BackgroundOne-in-five people in the UK experience anxiety and/or depression in later life. However, anxiety and depression remain poorly detected in older people, particularly in those with chronic physical ill health. In the UK, a stepped care approach, to manage common mental health problems, is advocated which includes service provision from non-statutory organisations (including third/voluntary sector). However, evidence to support such provision, including the most effective interventions, is limited. The qualitative study reported here constitutes the first phase of a feasibility study which aims to assess whether third sector workers can deliver a psychosocial intervention to older people with anxiety and/or depression. The aim of this qualitative study is to explore the views of older people and third sector workers about anxiety and depression among older people in order to refine an intervention to be delivered by third sector workers.MethodsSemi-structured interviews with participants recruited through purposive sampling from third sector groups in North Staffordshire. Interviews were digitally recorded with consent, transcribed and analysed using principles of constant comparison.ResultsNineteen older people and 9 third sector workers were interviewed. Key themes included: multiple forms of loss, mental health as a personal burden to bear, having courage and providing/receiving encouragement, self-worth and the value of group activities, and tensions in existing service provision, including barriers and gaps.ConclusionsThe experience of loss was seen as central to feelings of anxiety and depression among community-dwelling older people. This study contributes to the evidence pointing to the scale and severity of mental health needs for some older people which can arise from multiple forms of loss, and which present a significant challenge to health, social care and third sector services. The findings informed development of a psychosocial intervention and training for third sector workers to deliver the intervention.

No abstract

No abstract

No abstract

As part of a study of recession farming on the 'fadama' lands on a segment of the Komadugu-Yobe floodplain, a survey was carried out to investigate the local farmers' perception of soil types and management practices. The farmers are clearly aware of the differences in soil type on the fadama and they possess unique skills in managing their farm lands. The farmers classifl fadama soils for recession farming by assessing soil texture and soil drainage conditions by feel and observation. Integrating such local knowledge into soil surveys will lead to better practical definition ofmapping units and give soil names that have more meaning for the farmers.