An international consensus statement on the benefits of reframing aging and mental health conditions in a culturally inclusive and respectful manner

Peisah, Carmelle; Lima, Cabral; Ayalon, Liat; Banerjee, Debanjan; Leo, Diego De; Hwang, Tzung‐Jeng; Ikeda, Manabu; Jeste, Dilip V.; León, Tomás Munilla; Wang, Huali; Warner, Jamie H.; Rabheru, Kiran

doi:10.1017/s1041610222000473

Cited by 5 publications

(10 citation statements)

References 20 publications

(15 reference statements)

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“…The four dementia language 12,14,18,19 and three practice guidelines 26–28 located consistently describe a positive and inclusive approach through using ‘… words and phrases that empower people, treat them with dignity and respect …’ 18 ,p2 and state that language use in all aspects of dementia care should be accurate, balanced and respectful 12,14,18,19,26–28 . Review of these documents revealed six specific themes, stating that language should be: Accurate, specific and objective or neutral 12,14,19 Inclusive and facilitate acceptance 12,14 Strength‐based and empowering 12,18,27 Respectful 12,14,18,19,27,28 and supportive of positive relationships 15,27,28 with a person‐centred/person‐first approach Non‐stigmatising, avoiding stereotypes and labelling 12,18,27 Based on a human rights approach that is non‐discriminatory 14,28 …”

Section: Resultsmentioning

confidence: 99%

“…We hope that by raising these concerns, further refinement will occur. ‘Modifying how we think and speak of older persons…’ 15 ,p3 is both a national and international imperative and thinking again about the language in the BRUA might serve us well.…”

Section: Discussionmentioning

confidence: 99%

“…Language use is well understood as reflective of attitudes and a vehicle for perpetuating stereotypes. [11][12][13][14][15] Language within assessments, including adjectives to describe or 'frame' people, can tap into cognitive bias, resulting in potential negative or positive effects. [15][16][17] Language guidelines provide preferred terms for referring to older people and people living with dementia.…”

Section: Introductionmentioning

confidence: 99%

“…[11][12][13][14][15] Language within assessments, including adjectives to describe or 'frame' people, can tap into cognitive bias, resulting in potential negative or positive effects. [15][16][17] Language guidelines provide preferred terms for referring to older people and people living with dementia. 12,14,18,19 We are concerned that language used within the (Rf Box 1) BRUA does not meet dementia language guidelines, nor reflect best practice clinical guidelines, community expectations or aged care reform aspirations.…”

Section: Introductionmentioning

confidence: 99%

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Australian National Aged Care Classification behaviour assessment and people living with dementia in residential aged care: Inclusive language for reform?

et al. 2022

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To examine the language of the behaviour assessment in the new Australian National Aged Care Classification (AN-ACC) funding instrument. We explored whether the (BRUA) will support an inclusive and progressive approach for people living with dementia in residential aged care.Methods: Databases were searched to identify publicly available literature relating to the development of the AN-ACC and BRUA, and hand searches of reference lists and selected websites were completed to identify additional grey literature, dementia language and best practice guidelines. Criteria for language use were extracted and compared with the BRUA in the light of the current national aged care reform agenda, as well as research with and perspectives of people with lived experience of dementia. Results:The language within the BRUA did not align with international dementia language guidelines, and the content presented was disrespectful to those with lived experience. The assessment appears inconsistent with international best practices and is potentially discriminatory within the aged care cohort. Conclusions:The BRUA is intended as a funding instrument and not as a care planning tool, yet the negative representation of the lived experience of people with dementia embedded within a mandated assessment is likely to influence industry practice by condoning unsuitable language and attitudes amongst assessors, providers and staff. For better alignment with the current positive agenda for aged care reform in Australia, we recommend continued review and updating of this tool to avoid unintended consequences.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Australian National Aged Care Classification behaviour assessment and people living with dementia in residential aged care: Inclusive language for reform?

et al. 2022

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“…The commentary article by Peisah et al is an international consensus statement on the preferred terminology used to combat ageism and minimize discrimination against mental health conditions among older people because "age-friendly environment can only be ensured through age-friendly terminology" (Peisah et al, 2022). By using Delphi consultation with a group of senior international experts across a variety of language and culture settings, Peisah and colleagues recommended preferred aging-friendly terms and listed best-avoided terms that were associated with negative stereotypes and stigma.…”

mentioning

confidence: 99%