Journal articles on the topic 'Older adult mental health'
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1
Puentes, William J., Christine K. Bradway, and Melissa Aselage. "Older Adult Mental Health." Journal of Gerontological Nursing 36, no. 7 (July 1, 2010): 44–53. http://dx.doi.org/10.3928/00989134-20100528-99.
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Lee, Soohyoung r. "CORESIDENCE OF OLDER PARENTS AND ADULT CHILDREN BENEFITS OLDER ADULTS’ PSYCHOLOGICAL WELL-BEING: PATH ANALYSIS." Innovation in Aging 3, Supplement_1 (November 2019): S324. http://dx.doi.org/10.1093/geroni/igz038.1181.
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Abstract Even though the coresidence of older parents and their adult children is no longer a rare phenomenon in current society, a little is known about the benefit of living with adult children from older adults’ perspectives compared to the risk of this living situation. Previous research suggests that older adults’ psychological well-being is low when they live with their adult children, and this become more salient among single parents, such as widowed or divorced. The current paper utilizes the National Health Measurement Study with a sample of age 55 and over, and their SF-36 Mental Health Component score, and psychological well-being self-acceptance score was measured. Path analysis reveals while mental health and psychological well-being scores are lower among single older adults at the time of the survey (e.g., divorced, widowed) than non-single, coresidence of older adults and adult children completely mediates the negative relationship between being single and both mental health psychological well-being. A complete mediation effect of living with an adult child on older adults’ mental health and psychological well-being is consistent with both white and non-white minority older adults. This suggests that living with adult child benefits older adults’ mental health and psychological well-being. The current study seeks to stimulate ideas that might generate the next answer to community-based care in our current aging society.
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Fortuna, Karen. "Certified Older Adult Peer Support Specialists' Use of Technology to Support Older Adults in the Community." Innovation in Aging 5, Supplement_1 (December 1, 2021): 128. http://dx.doi.org/10.1093/geroni/igab046.493.
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Abstract Middle-aged and older adults with mental health conditions have a high likelihood of experiencing comorbid physical health conditions, premature nursing home admissions, and early death compared with the general population of middle-aged and older adults. An emerging workforce of certified older adult peer support specialists aged 50 years or above is one of the fastest growing mental health workforces and may be a suitable community-based workforce to simultaneously support the mental health, physical health, and aging needs of middle-aged and older adults with a serious mental illness. Older adult peer support specialists are people with a lived experience of aging into middle age and older adulthood with a mental health condition. This presentation will present three single-arm pilot studies examining how certified older adult peer support specialists’ incorporate technology, including text messaging, ecological momentary assessments, and smartphone applications into practice and clinical outcomes among older adults with serious mental illness.
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Branford, David, and Caroline Parker. "Deprescribing in mental health care." Journal of Prescribing Practice 2, no. 8 (August 2, 2020): 460–65. http://dx.doi.org/10.12968/jprp.2020.2.8.460.
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Deprescribing has mostly developed in older adult care as a strategy to reverse the potential harm to older adults of receiving too many inappropriate medicines. There are many studies in older adult care that show that by deprescribing medicines, prescribers are able to improve patient function, generate a higher quality of life, and reduce bothersome signs and symptoms. However, there have been few comparable studies in mental health. Overprescribing or inappropriate prescribing has also become an issue for mental health care. However, it commonly relates to psychotropic medicines and, in particular, to antidepressants, benzodiazepines, z hypnotics, antiepileptics, such as pregabalin, and to multiple psychotropic prescribing. In other areas of therapy associated with physical health, the concerns have generally been those of under prescribing. This paper discusses how relevant deprescribing is to mental health care and some of the issues to consider.
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Mbao, Mbita, Caroline Collins-Pisano, and Karen Fortuna. "Older Adult Peer Support Specialists’ Age-Related Contributions to an Integrated Medical and Psychiatric Self-Management Intervention: Qualitative Study of Text Message Exchanges." JMIR Formative Research 5, no. 3 (March 2, 2021): e22950. http://dx.doi.org/10.2196/22950.
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Background Middle-aged and older adults with mental health conditions have a high likelihood of experiencing comorbid physical health conditions, premature nursing home admissions, and early death compared with the general population of adults aged 50 years or above. An emerging workforce of peer support specialists aged 50 years or above or “older adult peer support specialists” is increasingly using technology to deliver peer support services to address both the mental health and physical health needs of middle-aged and older adults with a diagnosis of a serious mental illness. Objective This exploratory qualitative study examined older adult peer support specialists’ text message exchanges with middle-aged and older adults with a diagnosis of a serious mental illness and their nonmanualized age-related contributions to a standardized integrated medical and psychiatric self-management intervention. Methods Older adult peer support specialists exchanged text messages with middle-aged and older adults with a diagnosis of a serious mental illness as part of a 12-week standardized integrated medical and psychiatric self-management smartphone intervention. Text message exchanges between older adult peer support specialists (n=3) and people with serious mental illnesses (n=8) were examined (mean age 68.8 years, SD 4.9 years). A total of 356 text messages were sent between older adult peer support specialists and service users with a diagnosis of a serious mental illness. Older adult peer support specialists sent text messages to older participants’ smartphones between 8 AM and 10 PM on weekdays and weekends. Results Five themes emerged from text message exchanges related to older adult peer support specialists’ age-related contributions to integrated self-management, including (1) using technology to simultaneously manage mental health and physical health issues; (2) realizing new coping skills in late life; (3) sharing roles as parents and grandparents; (4) wisdom; and (5) sharing lived experience of difficulties with normal age-related changes (emerging). Conclusions Older adult peer support specialists’ lived experience of aging successfully with a mental health challenge may offer an age-related form of peer support that may have implications for promoting successful aging in older adults with a serious mental illness.
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Draper, Brian, Tanya Jochelson, David Kitching, John Snowdon, Henry Brodaty, and Bob Russell. "Mental Health Service Delivery to Older People in New South Wales: Perceptions of Aged Care, Adult Mental Health and Mental Health Services for Older People." Australian & New Zealand Journal of Psychiatry 37, no. 6 (December 2003): 735–40. http://dx.doi.org/10.1080/j.1440-1614.2003.01259.x.
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Objective: To compare the perceptions of aged care services, adult mental health services and mental health services for older people regarding aspects of mental health service delivery for older people in New South Wales, Australia. Method: The NSW Branch of the Faculty of Psychiatry of Old Age in association with the NSW Centre for Mental Health, sent a postal survey to all aged care services, adult mental health services and mental health services for older people in NSW. The survey canvassed issues ranging across service profiles, regional variations, availability of resources, processes of care, views on working relationships between services, difficulties and gaps experienced, and ways to improve co-ordination and service delivery. Clinical issues such as the management and practice of psychiatric disorders of old age, educational/training requirements and skill and experience in working with older people were explored. Results: An overall response rate of 86% was achieved, including 95% from aged care services (n = 58), 74% from adult mental health services (n = 62) and 90% from mental health services for older people (n = 20). Only 59% of aged care services and adult mental health services considered that their local mental health services for older people provided an adequate service; resource and budget limitations were portrayed as the main constraint. Mental health services for older people varied widely in structure, settings and activities undertaken. Access to mental health beds for older people was also variable, and alongside staffing levels was considered problematic. Lack of staff training and/or inexperience in psychogeriatrics posed a challenge for aged care services and adult mental health services. Conclusion: Relationships between aged care services, adult mental health services and mental health services for older people are affected by lack of access to psychogeriatric staff, resource limitations of mental health services for older people, and inadequate liaison and support between the service types. Joint case conferences, education, increased funding of mental health services for older people, and cross referrals were considered ways to address these issues.
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Merizzi, Alessandra. "Clinical supervision in older adult mental health services." Working with Older People 23, no. 4 (November 28, 2019): 241–50. http://dx.doi.org/10.1108/wwop-09-2019-0024.
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Purpose The purpose of this paper is to explore how supervision is applied in the context of National Health Service services for older adults, with particular regard to the profession of clinical psychology and psychotherapy. Design/methodology/approach The clinical supervision theories that are considered in this exploration are the Seven-Eyed Model (Hawkins and Shohet, 2012) and the Cyclical Model (Page and Wosket, 2015). The discussion also integrates an overview of psychological dynamics as presented by the existing literature with the author’s reflections on the influence of ageing stereotypes in the therapeutic work with older adults. Findings The theoretical models of clinical supervision considered can offer a robust framework and pathway for supervisory work in psychology and psychotherapy for older people. However, this alone seems insufficient and needs to be combined with the supervisor’s knowledge on psychology of ageing as well as their own self-reflection on internalised ageing stereotypes. Practical implications The paper suggests a need for health care professionals, providing clinical supervision on older adult therapeutic work, to be familiar with the aspects analysed. Originality/value Clinical supervision handbooks overlook aspects related to age as an issue of difference. This paper adds value to the clinical work with older people through a novel attempt to link implications of ageing stereotypes with the therapeutic and supervisory practice.
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Lavela, Sherri L., and Nazneen Ather. "Psychological health in older adult spousal caregivers of older adults." Chronic Illness 6, no. 1 (March 2010): 67–80. http://dx.doi.org/10.1177/1742395309356943.
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Objectives: The need for informal caregiving has been rapidly increasing across several countries. Spouses comprise a sizeable segment of informal caregivers and typically represent an older cohort with special health concerns. The objective of this review was to examine psychological health outcomes in older adult spouses caring for older adults. Methods: Literature review/synthesis (1999—2009). Results: Compared to demographically matched married non-caregiving controls, older adult spousal caregivers experienced more cognitive functioning difficulties, strain, distress, stress, loneliness, depression, anxiety and poorer mental health. Caregivers of spouses with cognitive impairments, quite often wives, were especially affected by poor psychological health, as were caregivers who were new to the caregiving role and those who rated caregiving as stressful. Psychological health improved when the caregiving role ceased. Discussion: Several poor psychological outcomes were found in older adults caring for their spouses; the magnitude of which varied and were more pronounced under certain circumstances. To preserve caregiver health, maintain recipient health and care quality and avoid exceeding system of care capacity, efforts are needed to provide support to older adult spousal caregivers and recipients. Couples may need to be assessed as a unit, taking gender and cultural considerations into account, and additional resources may be required.
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Lee, Soohyoung Rain, and Laurie S. Kim. "Coresidence of Older Parents and Adult Children Increases Older Adults’ Self-Reported Psychological Well-Being." International Journal of Alzheimer's Disease 2022 (January 27, 2022): 1–6. http://dx.doi.org/10.1155/2022/5406196.
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A multigenerational household is no longer a rare phenomenon in contemporary society. However, relevant literature has focused on elderly parents receiving support from their adult child, thereby coresiding. This is potentially problematic, as both generations could benefit from living together, and little is known about the benefit of living with adult children from older adults’ perspectives compared to the risk of this living situation. Previous research suggests a significant negative effect of living alone, e.g., low psychological well-being, and it becomes more salient among single parents, such as widowed or divorced. The current paper utilizes the National Health Measurement Study with a sample of age 55 and over. Their SF-36 Mental Health and Physical Health Component and self-acceptance scores were measured. Path analysis reveals that both physical and mental health and self-acceptance scores are lower among single older adults at the time of the survey (e.g., divorced and widowed) than among those who are nonsingle and living with their adult child. A complete mediation effect of living with an adult child on older adults’ mental health and self-acceptance was observed in both White and non-White minority older adults. This suggests that living with an adult child possibly serves as a protective factor for the negative relationship between living alone and their well-being. The current study seeks to stimulate ideas that might generate the following answer to community-based care in our contemporary aging society.
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KS, Murty. "Mental Health Issues and Frailty." Open Access Journal of Frailty Science 1, no. 1 (2023): 1–5. http://dx.doi.org/10.23880/oajfs-16000101.
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As the population continues to age, it becomes pertinent to consider the experience and quality of life of older adults. With the advancement of age, older adults experience many physical challenges (e.g., mental health issues and aspects of frailty) and changes in their everyday lives. Frailty can be an outcome of decreased movement, stimulation, and confidence. Mental health issues like anxiety and depression can occur from changes in self-perception, abilities, and relationships. Socialization is affected by changes seen with aging, even though a social support system is an integral part of successful aging. For health care professionals working with older adults, it is important to provide education about mental and physical health changes to assist older adults maintaining their well-being and thrive as they age. Encouraging older adults to seek timely and necessary help to handle challenges and changes as needed is also a productive way to foster successful aging. This paper aims to discuss existing knowledge mental health and frailty with the hope that health care professionals may find it useful to stabilize and diversify the care older adults receive, thereby improving quality of life and reducing mental health and frailty issues.
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Virgincar, Ashwini, Shannon Doherty, and Chesmal Siriwardhana. "The impact of forced migration on the mental health of the elderly: a scoping review." International Psychogeriatrics 28, no. 6 (March 2, 2016): 889–96. http://dx.doi.org/10.1017/s1041610216000193.
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ABSTRACTBackground:The worldwide elderly population fraction is increasing, with the greatest rise in developing countries. Older adults affected by conflict and forced migration mainly taking place in developing countries may be particularly vulnerable to poor mental health due to other age-specific risk factors. This review aims to explore global evidence on the effect of conflict-induced forced migration on the mental health of older adults.Methods:Seven bibliographic databases were searched. The title and abstract of 797 results were reviewed for qualitative and quantitative studies meeting inclusion and exclusion criteria.Results:Six studies were selected for the in-depth review. Five papers assessed mental health in older adult populations displaced as refugees. One paper assessed mental health of older adults with varying immigration status.Conclusions:This review highlights the dearth of evidence about the impact of forced migration on the mental health of older adults. Further research is needed to explore the risk factors and processes that contribute to adverse mental health outcomes among older adult populations. This is essential to the development of interventions for this vulnerable and at-risk population, particularly in resource-poor settings.
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Dong, XinQi, and Dexia Kong. "Leveraging a Population-Based Dyadic Data Set to Promote Health Equity Among Chinese Americans." Innovation in Aging 5, Supplement_1 (December 1, 2021): 198. http://dx.doi.org/10.1093/geroni/igab046.764.
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Abstract Recognizing the central role of family-oriented values in Chinese culture, developing a family-based understanding of health and wellbeing in Chinese Americans is imperative. By linking two unique population-based datasets (one on Chinese older adults, and another on their corresponding adult children caregivers), the purpose of this symposium is to present interactive analyses of dyad-level data to achieve an interpersonal understanding of health outcomes of Chinese older adults and their adult children within the family context. Data were obtained from 807 Chinese older adults-adult children dyads by merging data from two epidemiological studies, namely the Population Study of ChINese Elderly in Chicago (the PINE study) and the PIETY study of corresponding adult children caregivers of PINE participants. Specifically, this symposium presents findings from five interconnected research projects. Session 1 provides an overview of study design and sample characteristics of the dyadic dataset. Session 2 examines the relationship between adult children’s endorsement of the filial piety value and older parents’ mental health outcomes. Session 3 investigates the level of congruence between older parents’ self-perceived mental health and adult children’s evaluation of their parents’ mental health. Session 4 investigates the extent to which depressive symptoms among older parents were associated with those of their adult children. Session 5 explores the relationship between older parents’ physical function and adult children’s perceived caregiving burden. Taken together, this symposium presents potential contributions of dyad-level analyses in advancing minority population health. Study findings have the potential to inform the development of family-centered intervention strategies targeting Chinese Americans.
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Saidel, Maria Giovana Borges, and Claudinei José Gomes Campos. "Family of older adults with mental disorder: perception of mental health professionals." Revista Brasileira de Enfermagem 70, no. 4 (August 2017): 753–60. http://dx.doi.org/10.1590/0034-7167-2016-0646.
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ABSTRACT Objective: to understand the perceptions of healthcare professionals of the Psychosocial Care Centers regarding the family of older adults with mental disorders. Method: study of a Qualitative Case conducted with 12 healthcare professionals from a Psychosocial Care Center, with a convenient and exhaustive sample. Conducting semi-structured interviews to collect data, which were analyzed with the Content Analysis technique. Results: the following categories stood out: "Family exhaustion and deterioration in the perception of the healthcare professional" and "The abandonment of older adults by family members and their distancing in the perception of the healthcare professional." Final considerations: culpability of older adults and penalization of the family were verified by healthcare professionals. To bring awareness about the difficulties faced in the attempt to bring the family closer to the healthcare service, it is necessary to analyze the care given to the older adult and to overcome challenges in the effective construction of the bond between family, healthcare user and mental health service.
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Speer, David C., Jefferson Williams, Helen West, and Larry Dupree. "Older adult users of outpatient mental health services." Community Mental Health Journal 27, no. 1 (February 1991): 69–76. http://dx.doi.org/10.1007/bf00752716.
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Li, Liqing, and Luyao Yu. "The Influence of Pension Mode on the Mental Health of Older Adults—Evidence from Older Adults in China." International Journal of Environmental Research and Public Health 19, no. 1 (December 23, 2021): 119. http://dx.doi.org/10.3390/ijerph19010119.
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Successful aging is achieved throughout the life course, and successful aging groups tend to have good psychosocial and physical conditions and are active in social activities. With increasing age, the mental health problems of older adults have become increasingly prominent, and the choice of pension mode is closely related to the mental health of older adults. Starting from the psychological level of the older adult, this paper used data from the 2018 Chinese Longitudinal Healthy Longevity Survey to study the impact of three pension methods on the mental health of older adults. The study found that, at present, there are three types of pension modes in China: living alone, family pension, and institutional care, and family pensions are still the mainstream pension mode. Older adults with deeper negative feelings are more inclined to family pensions than to live alone, but the spiritual comfort provided by family members does not improve the negative feelings of older adults. Institutional care deepens the negative feeling and reduces the positive feeling of older adults. In addition, retirement or pension and medical insurance, as life security in old age, can effectively reduce the negative feelings of old age and promote positive feelings. In view of the present situation of China’s pension mode and the psychological characteristics of the older adults, we should further build a perfect family pension security system, promote the personalized service construction of older adult care institutions, promote applicable aging renovation of existing residential areas, and encourage older adults to engage in healthy exercise.
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Caskie, Grace I. L., Abigail Voelkner, MaryAnn Sutton, Anastasia Canell, and Eve Root. "AGEISM, CONTACT, AND OLDER ADULT ADLS RELATE TO MENTAL HEALTH TRAINEES’ INTEREST IN GEROPSYCHOLOGY." Innovation in Aging 6, Supplement_1 (November 1, 2022): 475–76. http://dx.doi.org/10.1093/geroni/igac059.1840.
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Abstract Despite growing demand, few mental healthcare professionals specialize in clinical work with older adults. A better understanding of factors related to geropsychology interest may increase the pipeline of future geropsychologists. Graduate-level trainees (N=460; 67.4% doctoral; age=21-64) completed the Fraboni Scale of Ageism, Contact with Older Adults Scale, six indicators of interest in work with older adults, and an imagined “typical” older adult’s ability to complete activities of daily living (ADLs). 60% imagined full ADL independence. Between 14.1%-25.7% expressed strong interest in education/training related to treating older adults and having some older adult clients; only 6.7% planned to specialize in clinical work with older adults. In regression analyses (R-squared=16%-32%), more ageist attitudes, less contact, and being a master’s trainee were related to less interest. ADL status was significant only for interest in specialization; imagining more ADL-dependence related to higher interest in specializing in older adults. ADL status significantly moderated the relation of contact to interest in learning about issues related to older adults; ADL-based differences in interest were non-significant at low and average contact, but at high contact, interest in learning about older adults was significantly higher when the older adult was imagined as ADL-dependent rather than ADL-independent. Findings may indicate benevolent ageism partially motivates trainees’ interest in learning about/working with older adults whom they imagine need more help with basic tasks of daily living. Increasing contact, reducing ageist attitudes, and providing more clinical opportunities with older adults may facilitate trainees’ readiness and interest in future clinical work with older adults.
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Gregory, Madeline A., Nicole K. Legg, Zachary Senay, Jamie-Lee Barden, Peter Phiri, Shanaya Rathod, Brianna J. Turner, and Theone S. E. Paterson. "Mental Health and Social Connectedness Across the Adult Lifespan in the Context of the COVID-19 Pandemic." Canadian Journal on Aging / La Revue canadienne du vieillissement 40, no. 4 (October 11, 2021): 554–69. http://dx.doi.org/10.1017/s0714980821000477.
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Abstract The coronavirus disease (COVID-19) pandemic has had profound consequences on collective mental health and well-being, and yet, older adults appear better off than younger adults. The current study examined mental health impacts of the pandemic across adult age groups in a large sample (n = 5,320) of Canadians using multiple hierarchical regression analyses. Results suggest older adults are experiencing better mental health and more social connectedness relative to younger adults. Loneliness predicted negative mental health outcomes across all age groups, while the negative association between social support and mental health was only significant at average and high levels of loneliness in the 65–69 age group. Results point towards differential mental health impacts of the pandemic across adult age groups and indicate that loneliness and social support may be key intervention targets during the COVID-19 pandemic. Future research should further examine mechanisms of resiliency among older Canadian adults during the pandemic.
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Kinnaird, Emma, Anna Crabtree, and Kathryn Evans. "Service evaluation project: Evaluating and addressing staff training needs in relation to autism in an older adult mental health service." FPOP Bulletin: Psychology of Older People 1, no. 163 (July 2023): 11–20. http://dx.doi.org/10.53841/bpsfpop.2023.1.163.11.
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Autistic adults are at higher risk of experiencing mental health problems and commonly describe poor service experiences relating to a lack of understanding of autism by clinicians. Therefore, there is an increasing impetus in the National Health Service (NHS) for staff to receive autism training. However, there is a lack of understanding around training needs for older adult mental health teams. This service evaluation project used audit and survey methodologies to explore the autism training needs of an older adult mental health team. Whilst the audit identified that the team did see patients suspected to be on the autism spectrum, most patients did not have an official diagnosis. Most clinicians reported never having received any training in autism, and highlighted autism in older adults, and autism and mental health, as specific training priorities. A training programme based on these responses was developed, implemented, and evaluated using surveys. The training was rated as useful by attendees and resulted in non-statistically significant increases in self-rated knowledge. The findings of this study suggest that clinicians working in older adult mental health may particularly benefit from training specialised to their older adult context. Further research is required to better understand the area of older adulthood and autism, and to evaluate how to effectively enhance the capability of staff working in this area.
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Abdul-Hamid, Walid K., Kelly Lewis-Cole, Frank Holloway, and Marisa Silverman. "Older people with enduring mental illness: a needs assessment tool." Psychiatric Bulletin 33, no. 3 (March 2009): 91–95. http://dx.doi.org/10.1192/pb.bp.107.017392.
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Aims and MethodThere is a lack of tools to assess the needs of older people with enduring mental illness who have ‘graduated’ from adult mental health services and little is known about this population. the Elderly Psychiatric Needs Schedule (EPNS) was developed and applied to older people with enduring mental illness in contact with the old age and general adult components of an inner-city mental health service.ResultsThe EPNS proved reliable (mean agreement 96%, mean Kappa κ=0.90). the mean number of needs identified was 7.6, of which 4.3 were unmet and 3.3 were met.Clinical ImplicationsThe EPNS provided a reliable method of needs assessment in this population. the authors offer the EPNS as a tool to assess service needs of older adults with functional psychiatric disorders having ‘graduated’ from adult mental health services.
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Flores-Flores, Oscar, Ivonne V. Carrión, Lorena Rey, Diego Otero-Oyague, Alejandro Zevallos-Morales, José Parodi, Trishul Siddharthan, et al. "FC12: Ageism and mental health stigma: key barriers to accessing mental health services among Peruvian older adults." International Psychogeriatrics 35, S1 (December 2023): 75. http://dx.doi.org/10.1017/s1041610223001102.
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Objective:To explore barriers towards mental health services for older adults with symptoms of depression and/or anxiety in a low-resource community in Lima, Peru. We explored these barriers from the perspective of older adults and health providers.Methods:We conducted an interview-based qualitative study. The first set of interviews was carried out between October 2018 and February 2019, and the second, between January 2022 and September 2022. In the first sample, we interviewed 38 older adults ≥60 years with symptoms of depression (Patient Health Questionnaire-9 ≥ 10), anxiety (Beck Anxiety Inventory ≥ 16), or those who had previous experience using formal mental health care irrespective of current symptoms. In the second sample, we included 20 health providers (8 psychologists, 2 general practitioners, 2 nurses, 4 psychiatrists, 4 social workers). We used an inductive thematic data analysis.Results:We identified two main barriers: stigma towards mental health conditions and care, and ageism. Stigma and ageism interacted with each other and exacerbated other barriers to mental health services. Stigma led to negative labels for people with mental health conditions and shame among older adults to disclose their feelings to health providers. Looking at the health system, health care facilities were described as not being age friendly. Additionally, aside from psychologists and psychiatrists, most providers mentioned little previous training in mental health care, but even less about the nuances of treating mental health challenges in old age. Among older adults, other important barriers were the accumulated mistrust towards health professionals and lack of knowledge about existing services and how they work. Importantly, older adults mentioned competing priorities, for example, not having time to seek care because they needed to work to obtain food. Other barriers included hidden costs incurred for transportation to health centers or to obtain medications. For older adults with diminished physical mobility, lack of accompaniment to attend health appointments was another important barrier.Conclusions:Community-based mental health interventions towards older adults need to address ageism and mental health stigma to improve access to care. Furthermore, training for health providers must be improved and expanded to prioritize older adult mental health care.
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Yun, Kyoungsun, and Yu-Jin Lee. "Factors Influencing Depression in Older Adults According to Family Structure (Older Adults Living with Adult Children, a Spouse, or Alone): Data from the 2020 National Older Koreans Data." Journal of Korean Gerontological Nursing 24, no. 1 (February 28, 2022): 1–12. http://dx.doi.org/10.17079/jkgn.2022.24.1.1.
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Purpose: This descriptive research study aimed to identify the factors that influence depression according to household type (older adults who live with a spouse, adult children, or alone).Methods: A total of 9,790 older adults were selected and analyzed using the 2020 National Older Koreans data. A Rao-Scott x2 test was conducted to evaluate the differences in the individual, health-behavior, and mental-health factors according to family structure. A complex samples logistic regression was used to analyze the factors that influence depression according to family structure.Results: Depression according to family structure was in the order of older adults who live alone, with adult children, or a spouse (p<.001). Total income, number of chronic diseases, hospitalization, exercise, and suicide ideation were identified as depressive factors for older adults who live with adult children. Employment, subjective health status, number of chronic diseases, hospital visitation, hospitalization, drinking, suicide ideation, economic status satisfaction, and cultural life satisfaction were depressive factors for older adults who live with a spouse. Employment, subjective health status, hospitalization, drinking, suicide ideation, and cultural life satisfaction were depressive factors (p<.05) for older adults who live alone.Conclusion: It is necessary to detect depression early and operate a mental health program considering the family structure of older adults.
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Morgen, Keith, and Peter Jacob. "AGING-IN-PLACE TECHNOLOGY: PROGRAMMING TO ADDRESS SOCIAL CONNECTEDNESS AND MENTAL HEALTH." Innovation in Aging 7, Supplement_1 (December 1, 2023): 409. http://dx.doi.org/10.1093/geroni/igad104.1351.
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Abstract According to the National Academies of Sciences, Engineering, and Medicine, the drastic increase of older adult social isolation from the pandemic has contributed to premature death, dementia, anxiety, and suicide. Jewish Family Service of Central New Jersey (JFSCNJ) clients corroborated this phenomenon with 65% meeting the diagnostic criteria for moderate to severe older adult depression or anxiety in 2020. In 2022, JFSCNJ established the Fig Tree Virtual Senior Center, a dynamic program that focused on older adults as they readjust to a post-pandemic world. By addressing social isolation through a Person-Centered Trauma Informed and biopsychosocial approaches, various wellness programs were provided in-home via the use of virtual video programming. Sixteen older adults (age range 68-95 years-old) were assessed on anxiety and depressive symptoms and social connectedness both prior to and six months following the start of the video programming intervention. Paired samples t-testing found a significant reduction in self-reported anxiety (p=.01) and depressive (p=.05) symptoms after video programming engagement at six-months follow-up. Path analysis using bootstrapping with bias corrected confidence intervals found amount of video programming with a positive and significant indirect effect on both increased social connectedness and improved well-being. Implications for homebound older adult social engagement and well-being programming will be discussed.
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Corley, Samantha S., Katherine A. Ornstein, Rehana Rasul, Wil Lieberman-Cribbin, Hayley Maisel, Emanuela Taioli, and Rebecca M. Schwartz. "Mental Health Effects of Hurricane Sandy on Older Adults." Journal of Applied Gerontology 41, no. 4 (November 9, 2021): 1131–42. http://dx.doi.org/10.1177/07334648211052992.
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Objectives To examine whether hurricane exposure, lack of access to medical care (LAMC), and displacement during Hurricane Sandy were associated with PTSD and other mental health (MH) symptoms among older adult New York residents. Methods Participants ( N = 411) were ≥60 years old at the time of survey data collection (1–4 years post-Sandy). Outcomes included PTSD, depression, and anxiety symptoms and stress. Hurricane exposure, displacement, and LAMC were primary predictors. Results Older adults with greater hurricane exposure had increased PTSD, anxiety, and stress symptoms. LAMC had a strong association (ORadj = 4.11) with PTSD symptoms but was not associated with other MH symptoms. Displacement was not associated with MH outcomes. Discussion This is the first study to examine exposure, displacement, and LAMC together and to examine their varying impacts on different MH outcomes among older adults post-hurricane. Findings support the importance of disaster preparedness interventions tailored to the MH needs of community-dwelling older adults.
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Horgan, Salinda, Jeanette Prorok, Katie Ellis, Laura Mullaly, Keri-Leigh Cassidy, Dallas Seitz, and Claire Checkland. "Optimizing Older Adult Mental Health in Support of Healthy Ageing: A Pluralistic Framework to Inform Transformative Change across Community and Healthcare Domains." International Journal of Environmental Research and Public Health 21, no. 6 (May 23, 2024): 664. http://dx.doi.org/10.3390/ijerph21060664.
Abstract:
This paper describes a pluralistic framework to inform transformative change across community and healthcare domains to optimize the mental health of older adults in support of healthy ageing. An extensive review and analysis of the literature informed the creation of a framework that contextualizes the priority areas of the WHO Decade of Health Ageing (ageism, age-friendly environments, long-term care, and integrated care) with respect to older adult mental health. The framework additionally identifies barriers, facilitators, and strategies for action at macro (social/system), meso (services/supports), and micro (older adults) levels of influence. This conceptual (analytical) framework is intended as a tool to inform planning and decision-making across policy, practice, education and training, research, and knowledge mobilization arenas. The framework described in this paper can be used by countries around the globe to build evidence, set priorities, and scale up promising practices (both nationally and sub-nationally) to optimize the mental health and healthy ageing trajectories of older adults as a population.
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Daley, Kate, Jonathan Richardson, Ian James, Annette Chambers, and David Corbett. "Clinical dashboard: use in older adult mental health wards." Psychiatrist 37, no. 3 (March 2013): 85–88. http://dx.doi.org/10.1192/pb.bp.111.035899.
Abstract:
Aims and methodTo explore the experiences and attitudes of mental health professionals working in acute elderly care to a new clinical dashboard system. Metrics were identified from the Royal College of Psychiatrists' Accreditation for Inpatient Mental Health Services – Older People (AIMS-OP); these were tracked from baseline to 6 months. A questionnaire was developed and distributed across the three clinical areas involved in the clinical dashboard mental health pilot.ResultsStaff completed the questionnaire 3 months after the initial implementation. At this point the benefits of the introduction of the dashboard were suggested as: improved access to information, increased communication and information-sharing, increased staff awareness, and data quality.Clinical implicationsThe introduction of the clinical dashboard in older adult mental health services allowed for better data availability and resulted in better data quality.
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Blagg, Rosie, and Stephanie Petty. "Sustainable staff well-being within older adult mental health." Mental Health Review Journal 20, no. 2 (June 8, 2015): 92–104. http://dx.doi.org/10.1108/mhrj-08-2014-0027.
Abstract:
Purpose – The purpose of this paper is to explore how staff attend to their well-being when working in an inpatient mental health setting with older adults with dementia and complex mental health needs; how staff understand the link between their well-being and the well-being of patients. Design/methodology/approach – A semi-structured group interview was held with 11 members of two multidisciplinary teams. The discussion was audio-recorded and analysed using thematic analysis. Findings – Staff reported managing their well-being by both connecting with and avoiding the difficult emotions of the work. The team avoided the gravity of the work through humour, a task-focus, an absence of thinking and the displacement of workplace frustrations onto an outgroup. Connecting with emotions was done in tolerable ways: in contained reflective spaces, in the presence of supportive others, through genuine connections with patients as people and when the organisation demonstrated care for the staff. Practical implications – Avoidant strategies appeared to represent short-term ways of maintaining staff well-being, while connecting with the gravity of the work appeared to represent what we hope is a more sustainable approach to managing well-being. A crucial premise for staff well-being is teams embedded within organisations that care for their employees. Originality/value – Poor staff well-being can have serious consequences for an organisation, particularly in the existentially challenging environment of dementia care. This study offers a unique opportunity to explore staff well-being in a UK inpatient mental health setting with older adults with dementia and complex mental health needs.
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Fellin, P. A., and T. J. Powell. "Mental Health Services and Older Adult Minorities: An Assessment." Gerontologist 28, no. 4 (August 1, 1988): 442–47. http://dx.doi.org/10.1093/geront/28.4.442.
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McKinnon, Symone A., Breanna M. Holloway, Maya S. Santoro, April C. May, and Terry A. Cronan. "Effects of Age, Mental Health, and Comorbidity on the Perceived Likelihood of Hiring a Healthcare Advocate." Californian Journal of Health Promotion 14, no. 3 (December 1, 2016): 45–57. http://dx.doi.org/10.32398/cjhp.v14i3.2067.
Abstract:
Background and Purpose: The projected increase in chronically ill older adults may overburden the healthcare system and compromise the receipt of quality and coordinated health care services. Healthcare advocates (HCAs) may help to alleviate the burden associated with seeking and receiving appropriate health care. We examined whether having dementia or depression, along with hypertension and arthritis, or having no comorbid medical conditions, and being an older adult, affected the perceived likelihood of hiring an HCA to navigate the health care system. Method: Participants (N = 1,134), age 18 or older, read a vignette and imagined themselves as an older adult with either a mood or cognitive disorder, and comorbid medical conditions or as otherwise being physically healthy. They were then asked to complete a questionnaire assessing their perceived likelihood of hiring an HCA. Results: Participants who imagined themselves as having dementia reported a greater likelihood of hiring an HCA than participants who imagined themselves as having depression (p < .001). Conclusion: It is imperative that health care professionals attend to the growing and ongoing needs of older adults living with chronic conditions, and HCAs could play an important role in meeting those needs.
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Yoon, Sukyung. "The Impact of Relationship Satisfaction With Adult Children on Depression Among Older Adults With Abusive Spouses." Innovation in Aging 4, Supplement_1 (December 1, 2020): 47. http://dx.doi.org/10.1093/geroni/igaa057.154.
Abstract:
Abstract Adults (65 and older) comprised about 15% of the 2019 South Korean population (hereafter Korea), but are estimated to be 20% in 2025 and 40% in 2050 (StatisticsKorea, 2019). Good relationships with spouses impact mental health during later life (Santini et al., 2015) but 10.2% of women and 7.6% men 65 and older reported they experienced spousal violence (The Domestic Violence Survey, 2016) Moreover, violent behavior in baby-boomer marriages was significantly higher than their counterparts (Suh, 2015). Previous research investigated how relationships with adult-children impacted older Koreans’ mental health(Kim & Ko, 2013) but few examined the influence on older-adults with abusive spouses. This study investigates depression among older-adults with abusive spouses, and the impact of relationship-satisfaction with their adult-children on depression. This study utilizes the 13th wave of the nationally representative Korea Welfare Panel (2018). The sample consisted of 353 older adults 65 and older with abusive spouses over the past year. The dependent variable was depression, measured using the CES-D-11. The relationship-satisfaction with adult-children was measured on a seven-point Likert scale. Education, health, religion, sex, and age were included, and multiple regression analysis was conducted. The relationship-satisfaction with adult-children and good health status were significantly reduced depression among the population. Health care professionals and practitioners should screen for elder abuse and depression. Additionally, programs are needed to help older - adults develop good relationships with family members are needed.
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Abramson, Tobi, Jacquelin Berman, and Madison Gates. "An Innovative Mental Health Model for Treating Culturally Diverse Older Adults." Innovation in Aging 5, Supplement_1 (December 1, 2021): 502. http://dx.doi.org/10.1093/geroni/igab046.1937.
Abstract:
Abstract The mental health needs of older adults are largely unmet, a finding even more prevalent within culturally diverse older adult populations. Added to this is the high rate of social isolation. Research has indicated increased connection to mental health services when services are embedded within physical health care settings. For those attending community centers, 85% indicate that they are socially isolated, 68% indicate they are lonely, and 53% have a mental health need (compared to 20% nationally). The need for innovative programming is evident. When examining the needs of diverse older adults, it is increasingly important that new and innovative approaches address social isolation, loneliness, and mental health problems experienced by this cohort. Utilizing this knowledge an innovative model of embedding and integrating mental health services, provided by bilingual and bicultural clinicians, into congregate sites (older adult centers) was implemented. Those that participated were mainly female (72.1%), 68.5% English-speaking, 14.5% Spanish-speaking, 13.6% Chinese-speaking and 3.4% other. Spanish-speakers had more depression than English-speakers and both had more depression than Chinese-speakers. English and Spanish-speakers reported more social isolation and Chinese-speakers compared were more likely to participate in engagement. Chinese-speakers were less likely to be in clinical services with a positive screen compared to English-speakers. Overall, 75% engaged in treatment; 37.3% and 41% showed a 3-month improvement of depression and anxiety, respectively. This presentation focuses on the innovative components of this model, how to engage diverse older adults to utilize treatment, steps needed for replication, and policy implications around integrated mental health treatment.
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Abramson, Tobi, Jacquelin Berman, and Madison Gates. "An Innovative Mental Health Model for Treating Culturally Diverse Older Adults." Innovation in Aging 4, Supplement_1 (December 1, 2020): 93. http://dx.doi.org/10.1093/geroni/igaa057.306.
Abstract:
Abstract The mental health needs of older adults are largely unmet, a finding even more prevalent within culturally diverse older adult populations. Added to this is the high rate of social isolation. Research has indicated increased connection to mental health services when services are embedded within physical health care settings. For those attending community centers, 85% indicate that they are socially isolated, 68% indicate they are lonely, and 53% have a mental health need (compared to 20% nationally). The need for innovative programming is evident. When examining the needs of diverse older adults, it is increasingly important that new and innovative approaches address social isolation, loneliness, and mental health problems experienced by this cohort. Utilizing this knowledge an innovative model of embedding and integrating mental health services, provided by bilingual and bicultural clinicians, into congregate sites (older adult centers) was implemented. Those that participated were mainly female (72.1%), 68.5% English-speaking, 14.5% Spanish-speaking, 13.6% Chinese-speaking and 3.4% other. Spanish-speakers had more depression than English-speakers and both had more depression than Chinese-speakers. English and Spanish-speakers reported more social isolation and Chinese-speakers compared were more likely to participate in engagement. Chinese-speakers were less likely to be in clinical services with a positive screen compared to English-speakers. Overall, 75% engaged in treatment; 37.3% and 41% showed a 3-month improvement of depression and anxiety, respectively. This presentation focuses on the innovative components of this model, how to engage diverse older adults to utilize treatment, steps needed for replication, and policy implications around integrated mental health treatment.
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Sandhu, Cerise, and Elizabeth Drew. "A service evaluation of an ‘Emotional skills group’ for older adults within a day hospital service." FPOP Bulletin: Psychology of Older People 1, no. 162 (April 2023): 67–70. http://dx.doi.org/10.53841/bpsfpop.2023.1.162.67.
Abstract:
Emotional skills groups can be an important component of delivering secondary mental health care. An emotional skills group has been run in adult mental health services in Somerset FT, however it was felt this was not well adapted for an older adult population. Therefore, a specific emotional skills group was implemented within the older adult’s mental health service. A service evaluation was conducted after participants attended the course. Pre and post outcome measures were collected along with in-depth interviews which were thematically analysed. The results of this service evaluation will inform the running of future emotional skills groups and support equity of access to emotion skills groups for older adults.
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Drazich, Brittany, Qiwei Li, Nancy Perrin, Laura Samuel, Melissa diCardi Hladek, Sarah Szanton, Thomas Cudjoe, and Janiece Taylor. "The Association Between Older Adult Technology Use and Mental Health During the COVID-19 Pandemic." Innovation in Aging 5, Supplement_1 (December 1, 2021): 564–65. http://dx.doi.org/10.1093/geroni/igab046.2168.
Abstract:
Abstract Physical distancing during the COVID-19 pandemic may impact the mental health of older adults, but technology use may buffer this impact. This study aimed to 1) examine changes in older adult technology use during the COVID-19 pandemic and 2) determine if technology use moderates the relationships between decreased in-person communication/activity and the mental health of older adults during the pandemic. Data were taken from the NHATS COVID-19 Round 10 (n= 3,188). Older adults engaged in more technology-based activity (b= .237, p<0.001), technology-based healthcare communication (b=.112, p<0.001), and technology-based food acquisition (b= .214, p<0.001) during the COVID-19 pandemic, compared to before. Technology use did not moderate the relationship between decreased in person personal communication (b= .021, p= 0.662)/activity (b= .045, p= 0.749) and mental health during the pandemic. Although older adults are utilizing technology more during the pandemic, it might not be protective against negative mental health outcomes from physical distancing.
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Rankin, Samantha, and Stephanie Petty. "Older adult recovery: “What are we working towards?”." Mental Health Review Journal 21, no. 1 (March 14, 2016): 1–10. http://dx.doi.org/10.1108/mhrj-09-2014-0033.
Abstract:
Purpose – The perspectives of frontline clinical staff working with individuals in later life within an inpatient mental health setting, of their role in recovery, have not yet been explored. The purpose of this paper is to understand what recovery means within an inpatient mental health setting for older adults. The authors address clear implications for clinical practice. Design/methodology/approach – Semi-structured interviews were conducted with 11 multidisciplinary participants across two specialist older adult recovery units at an independent hospital in the UK. Thematic analysis was applied to the transcripts. Findings – Three main themes were identified: participants identified their normative task as the promotion of “moving on” (clinical recovery) and their existential task as personal recovery. The context in which recovery happens was highlighted as the third theme. These represented competing workplace goals of clinical and personal recovery. This highlights the need to give permission to personal recovery as the process that enables mental health recovery in older adults. Originality/value – Staff working in a inpatient mental health service for older adults discussed the meaning of recovery and their role in enabling recovery. This has implications for sustainable clinical practice in this setting. Recovery-orientated practice in this setting is required but the detail is not yet understood.
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Rabelo, Doris Firmino, and Juliana Martins Pinto. "Social support network, functional capacity and mental health in older adults." Psico-USF 28, no. 4 (October 2023): 767–81. http://dx.doi.org/10.1590/1413-82712023280409.
Abstract:
Abstract This study aimed to describe the characteristics of the social networks of older adults and to assess associations between social support, functional capacity and mental health. The sample consisted of 134 community-dwelling older adults, assessed in terms of their social network through the Minimum Map of Older Adult Relationships; functional capacity for performance in activities of daily living; depressive symptoms, assessed through the Geriatric Depression Scale and; anxiety, assessed through the Beck Anxiety Inventory. Cluster analyses were performed. The social network was characterized by being informal, functioning as affective support that occurs through visits. Social support perceived as insufficient was more frequent in men, in those who were dependent regarding instrumental activities of daily living, and in those with anxiety and depressive symptoms. Reduced social support networks and lack of support were associated with limitations in functional capacity and worse mental health, sparking debate about the centrality of the family in the provision of support.
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Jacobi, F., and J. Groß. "Prevalence of Mental Disorders, Health-related Quality of Life, and Service Utilization across the Adult Life Span." Die Psychiatrie 11, no. 04 (October 2014): 227–33. http://dx.doi.org/10.1055/s-0038-1670774.
Abstract:
SummaryMental disorders are widely common and are associated with various costs, both for the individual and for society. DEGS1-MH is the mental-health module of the German Health Interview and Examination Survey (DEGS1) and offers representative data on mental health in Germany. The present paper presents data on 12-month prevalence of mental disorders according to DSM-IV-TR, mental and physical health-related quality of life, and self-reported service utilization due to mental health problems across the adult life span (age 18-79 in six age groups). With 37.7%, young adults (age 18-29) show the highest 12-month prevalence and lowest self-reported mental health-related quality of life. In contrast, the group of older adults (age 60-79) show the lowest 12-month prevalence (19.7%) and report highest mental health-related quality of life. In subjects with mental disorders, physical health-related quality of life is impaired as well, however, particularly in older age groups. Both young and older adults with a 12-month diagnosis use health-related service due to mental problems only very rarely.
37
Fortuna, Karen, and Jessica Brooks. "Healing With the Arts: Older Adult Recovery Narratives." Innovation in Aging 4, Supplement_1 (December 1, 2020): 675–76. http://dx.doi.org/10.1093/geroni/igaa057.2347.
Abstract:
Abstract Recovery narratives are an effective healing art medium that support individual development by virtue of the shared human experience transmitted through each story. Older adult recovery narratives are unique as they share their experiences of aging with a mental health conditions to support others with similar difficulties. Older adult recovery narratives offer encouragement of self-determination in late life, share lived experience of aging with a mental health condition, and promote age-related self-management skills development. The RecoverYdia smartphone app provides an online community for older adults with a lived experience of a mental health condition. RecoverYdia subscribers can search through hundreds of relevant videos and find the storyteller who tells the viewer’s story, prompts them to reach out for help, and eventually inspires them to help others. This presentation will discuss the state of evidence regarding the evidence for recovery narratives across the globe and offer a RecoverYdia technology demonstration.
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Baker, Ruth, Sarah Wilson, and Laura Daunt. "Depression in older adults." InnovAiT: Education and inspiration for general practice 15, no. 1 (October 25, 2021): 25–32. http://dx.doi.org/10.1177/17557380211052072.
Abstract:
Depression is the most common mental disorder affecting older adults, leading to reduced quality of life, increased health care attendances, and poorer outcomes from physical illnesses. Rates of suicide are proportionally higher in older adults, with those attempting suicide more likely to die than in younger age groups. Although effective treatments are available, depression in older adults is often under recognised and undertreated. Depression management in older adults can be complicated by coexisting physical health conditions and polypharmacy. This article discusses the approach to assessing an older adult with suspected depression and subsequent management.
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Reed, Pamela G., Margaret Boyd, and Kathleen C. Buckwalter. "Mental Health of Older Adults." Western Journal of Nursing Research 11, no. 2 (April 1989): 143–63. http://dx.doi.org/10.1177/019394598901100202.
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Zamora Iniesta, Tomás, Pedro Castell Gallud, Visitación Fernández Fernández, Maravillas Castro Sáez, Jose Luis Vicente Escudero, and Concepción López Soler. "Self-perceived and reported mental health in older adults." Anales de Psicología 38, no. 1 (January 1, 2022): 55–62. http://dx.doi.org/10.6018/analesps.479721.
Abstract:
Several studies assess mental health in older adults, but relatively few do so from a multi-informant perspective. In this work, discrepancies in self-perception and third-person perception of the mental health of older adults were analyzed in two age groups and differentiated by sex and place of residence. Relationships between different scales that measure psychopathology and psychosocial competencies were also analyzed. A sample of 288 older people aged between 60-95 years old (154 women, 53.47%) belonging to 12 municipalities in the Region of Murcia was employed, and the Older Adult Self-Report (OASR) questionnaire was used to measure the psychopathology of older people and the Older Adult Behavior Checklist (OABCL) instrument to find out the family's perception of these problems. Outcomes show different perceptions of mental health among older people and their families, which worsen with increasing age, psychosocial risk status and female gender. This reflects the need to develop specific treatment protocols for each gender and psychosocial risk situation, in order to address the differential mental health needs in older people. Son numerosos los trabajos que evalúan la salud mental de las personas mayores, pero relativamente escasos los que lo hacen desde una perspectiva multi-informante. En este trabajo se analizaron las discrepancias en la autopercepción y la percepción que tienen otros de la salud mental de las personas mayores, en dos franjas de edad, diferenciando por sexos, lugar de residencia y se analizaron las relaciones entre diferentes escalas que miden psicopatología y competencias psicosociales. Se empleó una muestra de 288 personas mayores entre 60-95 años (154 mujeres, 53.47%) pertenecientes a 12 municipios de la Región de Murcia, y se empleó el cuestionario OlderAdultSelf-Report (OASR) para medir la psicopatología de las personas mayores y el instrumentoOlderAdultBehaviorChecklist (OABCL) para conocer la percepción de la familia de estos problemas. Los resultados reflejan que existen diferentes percepciones de la salud mental entre personas mayores y sus familiares, que empeoran al aumentar la edad, la situación de riesgo psicosocial y el género femenino. Esto refleja la necesidad de desarrollar protocolos de tratamiento específicos para cada género y situación de riesgo psicosocial, con el fin de atender las necesidades diferenciales de salud mental de las personas mayores.
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Enos, Gary. "Massachusetts program encourages careers in older‐adult treatment." Mental Health Weekly 34, no. 18 (May 3, 2024): 1–7. http://dx.doi.org/10.1002/mhw.34032.
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O'Conor, Rachel, Morgan Eifler, Lauren Opsasnick, Laura Curtis, Julia Yoshino Benavente, Lee Lindquist, and Michael Wolf. "CAREGIVER HEALTH LITERACY AS A MODIFIABLE TARGET TO PROMOTE OLDER ADULT HEALTH." Innovation in Aging 6, Supplement_1 (November 1, 2022): 5. http://dx.doi.org/10.1093/geroni/igac059.015.
Abstract:
Abstract Many older adults receive assistance in managing chronic conditions. Yet complicating the utility of caregiver support is whether caregivers have sufficient skills to aid in a patient’s self-care. Health literacy (HL) is as an important determinant of older adults’ health outcomes, but few studies have examined caregiver HL and patient outcomes. We interviewed 162 patient-caregiver dyads during an ongoing cognitive aging cohort study to examine associations between caregiver HL, measured using the Newest Vital Sign, and older adults’ health outcomes. Physical function and mental health symptoms were assessed using PROMIS short form assessments. Patients’ also self-reported emergency department (ED) visits and hospitalizations over the past 12 months. Chi-square and t-tests were performed, as appropriate. Patients were on average 73 years old and managing 4 comorbidities. The majority were female (70%), identified as Black (35%) or White (60%). Caregivers’ mean age was 64 years; half were female (56%) and had limited HL (48%). Limited caregiver HL was associated with poorer physical function (M=43.0 (8.5) vs. M=46.0 (9.1), p=0.05), greater comorbidities (M=4.0 (1.9) vs M=3.3 (1.8), p=0.02) and more ED visits in the past year (36.7% vs. 19.3%, p=0.01). No differences by caregiver HL were observed for patients’ mental health or hospitalization. Findings suggest that caregivers with limited HL are caring for medically complex patients, and further research should examine whether limited caregiver HL leads to poorer self-management of chronic conditions. The development of HL training for caregivers may better equip them to assist older adults and improve older adult health.
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Tournier, M., F. Etchepare, and T. Sanglier. "Access to mental health care in depressed older patients." European Psychiatry 28, S2 (November 2013): 44. http://dx.doi.org/10.1016/j.eurpsy.2013.09.113.
Abstract:
Late-life depression presents clinical challenges, including more comorbidities, longer time to treatment response, longer treatment duration, and older age stigmatization. Such characteristics may increase the perception that depressed older adults are difficult to treat, but evidence suggests that benefits from treatment are similar to these observed in younger adult patients. Antidepressant treatment may confer even greater protection against suicide in older than younger adults. However, a retrospective matched cohort study carried on in American managed care population showed that depression goes commonly untreated in older people compared with younger adults. Despite a high rate of comorbidity that was associated with more frequent antidepressant dispensing, this age group was at higher risk of untreated illness either by antidepressant (25.6% vs. 33.8%) or by psychotherapy (13.0% vs. 34.4%) and of later treatment after depression diagnosis (51 vs. 14 days), showing a lower access to treatment. In this study, before 2006, older adults treated for depression received more frequently antidepressants at lower prescribed doses, had poorer adherence and higher non-persistence to treatment than younger adults. However, these differences disappeared or reversed after Medicare Part D implementation, which improved the refunding of drugs in the elderly population. Similarly, a historical cohort study showed, in the French universal health care system, that antidepressant treatment duration and adherence were better in the treated older patients than in the younger ones. This favourable finding may be partly attributed to the universal healthcare system in which all subjects are treated in the same way, regardless of age. However, the reasons for the more appropriate use of antidepressants in the older subjects remain to be elucidated.
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Root, Eve, and Grace Caskie. "eMental Health Literacy and Psychological Distress as Predictors of Barriers to Mental Health Services." Innovation in Aging 5, Supplement_1 (December 1, 2021): 859. http://dx.doi.org/10.1093/geroni/igab046.3136.
Abstract:
Abstract Since the COVID-19 pandemic, psychologists have begun to rely heavily on technology to provide mental health information and services (APA, 2020). As the older adult population increases, the number of older adults in need of mental health services also increases; however, little is known about the way older adults might utilize technology to inform mental health-related decisions. This study expands on the construct of eHealth Literacy by examining eMental Health Literacy, which is defined as the degree to which individuals seek, find, understand, and appraise basic mental health information and services online that are needed to inform mental health-related decisions. A sample of 244 older adults (M=68.34, range=65-82 years) were recruited online through Amazon Mechanical Turk. A structural equation model was estimated specifying eMental Health Literacy and psychological distress as predictors of extrinsic and intrinsic barriers to mental health services. After adding three correlated errors, the model achieved good fit (χ2(110)=329.20, p<.001, SRMR=.08, CFI=.93, TLI=.91, GFI=.86, RMSEA=.09). All indicators were significantly related to their latent construct (p<.001). The results indicated that, controlling for psychological distress, higher eMental health literacy was significantly related to fewer reported intrinsic (b=-.386, p<.001) and extrinsic barriers (b=-.315, p<.001) to mental health services. Higher distress was also significantly related to more intrinsic (b=.537, p<.001) and extrinsic barriers (b=.645, p<.001) to mental health services. These findings suggest that, as we move towards a more digital world, eMental health literacy could play a significant role in the way older adults navigate through the mental healthcare system.
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Hu, Yuanyuan, and Qingwen Xu. "Disparities of Mental Health Service Needs and Utilization Among Older Adults." Innovation in Aging 5, Supplement_1 (December 1, 2021): 409. http://dx.doi.org/10.1093/geroni/igab046.1584.
Abstract:
Abstract Prior studies have examined mental health disparities, however, without adequate attention to the older adult population. Framed by the Andersen Behavioral Model of Health Service Use, this study was to examine the prevalence of depression and anxiety and the mental health service use among older adults of different race/ethnicity; and to investigate factors associated with mental health services use(counseling and psychotropic medication). Data from the National Health Interview Survey 2019 were analyzed by bivariate tests and logistic regression analyses. Hispanic older adults have the highest rates of depressive and anxious symptoms, followed by Whites, Blacks, and Asians. Non-Hispanic Asians and Blacks reported significantly lower rates of taking medication. The severity of depression and anxiety was consistently associated with mental health service use across all groups. Education was positively associated with counseling use in white and black groups. For older whites, better general health, male and foreign-born were significantly predicting less medication use. Older blacks with better general health were significantly less likely to use medication. For Hispanic older adults, female and being single were associated with anxiety medication use. Results suggest that older adults, despite different perceptions and cultural understandings of mental health, use mental health services for severe conditions. This study also highlights the important role that education and health literacy could have played in the use of counseling services. For the medication use, the result—that general health status was important for both black and white older adults, but not Hispanics—could suggest a few directions for further exploration.
46
Dionigi, Rylee A. "Stereotypes of Aging: Their Effects on the Health of Older Adults." Journal of Geriatrics 2015 (November 12, 2015): 1–9. http://dx.doi.org/10.1155/2015/954027.
Abstract:
The purpose of this review is to present findings on the effects of stereotypes of aging on health outcomes related to older adults, such as physical and mental functioning (specifically) and overall well-being and perceived quality of life (more broadly). This review shows that both positive and negative stereotypes of aging can have enabling and constraining effects on the actions, performance, decisions, attitudes, and, consequently, holistic health of an older adult. This review further highlights a variety of limitations in stereotype research in aging contexts, including a lack of qualitative studies focusing on older adult perspectives and the fluctuating definition of what constitutes “good health” during older age.
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Williams-Farrelly, Monica, Matthew Schroeder, Claudia Li, and Nicole Fowler. "LONELINESS AND QUALITY OF LIFE IN OLDER ADULT PRIMARY CARE PATIENTS." Innovation in Aging 7, Supplement_1 (December 1, 2023): 610. http://dx.doi.org/10.1093/geroni/igad104.1993.
Abstract:
Abstract Loneliness, defined as the perceived discrepancy in an individual’s desired and actual social relationships, is common among older adults. Loneliness among older adult primary care patients is lacking, considering the implications it has on physical and mental health. Our objective was to determine the relationship between loneliness and quality of life (QOL) in older adult primary care patients. Data come from the Caregiver Outcomes of Alzheimer’s Disease Screening (COADS) study, an ongoing randomized controlled trial evaluating benefits and risks of Alzheimer’s disease and related dementias screening among older primary care patients and their family members. Loneliness (5-item NIH Toolbox), quality of life (QOL)—as measured by physical and mental health component scores— and depression (PHQ-9) and anxiety symptomatology (GAD-7) were measured among primary care patients aged 65 and older from April 2020 to September 2021. Spearman correlation analyses reveal that loneliness was moderately correlated with mental health (r(601) = -.43, p< 0.001), anxiety (r(601) =.44, p< 0.001), and depression (r(601) = .42, p< 0.001), while weakly correlated with physical health (r(601) = -.15, p< 0.001). After conducting unadjusted and adjusted linear regression models, we found that loneliness was associated with both lower mental (p< 0.001) and physical health component scores (p< 0.001). Furthermore, loneliness remained significantly associated with worse mental health when adjusting for depression, anxiety, sociodemographic characteristics, and comorbidity. Primary care providers should discuss loneliness with their older adult patients and provide resources to help patients develop and maintain meaningful social relationships.
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Trevino, Kelly, Peter Martin, and John Leonard. "Higher Rates of Untreated Distress in Older Versus Younger Adults With Indolent Lymphoma." Innovation in Aging 4, Supplement_1 (December 1, 2020): 466. http://dx.doi.org/10.1093/geroni/igaa057.1510.
Abstract:
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.
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Humboldt, S. Von, A. Costa, and S. Silva. "Ambivalence among intergenerational relationships in old age." European Psychiatry 64, S1 (April 2021): S743—S744. http://dx.doi.org/10.1192/j.eurpsy.2021.1970.
Abstract:
IntroductionThis study focuses on ambivalence among intergenerational relationships in old age.ObjectivesThis study aims to analyze the perspectives of intergenerational relationships between older adults and adult children. For this purpose, a qualitative research was carried out, which analyzes these relations at a cross-national level.MethodsFour hundred and twenty four older participants aged 65-97 years, were interviewed. Participants were of three different nationalities and lived in the community. All the interviews went through the process of verbatim transcription and subsequent content analysis.ResultsTwo dimensions of generational ambivalence were revealed from the study; support and the conflict dimensions. Findings of content analysis produced six themes, which represent intergenerational relations between older adults and adult children: older adults-adult children interaction quality; family integration; care and support; definition of limits; distance and alienation; and communication difficulties.ConclusionsThis study highlighted the diversity of experiences in old age, in relation to intergenerational relationships and underlined the conflicting expectations from older adults in relation to their adult children.DisclosureNo significant relationships.
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Hung, Lillian, Patience Anne Lee, Andy T. Au-Yeung, Irina Kucherova, and MaryLou Harrigan. "Adopting a Clinical Assessment Framework in Older Adult Mental Health." Journal of Psychosocial Nursing and Mental Health Services 54, no. 7 (July 1, 2016): 26–31. http://dx.doi.org/10.3928/02793695-20160616-05.