the greater Hanoi area. The survey sample ( N = 813) was recruited according to the latest published census (2009) and micro-census (2013) in Vietnam and Hanoi with regard to the socio-demographic factors gender, age, urbanity, household size and marital status. Multinomial logistic regressions for odds ratios with 95% confidence intervals were calculated to examine the influence of epidemiological variables, like gender and age, on the public attitude toward restrictions imposed on mentally ill people in Vietnam. Results: This study found, for the first time in a large Vietnamese sample, that gender and age were associated with public attitudes toward restrictions on mentally ill people. In detail, significantly fewer men endorsed compulsory admission to a hospital and abortion than Vietnamese women. In addition, endorsement of abortion was significantly higher in older people. Conclusion: The results offer some insight into roles of women in the Vietnamese society and might reflect the traditional gender expectations in Vietnamese families. Moreover, the results emphasize the need for supporting female psychiatric patients and their families within their communities and in the Vietnamese society.
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Tumin, Mariana, Md Mizanur Rahman, and Zulkifli Jantan. "EFFECT OF EDUCATION ON STIGMA AND DISCRIMINATION TOWARDS MENTAL ILLNESS: A MULTIVARIATE ANALYSIS OF COVARIANCE." Malaysian Journal of Public Health Medicine 21, no. 2 (August 28, 2021): 329–37. http://dx.doi.org/10.37268/mjphm/vol.21/no.2/art.1032.

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People with mental illness often encounter stigma and discrimination. Mental illness-related stigma and discrimination represent the enormous obstacles that stand in the way of delivering mental health care. Little is known about stigma and discrimination toward mental illness in rural Sarawak. Thus, this study aimed to identify the stigma and discrimination towards mental illness among Sarawak’s rural community and the factors affecting them. A cross-sectional survey was carried out on 840 respondent adults aged 21 and above. A validated Community Attitude towards Mental Illness (CAMI) and Discrimination towards Mental Illness questionnaire was used for data collection. A Two-way Multiple Analysis of Covariance (Two-way MANCOVA) test was carried out to determine how much gender and education level influence stigma and discrimination towards mentally ill patients. Analysis showed that there was a statistically significant difference of standardised stigma and discrimination scores with education level (p<.001), but not with gender (p>.05). Age had a positive linear effect on both stigma and discrimination, whereas experience with mentally ill patients negatively affected both stigma and discrimination. Individuals with a lower level of education, older in age, and lesser experience in dealing with the mentally ill would have a higher level of stigma and discrimination towards mental illness. Thus, targeted and practical strategies need to be organised and implemented to combat mental illness-related stigma and discrimination.
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Mujic, Fedza, Maite Von Heising, Robert J. Stewart, and Martin J. Prince. "Mental capacity assessments among general hospital inpatients referred to a specialist liaison psychiatry service for older people." International Psychogeriatrics 21, no. 4 (August 2009): 729–37. http://dx.doi.org/10.1017/s104161020900917x.

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ABSTRACTBackground: Mental capacity has been little studied among older general hospital inpatients.Methods: A retrospective analysis was undertaken of routinely collected data (age, gender, ethnicity, admission diagnosis, psychiatric diagnosis, Mini-mental State Examination score, whether capacity was assessed, the outcome of that assessment, and discharge destination) on referrals to a liaison psychiatry service for older people (2003–2006) from medical and surgical teams at a large London teaching hospital.Results: 1267 patients were referred to the service, of whom 379 (30%) were assessed for capacity. The most common mental capacity issues were placement (303 assessed of whom 54% lacked capacity), treatment (86 assessed, 59% lacking capacity) and finances (70 assessed, 79% lacking capacity). Cognitive impairment, dementia and delirium, rather than mental disorders were associated with incapacity. Those assessed and deemed to lack capacity for placement decisions were twice as likely to be placed in a care home, and four times as likely to be placed in an elderly mentally ill (EMI) facility, independent of dementia diagnosis and cognitive functioning.Conclusion: Referrals to a liaison psychiatry service for older people for assessment of mental capacity are common. The main mental capacity issues in older people were those linked to discharge planning. The relatively high proportion of those found to have capacity when capacity had been queried by referring clinicians attests to the important role of specialist liaison teams, particularly in complex cases, in protecting the autonomy of vulnerable older people, and avoiding institutionalization.
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Lucas-Carrasco, Ramona, Ken Laidlaw, Juana Gómez-Benito, and Michael J. Power. "Reliability and validity of the Attitudes to Ageing Questionnaire (AAQ) in older people in Spain." International Psychogeriatrics 25, no. 3 (November 15, 2012): 490–99. http://dx.doi.org/10.1017/s1041610212001809.

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ABSTRACTBackground: As ageing is a personal experience, an attitude to ageing questionnaire is essential for capturing the most realistic appraisal of this important stage of life. Our aim was to study the psychometric properties of the Attitudes to Ageing Questionnaire (AAQ) in a sample of Spanish older people.Methods: A total of 242 participants aged 60 years and older were recruited from community centers, primary care centers, and family associations for the mentally ill and dementia. In addition to the AAQ, participants provided information on demographics, self-perception of health, comorbidity, health status (SF-12), depressive symptoms (GDS-30), and quality of life (WHOQOL-BREF and WHOQOL-OLD). Analysis was performed using standard psychometric techniques with SPSS v15.0.Results: No floor and ceiling effects were found, and missing data were low. The internal consistency measured by Cronbach's alpha for AAQ subscales were 0.59, 0.70, and 0.73. Exploratory Factor Analysis produced a three-factors solution accounting for 34% of the variance. A priori expected associations were found between some AAQ subscales with WHOQOL-BREF domains, with WHOQOL-OLD, SF-12, and the GDS-30 indicating good construct validity. In general, AAQ subscales differentiated between participants with lower and higher levels of education, and between a priori defined groups of older people (non-depressed vs. depressed; those with higher vs. lower physical comorbidities, and non-carers vs. carers).Conclusions: The Spanish version of the AAQ questionnaire showed acceptable psychometric properties in a convenience sample of Spanish older people. It is a useful measure of attitude for use with older people in social and clinical services.
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Dissertations / Theses on the topic "Mentally ill older people Care Australia"

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Jones, Tony Schumacher. "On rights, duties and vulnerability assessing the role of human rights in the care and protection of vulnerable people /." Access electronically, 2004. http://www.library.uow.edu.au/adt-NWU/public/adt-NWU20041028.115108/index.html.

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Wong, Kam-chu Gemma. "Attitudes of health care workers towards the elderly with dementia in Hong Kong." Thesis, Hong Kong : University of Hong Kong, 1995. http://sunzi.lib.hku.hk/hkuto/record.jsp?B14512026.

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Helmicki, Soni. "Evolution and Devolution of Inpatient Psychiatric Services: From Asylums to Marketing Madness and Their Impact on Adults and Older Adults with Severe Mental Illness." Thesis, University of North Texas, 2017. https://digital.library.unt.edu/ark:/67531/metadc984274/.

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I examined the factors that led to the rise and fall of psychiatric hospitals and its impact on two select groups of individuals: adults and older adults with severe mental illness. To explore the reasons behind these fluctuations, the State of Texas was used as a case study. Additionally, the fluctuations occurred for different reasons in public vs. for-profit investor-owned psychiatric hospitals. Using an investor-owned psychiatric hospital organization as a case study, I investigated the differences in factors that influenced the growth and/or demise in public vs. investor-owned psychiatric hospitals. Evolution and devolution of psychiatric hospitals was assessed during select time periods: 1700 to1930, 1940 to1970, 1980 to 2000, and 2000 to present. Time period selections were relevant to the important drivers of the span of time that influenced the psychiatric hospitals. Historical review and trend analysis was used to identify the total number of psychiatric hospitals and/or total number of psychiatric hospital beds and psychiatric hospitals by type. Analysis showed there was a cyclical pattern of evolution and devolution of psychiatric hospitals and each cycle altered the form, function, and role of the psychiatric hospital along with altering the location of care for adults and older adults with severe mental illness. The research results suggest a long-stay residential facility, specializing in evidence-based treatment for adults and older adults with severe mental illness, to counter the dire shortage of psychiatric hospital beds.
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Crawford, Gregory Brian. "Depression in palliative care patients in Australia identification and assessment /." 2007. http://catalogue.flinders.edu.au/local/adt/public/adt-SFU20090127.133003/index.html.

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Thesis (MD (Doctor of Medicine))--Flinders University, School of Medicine, Dept. of Palliative and Supportive Care.
Typescript bound. Includes bibliographical references: (leaves 147-177) Also available online.
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Kilstoff, Kathleen, University of Western Sydney, College of Health and Science, and School of Nursing. "The nursing management of acutely ill older adults in hospital." 2006. http://handle.uws.edu.au:8081/1959.7/16573.

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The health care requirements of older people admitted to acute hospitals and their need for nursing care have been identified in current literature as problematic. Hospital organisations which are medically oriented and more focused on implementing programs directed by economics, efficiency and effectiveness may be unsupportive of nursing practices based on a professional value system. There is a need, therefore, to examine how health care structures that tend to promote cost containment and a technical imperative, impact on the professional capability of nurses to provide the standard of care required by acutely ill older hospitalised patients. The collected data, analysed thematically, indicates that the nurses were knowledgeable and potentially competent in providing the standard of technical and functional care required by older adults in hospital. However, although nurses articulated that they wanted to provide the quality of care needed by acutely ill older patients, they nevertheless admitted they were optionalising this care because of constraints in the health care system.While the nurses’ constructions revealed they believed technical tasks took up most of their time during shifts, it is evident during the observations that this was not the case. Through the use of Giddens’s (1984) Structuration Theory, a very different picture began to unfold about the incongruence about was said, and what was actually done. The significance of this study is that the incongruence found between the nurses’ knowledge and their actions has been revealed.
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Wang, Jinjiao. "Mental Health Disorders of Home Care Elders in the United States: A Secondary Analysis of the Outcome and Assessment Information Set (OASIS)." Thesis, 2015. https://doi.org/10.7916/D8DB80ZS.

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Home care has been the fastest growing sector in the U.S. healthcare system for over three decades. In 2012, there were over 4.7 million home care patients in the United States. Most of these patients were elders (4 million); and this number is expected to increase as the U.S. population continues to age. One major health concern in this elderly home care population is mental health disorders (MHDs), which have been noted with increasing rates and substantial consequences in local data. However, much of our knowledge on this topic was generated from local studies that had a number of methodological limitations. These include over reliance on local and outdated data, a lack of theoretical foundation, and a lack of statistical justification, which may well account for the high variability across findings. To date, no national investigation has been conducted on this topic, supporting the need for a large-scale study which employs recent data to better understand the prevalence, risk factors and impact of MHDs among home care elders in the U.S. This dissertation study addressed these gaps by using the de-identified national home care dataset, Outcome and Assessment Information Set (OASIS), to: 1) examine the national prevalence of MHDs and MHD-caused medical events in the U.S. elderly home care population, and 2) identify factors associated with MHDs and MHD-caused medical events in this population. The 5% random sample used in this study was consisted of 28,475 elderly home care patients: their average age was 79.41; patients were mostly female, white, Medicare beneficiaries, referred from short-stay acute hospitals, and living with others at home. Approximately 38% of this sample had MHDs, mostly depression (28.0%) and anxiety (18.9%). Compared with other patients, those with MHDs were younger, more likely to be female, smokers, frail, living alone, referred from psychiatric hospitals, cognitively or sensually impaired, in poorer general health, had a recent history of falls or multiple hospitalizations, and evidenced insufficient social support. Among patients identified with MHDs, less than one third (31.8%) received mental health services, including psychiatric nursing services (n=317) and depression interventions (n=4,459). During the 60-day home care episode, 16.95% of the sample had subsequent hospitalizations and 12.72% had subsequent emergent care events; 0.45% of these medical events were directly caused by MHDs. In addition, depression intervention was the strongest risk factor for these subsequent medical events, associated with an approximate two-fold risk for all-cause hospitalizations (HR: 1.943) and emergent care events (HR: 1.974). However, 61.61% (n=2,747) of these high-risk depression intervention recipients did not screen positive for depression at admission. Findings in this dissertation study revealed the high national prevalence of MHDs in the elderly U.S. home care population, and the strong association between these disorders and subsequent all-cause medical events. However, these MHDs were largely under-detected and under-managed in this population, highlighting the need for closer monitoring and targeted intervention through enhanced psychiatric training among front-line home care nurses. Recommendations for further work are made, including the development of an electronic algorithm of identified MHD correlates and risk factors as useful in the development of a nationwide monitoring system for geriatric MHDs in the home care setting.
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Books on the topic "Mentally ill older people Care Australia"

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Koenig, Bernd R. Aged & dementia care issues for people with an intellectual disability. Brighton: Minda Inc., 1995.

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Iinkai, Chiiki Hōkatsu Shien Sentā Tō o. Chūshin to Shita Ninchishō Shien Chiiki Nettowāku Kōchiku no Tame no Jigyō Unʼei. Chiiki Hōkatsu Shien Sentā tō o chūshin to shita ninchishō shien chiiki nettowāku kōchiku no tame no jigyō hōkokusho. Ōsaka-shi: Ninchishō no Hito to Minna no Sapōto Sentā, 2011.

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Sands, Dan. Evaluation of a 24 hour care system for persons with Alzheimer's and related disorders. [Washington, D.C.?: Office of Technology Assessment, 1986.

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Sands, Dan. Evaluation of a 24 hour care system for persons with Alzheimer's and related disorders. [Washington, D.C.?: Office of Technology Assessment, 1986.

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Sands, Dan. Evaluation of a 24 hour care system for persons with Alzheimer's and related disorders. [Washington, D.C.?: Office of Technology Assessment, 1986.

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Older people's mental health today: A handbook. England: Pavilion Publishing, 2009.

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Karen, Davis. Financing care for patients with Alzheimer's disease and related disorders. [Washington, D.C.?: Office of Technology Assessment, 1986.

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Kyōkai, Nihon Ninchishō Gurūpu Hōmu. Ninchishō no hito no kurashi o sasaeru gurūpu hōmu no seikatsu tanʼi no arikata ni kansuru chōsa kenkyū jigyō hōkokusho. Tōkyō: Nihon Ninchishō Gurūpu Hōmu Kyōkai, 2011.

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Leng, Nicholas R. C. Psychological care in old age. New York: Hemisphere Pub. Corp., 1990.

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Florida. Legislature. House of Representatives. Committee on Aging and Human Services. Florida's mental health law (the Baker Act): Interim project. Tallahassee, Fla. (426 House Office Building, Tallahassee 32399-1300): Committee on Aging and Human Services, House of Representatives, 1995.

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Book chapters on the topic "Mentally ill older people Care Australia"

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Pugh, Steve. "Abuse directed towards older people." In Professional Care for the Elderly Mentally Ill, 217–41. Boston, MA: Springer US, 1996. http://dx.doi.org/10.1007/978-1-4899-3015-6_12.

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Chaisty, Laraine. "Square pegs in round holes: the social context of the lives of older people." In Professional Care for the Elderly Mentally Ill, 1–14. Boston, MA: Springer US, 1996. http://dx.doi.org/10.1007/978-1-4899-3015-6_1.

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Meekums, Bonnie. "Dance movement therapy: a group therapy approach for older people with mental health problems." In Professional Care for the Elderly Mentally Ill, 119–36. Boston, MA: Springer US, 1996. http://dx.doi.org/10.1007/978-1-4899-3015-6_7.

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Cable, Noriko, Michikazu Sekine, and Shinsuke Koike. "Family, Community, and Mental Wellbeing." In Health in Japan, 69–84. Oxford University Press, 2020. http://dx.doi.org/10.1093/oso/9780198848134.003.0005.

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The Japanese demographic changed rapidly after 1945. There was rapid ageing, a sharp decline in three-generation households, and a rise in solo households. Still, the Japanese family-based collective culture continues to shape individuals’ overall beliefs and attitudes within society. The demographic shift has become a significant constraint on the Japanese social care system, manifesting as ro-ro kaigo (the old caring for the older), kaigo-rishoku (leaving employment to become a carer), and ‘8050’ (parents in their eighties caring for socially withdrawn children in their fifties). The national tendency towards social detachment makes such problems difficult to address. Today, Japan is finding a way to overcome these social challenges and establish an inclusive society by re-connecting people, including the mentally ill, within communities by tapping into the culturally inherited collective mentality of its people.
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