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Journal articles on the topic "Older people Mental health services Victoria"

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Bigby, Christine. "A demographic analysis of older people with intellectual disability registered with Community Services Victoria." Australia and New Zealand Journal of Developmental Disabilities 19, no. 1 (January 1994): 1–10. http://dx.doi.org/10.1080/07263869400035061.

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Atwell, R., I. Correa‐Velez, and S. Gifford. "Ageing Out of Place: Health and Well‐Being Needs and Access to Home and Aged Care Services for Recently Arrived Older Refugees in Melbourne, Australia." International Journal of Migration, Health and Social Care 3, no. 1 (July 1, 2007): 4–14. http://dx.doi.org/10.1108/17479894200700002.

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Recently arrived older refugees in resettlement countries are a particularly vulnerable population who face many risks to their health and well‐being, and many challenges in accessing services. This paper reports on a project undertaken in Victoria, Australia to explore the needs of older people from 14 recently arrived refugee communities, and the barriers to their receiving health and aged care. Findings from consultations with community workers and service providers highlight the key issues of isolation, family conflict and mental illness affecting older refugees, and point to ways in which policy‐makers and service providers can better respond to these small but deserving communities.
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Draper, Brian M., and Annette Koschera. "Do Older People Receive Equitable Private Psychiatric Service Provision Under Medicare?" Australian & New Zealand Journal of Psychiatry 35, no. 5 (October 2001): 626–30. http://dx.doi.org/10.1080/0004867010060511.

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Objective: The objective of this study is to determine the 1998 rates, types, regional variation and Medicare expenditure of private psychiatry services for older people in Australia, as compared with younger adults and with 1985–1986 data. Method: Medicare Benefits Schedule Item Statistics for the psychiatric item numbers 300–352 and item 14224 were obtained from the Health Insurance Commission for each State and Territory. The items were examined in the age groups 15–64 years, 65 years and over and 75 years and over. Main outcome measures were per capita service provision by age group, State and Territory and Medicare expenditure by age group. Results: During 1998, 6.4% (5765.6 per 100 000) of private psychiatric services were to patients aged > 64 years. Patients aged 15–64 received 2.7 times the number of psychiatric services per capita than patients > 64 and 3.6 times that of patients aged > 74 years. Patients aged > 64 received more hospital and nursing home consultations, home visits and electroconvulsive therapy per capita, while younger adults used more office-based consultations, longer consultations, and group therapy. Victoria had the highest per capita rate (7659.2 per 100 000) and the Northern Territory the lowest (540.4 per 100 000), although the highest proportion of services to older patients was in Western Australia. Per capita the proportion of Medicare expenditure allocated to adults aged less than 65 years was 4.1 times that for adults over 64 years. Conclusions: Private psychiatric service provision to older people is inequitable when compared with younger adults. The proportion of Medicare private psychiatry expenditure on older adults has declined since 1985–1986.
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Dow, Briony, Marcia Fearn, Betty Haralambous, Jean Tinney, Keith Hill, and Stephen Gibson. "Development and initial testing of the Person-Centred Health Care for Older Adults Survey." International Psychogeriatrics 25, no. 7 (April 29, 2013): 1065–76. http://dx.doi.org/10.1017/s1041610213000471.

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ABSTRACTBackground: Health services are encouraged to adopt a strong person-centered approach to the provision of care and services for older people. The aim of this project was to establish a user-friendly, psychometrically valid, and reliable measure of healthcare staff's practice, attitudes, and beliefs regarding person-centered healthcare.Methods: Item reduction (factor analysis) of a previously developed “benchmarking person-centred care” survey, followed by psychometric evaluations of the internal consistency reliability and construct validity, was conducted. The initial survey was completed by 1,428 healthcare staff from 17 health services across Victoria, Australia.Results: After removing 17 items from the previously developed “benchmarking person-centred care” survey, the revised 31-item survey (Person-Centred Health Care for Older Adults Survey) attained eight factors that explain 62.7% of the total variance with a Cronbach's α coefficient of 0.91, indicating excellent internal consistency. Expert consultation confirmed that the revised survey had content validity.Conclusions: The results indicated that the Person-Centred Health Care for Older Adults Survey is a user-friendly, psychometrically valid, and reliable measure of staff perceptions of person-centered healthcare for use in hospital settings.
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Nikhil, U. G., T. P. Sumesh, G. Anoop, and K. S. Shaji. "Mental Health Services for Older People." Indian Journal of Psychological Medicine 36, no. 4 (October 2014): 449–50. http://dx.doi.org/10.4103/0253-7176.140764.

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The Lancet. "Mental health services for older people." Lancet 374, no. 9699 (October 2009): 1394. http://dx.doi.org/10.1016/s0140-6736(09)61841-9.

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Dinshaw, Carole. "Evaluating Mental Health Services for Older People." Nursing Older People 17, no. 5 (July 1, 2005): 37. http://dx.doi.org/10.7748/nop.17.5.37.s18.

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Hall, John, Helen Waldock, and Chris Harvey. "Improving Mental Health Services for Older People." Mental Health Review Journal 11, no. 4 (December 2006): 7–13. http://dx.doi.org/10.1108/13619322200600035.

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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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Anderson, David, Peter Connelly, Richard Meier, and Cherie McCracken. "Mental health service discrimination against older people." Psychiatrist 37, no. 3 (March 2013): 98–103. http://dx.doi.org/10.1192/pb.bp.112.040097.

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Aims and methodTo provide a picture of availability and equality of access to mental health services for older people prior to the Equality Act. In 2010, a questionnaire was sent to health commissioners in England, Scotland and Wales under a Freedom of Information request.ResultsOverall, 132 (76%) replied. Of 11 services, 7 were either unavailable or did not provide equality of access to older people in more than a third of commissioning areas. When provided by specialist older people's mental health, services were more often considered to ensure equality.Clinical implicationsIncreasing need resulting from an ageing population is unlikely to be met in the face of current inequality. Inequality on the basis of age is the result of government policy and not the existence of specialist services for older people. Single age-inclusive services may create indirect age discrimination. Availability alone is insufficient to demonstrate equality of access. Monitoring the effects of legislation must take this into account.
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Dissertations / Theses on the topic "Older people Mental health services Victoria"

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Griffiths, Hayley. "Self-stigmatization and ageism amongst older people accessing mental health services." Thesis, University of Hertfordshire, 2009. http://hdl.handle.net/2299/3472.

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The aim of this novel piece of research was to explore experiences of self-stigma amongst a group of older people (aged 65+) currently using mental health services. In order to try and identify possible contributing factors to internalized stigma it was also decided to gather information on optimism and a baseline measure of distress. These scores were all compared with the individual’s likeliness to continue to use the mental health services as it was hypothesized that higher levels of self-stigma would be linked with a lower likelihood to continue to use services. Fourteen participants (age range 65-92) from three different geographical areas agreed to take part having been approached by a mental health professional known to them. Interviews were then arranged directly with each participant, with each interview being made up of three questionnaire measures to rate levels of distress, optimism and experiences of mental health stigma, a Likelihood to Continue to Use Services rating scale, and a repertory grid. The repertory grids had been specifically designed to explore the construct systems of the participants in relation to their age. The main finding was that experiences of mental health stigma were minimal, but that participants showed some signs of internalizing ageist attitudes. However, neither of these variables was correlated with a likelihood to continue to use services, suggesting that it is factors other than mental health stigma and age stigma and selfstigmatization that impact on an older person’s decision to continue to engage with mental health services or not. The small sample size also meant that power was lacking from the findings, indicating that further research needs to be carried out. This study has opened up a research area which needs further ongoing investigation in order to fully explore the clinical implications of self-stigma in relation to age and mental health problems. Areas of potential future research are offered and briefly explored.
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Choi, Po-yee Doris. "Mental health condition and the utilization of community services among the elderly in Hong Kong." Click to view the E-thesis via HKUTO, 2003. http://sunzi.lib.hku.hk/hkuto/record/B31970965.

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Currin, James B. "Historical Changes in Elderly Cohorts' Attitudes toward Mental Health Services." Thesis, University of North Texas, 2001. https://digital.library.unt.edu/ark:/67531/metadc2908/.

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Older adults' attitudes toward mental health services have received little research attention. Overall, older adults are thought to hold relatively negative attitudes. In this study, Analysis 1 investigated historical shifts in attitudes toward mental health services among three independent samples of older adults, separated by 14-year and 9-year intervals (1977 sample, N = 90; 1991 sample, N = 101; 2000 sample, N = 99). Analysis 2 compared two samples of older and younger adults, each separated by a 9-year interval (Older Adults: 1991 sample, N = 93; 2000 sample, N = 91 and Younger Adults: 1991 sample, N = 131; 2000 sample, N = 147). Participants completed a questionnaire containing five, internally consistent scales assessing multiple dimensions of mental health attitudes (Openness, Biases, Range of Knowledge, Breadth, Help Seeking Attitudes). Analyses suggested that the 1991 and 2000 samples of older adults had more positive attitudes than did the 1977 sample. However, a sustained trend for more positive attitudes beyond 1991 was not seen. In fact, no differences existed between 1991 and 2000 samples with exception of two. Older and younger adults together had lower Biases and Breadth scores in 2000 than in 1991. Age effects, gender effects, and interactions were also examined. Possible historical influences were discussed along with implications for the delivery of mental health care to future cohorts of older adults.
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Husband, Hilary J. "The assessment of mental capacity in older people with known or suspected cognitive impairment." Thesis, University of East Anglia, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.273497.

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Byrd, Edwina Haith. "An analysis of functional status and utilization behavior in long-term care for the elderly /." The Ohio State University, 1985. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487259125218917.

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Omagari, Lynda Lee. "Depression among the elderly." CSUSB ScholarWorks, 2008. https://scholarworks.lib.csusb.edu/etd-project/3336.

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This study will examine depression among the elderly in an assisted living facility. The main problem in depression in the elderly is the lack of diagnosis and treatment. Left untreated it affects the elderly person's overall well-being and may eventually lead to their mortality.
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蔡寶儀 and Po-yee Doris Choi. "Mental health condition and the utilization of community services among the elderly in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B31970965.

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Prina, Alberto Matthew. "An investigation of common mental disorders and health services in later life." Thesis, University of Cambridge, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.607821.

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Hackworth, Naomi. "Development and application of a methodology for the evaluation of a health complaints process." Australasian Digital Thesis Program, 2007. http://adt.lib.swin.edu.au/public/adt-VSWT20070928.092053/index.html.

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Thesis (DPsych (Health Psychology)) - Faculty of Life and Social Sciences, Swinburne University of Technology, 2007.
Submitted as a requirement for the degree of Professional Doctorate in Health Psychology, Faculty of Life and Social Sciences, Swinburne University of Technology - 2007. Typescript. Includes bibliographical references (p. 189-210).
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Katz, Robert A. "Evaluating a mental health needs assessment technique on a sample of the elderly population of the New River Valley." Thesis, Virginia Tech, 1988. http://hdl.handle.net/10919/44072.

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The purpose of this study was to evaluate the effectiveness of the Quality of Life~Contribution Model (QOLC) developed by Murrell and Norris (19S3) as a mental health needs assessment technique for the rural elderly. In this field survey method, measures of mental health areas and program targets within each mental health area are compared and prioritized according to their relative contributions to a subjective index of quality-of-life (QOL).

An inâ home survey of 60 older adults was conducted. Needs were defined in terms of problems, services, and community support and were measured across the following mental health areas: 1) Depression; 2) Organic Brain Syndrome; 3) Alcohol and Drug Abuse; 4) Anxiety; 5) Caregiver Problems; 6) Schizophrenia; and 7) Health Habits. The utility of the QOLC model was evaluated via the descriptive conclusions generated by multiple regression analysis of the sample survey data, with QOL as the dependent variable and the different need measures and mental health areas as the independent variables. A cost analysis was also completed comparing the net total cost of the QOLC with the hypothesized net total cost of a more traditional mental health needs assessment (consisting of a key informant plus a service use statistics component). The results suggest that although the QOLC mental health needs assessment costs more than simpler needs assessment techniques, it can yield important information that can prevent wasteful spending on increased direct mental health services and can also be used to determine the criteria that should be used to segment the target population.
Master of Science

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Books on the topic "Older people Mental health services Victoria"

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Council, Cochrane District Health. Mental Health services for the elderly. Timmins, Ont: Cochrane District Health Council, 1987.

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Mental health problems and older adults. Santa Barbara, Calif: ABC-CLIO, 1990.

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

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Niagara District Health Council (Ont.). Psychogeriatric services in Niagara: A proposal. Fonthill, Ont: The Council, 1985.

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Maine. Legislature. Joint Advisory Committee on Select Services for Older Persons. Mental health services for the elderly in Maine: A status report. [Augusta, Me.]: The Committee, 2000.

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Great Britain. Audit Commission for Local Authorities and the National Health Service in England and Wales. Losing time: Developing mental health services for older people in Wales. London: Audit Commission, 2002.

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Great Britain. Audit Commission for Local Authorities and the National Health Service in England and Wales. Losing time: Developing mental health services for older people in Wales. London: Audit Commission, 2002.

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Mental health and care homes. Oxford: Oxford University Press, 2011.

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McGrew, Kathryn B. Mental health treatment and services of Ohio nursing home residents. Oxford, OH: Scripps Gerontology Center, Miami University, 1996.

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Aging, United States Congress Senate Special Committee on. Senior depression: Life-saving mental health treatments for older Americans; hearing before the Special Committee on Aging, United States Senate, One Hundred Eighth Congress, first session, Washington, DC, July 28, 2003. Washington, D.C: U.S. G.P.O., 2003.

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Book chapters on the topic "Older people Mental health services Victoria"

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Coroa, Manuel, Horácio Firmino, Vasco Nogueira, and Luiz Miguel Santiago. "Delirium in Older Adults: Practical Guide for Primary Health Services." In Primary Care Mental Health in Older People, 239–49. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-10814-4_20.

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Körükcü, Öznur, and Kamile Kabukcuoğlu. "Health Promotion Among Home-Dwelling Elderly Individuals in Turkey." In Health Promotion in Health Care – Vital Theories and Research, 313–27. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-63135-2_22.

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AbstractAlthough the social structure of Turkish society has changed from a broad family order to a nuclear family, family relations still hold an important place, where traditional elements dominate. Still, elderly people are cared for by their family in their home environment. Thus, the role of family members is crucial in taking care of elderly individuals. In Turkey, the responsibility of care is largely on women; the elderly’s wife, daughter, or daughter-in-law most often provides the care. Family members who provide care need support so that they can maintain their physical, psychological and mental health. At this point, Antonovsky’s salutogenic health model represents a positive and holistic approach to support individual’s health and coping. The salutogenic understanding of health emphasizes both physical, psychological, social, spiritual and cultural resources which can be utilized not only to avoid illness, but to promote health.With the rapidly increasing ageing population globally, health expenditures and the need for care are increasing accordingly. This increase reveals the importance of health-promoting practices in elderly care, which are important for the well-being and quality of life of older individuals and their families, as well as cost effectiveness. In Turkey, the emphasis on health-promoting practices is mostly focused in home-care services including examination, treatment, nursing care, medical care, medical equipment and device services, psychological support, physiotherapy, follow-up, rehabilitation services, housework (laundry, shopping, cleaning, food), personal care (dressing, bathroom, and personal hygiene help), 24-h emergency service, transportation, financial advice and training services within the scope of the social state policy for the elderly 65 years and older, whereas medical management of diseases serves elderly over the age of 85. In the Turkish health care system, salutogenesis can be used in principle for two aims: to guide health-promotion interventions in health care practice, and to (re)orient health care practice and research. The salutogenic orientation encompasses all elderly people independently of their position on the ease-/dis-ease continuum. This chapter presents health-promotion practices in the care of elderly home-dwelling people living in Turkey.
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Haugan, Gørill. "Nurse-Patient Interaction: A Vital Salutogenic Resource in Nursing Home Care." In Health Promotion in Health Care – Vital Theories and Research, 117–36. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-63135-2_10.

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AbstractWe are now witnessing a major change in the world’s population. Many people globally grow very old: 80, 90, and 100 years. Increased age is followed by an increased incidence of functional and chronic comorbidities and diverse disabilities, which for many leads to the need for long-term care in a nursing home. Quality of life and health promotive initiatives for older persons living in nursing homes will become ever more important in the years to come. Therefore, this chapter focuses on health promotion among older adults living in nursing homes. First, this chapter clarifies the concepts of health, salutogenesis, and pathogenesis, followed by knowledge about health promotion. Then insight and knowledge about the nursing home population is provided; what promotes health and well-being in nursing home residents?Health promotion in the health services should be based on integrated knowledge of salutogenesis and pathogenesis. The salutogenic understanding of health is holistic and considers man as a wholeness including physical, mental, social, and spiritual/existential dimensions. Research indicates that various health-promoting interventions, specifically the nurse–patient interaction, influence on older adults in nursing homes as a wholeness of body–soul–spirit, affecting the whole being. Hence, dimensions such as pain, fatigue, dyspnea, nausea, loneliness, anxiety, and depressive symptoms will be influenced through health-promoting approaches. Therefore, two separate studies on the health-promoting influences of nurse–patient interaction in nursing home residents were conducted. In total, nine hypotheses of directional influence of the nurse–patient interaction were tested, all of which finding support.Along with competence in pain and symptom management, health-promoting nurse–patient interaction based on awareness and attentional skills is essential in nursing home care. Thus, health care workers should be given the opportunity to further develop their knowledge and relational skills, in order to “refine” their way of being present together with residents in nursing homes. Health professionals’ competence involves the “being in the doing”; that is, both the doing and the way of being are essential in health and nursing care.
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Pusey, Helen, and John Keady. "Services for older people with mental health problems." In Psychiatric and mental health nursing, 715–24. Routledge, 2017. http://dx.doi.org/10.1201/9781315381879-64.

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Milne, Alisoun. "The impact of age-related risks and inequalities on mental health in later life." In Mental Health in Later Life, 81–104. Policy Press, 2020. http://dx.doi.org/10.1332/policypress/9781447305729.003.0005.

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In broad terms there are two sets of age-related risks to mental health. The first set are those arising directly from experiences and losses common to later life, including physical ill health and/or disability, being a carer, retirement, and bereavement. These are associated with impaired psychological wellbeing and heightened risk of depression, particularly amongst older people with few economic or social resources. The second set of risks arise from ageism and age discrimination, and their intersection with other types of discrimination such as sexism for older women. Direct and indirect discrimination is widespread; it is located in all areas of society including health and social care services. It is profoundly damaging to older peoples’ psychological wellbeing and is associated with fear, helplessness, low self-esteem, anxiety and depression. It is also linked to exclusion, marginalisation and abuse. In recent years there have been efforts to ensure that older people are overtly included in policies intended to improve the population’s physical and mental health; this includes access to treatments e.g. for depression. There has also been a focus on addressing age discrimination in specific arenas e.g. in employment and mental health services. These initiatives have had mixed success.
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Robinson, Louise, and Carolyn A. Chew-Graham. "Primary care management of older people with mental health problems." In Oxford Textbook of Old Age Psychiatry, 317–38. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198807292.003.0022.

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This chapter discusses the presentation and primary care management of the commonest mental health problems in older people; delirium, delusions, depression and anxiety, and dementia. Primary care is on the front line in dealing with older people who have mental health problems, supporting their families to care for them, and managing people with complex comorbidities in addition to mental health issues. Older people consult their GP almost twice as often as other age groups and up to 40% of older people may have a mental health problem. The chapter presents cases drawn from the authors’ real-life practice, first, to represent clinical presentations and management within primary care; and second, to demonstrate how primary care links with secondary care and the wider services. It discusses the management of patients largely within reference to UK primary care systems and policy, but the international readership should find parallels within their own healthcare systems.
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Verma, Neelam. "Ageing and Mental Health." In Research Anthology on Mental Health Stigma, Education, and Treatment, 549–72. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-7998-8544-3.ch033.

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Estimated research findings suggest that almost two-thirds of adults with psychiatric conditions do not receive the required treatment services. This chapter enables readers to understand various aspects of ageing, how physical and mental health aspects are correlated, and which mental health conditions are most common in later life. The chapter also discusses major models of mental health in the context of ageing. Major psychiatric and psychological conditions that are most common in old age are outlined along with a major milestone of old age (i.e., retirement: a major lifestyle change that pushes older people towards psychological problems and adjustment issues with a new phase of life). A brief description is presented on the current status of psychiatric and psychological services for mental health issues of the elderly. The chapter concludes by summarizing the contents of discussed areas. Studies are presented throughout the chapter to accompany and enrich the discussion and validate the chapter content.
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Verma, Neelam. "Ageing and Mental Health." In Handbook of Research on Geriatric Health, Treatment, and Care, 369–92. IGI Global, 2018. http://dx.doi.org/10.4018/978-1-5225-3480-8.ch021.

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Estimated research findings suggest that almost two-thirds of adults with psychiatric conditions do not receive the required treatment services. This chapter enables readers to understand various aspects of ageing, how physical and mental health aspects are correlated, and which mental health conditions are most common in later life. The chapter also discusses major models of mental health in the context of ageing. Major psychiatric and psychological conditions that are most common in old age are outlined along with a major milestone of old age (i.e., retirement: a major lifestyle change that pushes older people towards psychological problems and adjustment issues with a new phase of life). A brief description is presented on the current status of psychiatric and psychological services for mental health issues of the elderly. The chapter concludes by summarizing the contents of discussed areas. Studies are presented throughout the chapter to accompany and enrich the discussion and validate the chapter content.
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Huntley, Jonathan, Alan Thomas, and Rob Stewart. "Psychiatric assessment of older people." In Oxford Textbook of Old Age Psychiatry, 145–52. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198807292.003.0009.

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The venue for psychiatric assessment varies, but given the choice, there are substantial advantages in the first assessment being conducted at home. The aims of assessment are to do more than achieve a diagnosis, though this is crucial; the aim should also be to produce a holistic assessment of all needs, leading to the involvement of a range of appropriate professionals in health and social care services to address these needs and carry out their own specialist assessments. Information from informants will supplement that of the patient and enable completion of all the important domains in the psychiatric history. The mental state examination will include a special emphasis on cognitive assessment, and a brief physical examination looking for neurological signs is important.
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Hatfield, Catherine, and Tom Dening. "Severe and enduring mental illness." In Oxford Textbook of Old Age Psychiatry, 701–12. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198807292.003.0045.

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Severe and enduring mental illness refers mainly to the long-term experience of schizophrenia and psychosis but also to other chronic functional disorders. The prevalence of psychoses in older people is hard to measure but estimates are around 0.5% of the population. Historically many people with long term illness resided in psychiatric hospitals but now most are in the community, receiving variable amounts of support from mental health, primary care, and social services. The physical health of this population is often poor and they receive less treatment and support than other older people with comparable physical health needs. Problems with psychiatric comorbidity (e.g. depression and substance misuse), cognitive impairment and social exclusion are also common. Treatment includes the judicious use of medication, nonpharmacological approaches, and social support—especially appropriate accommodation. Positive outcomes can be achieved by a recovery approach that attends to all aspects of the person’s health.
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Conference papers on the topic "Older people Mental health services Victoria"

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Elshaikh, Usra Abushara, Rayan Sheik, Raghad Khalid Saeed, Tawanda Chivese, and Diana Alsayed Hassan. "Barriers and Facilitators to Mental Health Help-seeking among Older Adults: A Systematic Review." In Qatar University Annual Research Forum & Exhibition. Qatar University Press, 2021. http://dx.doi.org/10.29117/quarfe.2021.0125.

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Abstract:
Background: Older adults are very unlikely to seek mental health help. There are multiple factors that contribute to a person’s final decision to seek formal help. The aim of this study is to systematically review and summarize quantitative literature on the barriers and facilitators that influence older adult’s mental health help-seeking behaviors. Methods : Four databases including PubMed-Medline, EMBASE, ProQuest central, and Scopus were searched to identify barriers and/or facilitators to mental health help-seeking behaviors. Studies were included if they satisfied the following criteria: Articles that were quantitative studies published during the period between 2015-2021, that address barriers and/or facilitators to mental health help seeking among older adults aged 65 years old or older and examining depression, anxiety, and psychological distress disorders. Help-seeking was defined as receiving a consultation from health professionals such as a general practitioner, clinical psychologist, councilor, or social worker. Study quality and risk of bias was assessed using The Newcastle-Ottawa Scale (NOS). Results: Five cross-sectional studies met the inclusion criteria for this review. These studies were from Australia, United States, and Malaysia, and were carried out during the period 2015-2021. Two studies examined both facilitators and barriers while three studies examined barriers only. Neither of the studies examined facilitators only. The prevalence of seeking mental health help among elderly people ranged between 77% to 82%. Cost, stigma, and beliefs of the effectiveness of mental health counseling, were the most reported key barriers. Main reported facilitators included prior positive experience with mental health services, high level of education, and a high-income level. Conclusion: The findings reported in this systematic review can be used in future research and practical implications to assess the barriers and facilitators among older adults.
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Heikkinen, Katja, Mari Lahti, Johanna Berg, Arina Kiseleva, and Sini Eloranta. "European Integrated Care Horizon 2020: increase societal participation; reduce care demands and costs in Finnish context." In CARPE Conference 2019: Horizon Europe and beyond. Valencia: Universitat Politècnica València, 2019. http://dx.doi.org/10.4995/carpe2019.2019.10208.

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Abstract:
This project is part of larger European level integrated care project led by HU University of Applied Sciences.Background: In Finland, the integration of social and health care services has taken centre stage in both the policy and practice arenas. The needs of many client groups, for example mental health client, older people and families of child, are many and varied.For example, poor mental health considerably impairs well-being of the population and has considerable economic consequences like absence from work, early retirement and productive losses. Efforts to move towards integrated care in social and health care have been met with increased interest and enthusiasm in recent years. This will increase the focus to improve care and population health while containing costs. However, there is a need to better understand different integrated care approaches for social and health care and guide future implementation of new integrated care models.It is now important to move towards integrated care for many client groups e.g. mental disorders. In this, professionals with different training backgrounds co-ordinate their expertise in providing care for theirshared clients. It provides a safe nexus for the exchange of knowledge and opinions, as well as a framework for reaching a consensus about appropriate health care delivery for a particular client or client cohort. The client should have an immediate access to integrated care, with a focus on rehabilitation in patient’s social roles.Aim: Support societal participation, quality of live and reduce care demand and costs in social and health care client, for example mental health client through integration of healthcare and welfare services.
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