Anticipated and actual barriers to developing community mental health programs for the elderly

Pratt, Clara C.; Kethley, Alice J.

doi:10.1007/bf00835725

Cited by 6 publications

(3 citation statements)

References 8 publications

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“…A report on the development of a community mental health program for the elderly (Pratt & Kethy, 1980) showed that negative attitudes by older adults were encountered as an actual barrier by only half of the program planners anticipating such attitudes to be a problem. Another study (Lasoski & Thelen, 1987) compared older and younger adults in their attitudes about mental health by investigating the influence of age on views toward mental health services and intervention issues.…”

Section: Introductionmentioning

confidence: 98%

Attitudes towards mental health care in younger and older adults: Similarities and differences

Robb

Haley

Becker

et al. 2003

Aging & Mental Health

129

106

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It is commonly assumed that older and younger adults have very different attitudes about seeking mental health services and that this is a major factor in reducing the use of mental health services by the elderly. However, little evidence exists to illustrate how elders actually perceive mental health care. Responses from a survey of 474 older adults age 65 and over were compared with data from a national survey of 1001 persons age 21-65. Results indicate similarities in many attitudes including likelihood of seeking treatment for severe mental disorders, importance of mental health care, and concerns about cost and coverage as barriers to care. Differences included use of services, perceptions about less severe disorders, referral sources, and preferred providers. Clinical, policy and public education implications are discussed.

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Section: Introductionmentioning

confidence: 98%

Attitudes towards mental health care in younger and older adults: Similarities and differences

Robb

Haley

Becker

et al. 2003

Aging & Mental Health

129

106

View full text Add to dashboard Cite

show abstract

“…Although interest group membership accounted for a small amount of variation, it has heuristic value for planning attitude change efforts because it permits more focused targeting than using demographic variables. Used judiciously, information campaigns could potentially both (a) fill knowledge gaps (lack of awareness) and (b) correct false beliefs (expectancies) about a program (Pratt & Kethley, 1980). Misperceptions (factually incorrect expectancies) accounted for about one-half of the reasons involved in attitudes unrelated to deinstitutionalization (Severy, 1984).…”

Section: Discussionmentioning

confidence: 99%

Receptivity and planned change: Community attitudes and deinstitutionalization.

Wilmoth¹,

Silver²,

Severy³

1987

Journal of Applied Psychology

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An expectancy-value model was used to measure and explain receptivity attitudes (i.e., change climate) toward the implementation of deinstitutionalization programs. Questionnaires measuring values, expectancies, and behavioral intentions were mailed to community leaders and to members of community groups believed to be important in setting opinions and making decisions. Responses from 599 persons revealed that (a) the size of a proposed group home affected neither attitudes nor intentions of support, (b) group homes for mental health clients were viewed with less favorable attitudes and intentions than those for the retarded or the elderly, (c) members of various community groups held significantly different attitudes and intentions toward the programs, and (d) attitudes and intentions toward deinstitutionalization were more favorable than toward institutionalization. The application of this approach for assessing the implementation climate for planned change was discussed.

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“…The six samples were asked to what extent they considered 10 variables to be barriers to the provision of mental health services to individuals with severe physical disability. The focus on barriers was based in part on a study by Pratt and Kethley (1980) regarding barriers to developing community mental health programs for the elderly, as well as reviews of the literature and input from expert reviewers during the development of the survey methodology. Depending on the sample, there were slight variations or additions to other portions of the basic survey instrument.…”

Section: Instrumentmentioning

confidence: 99%

Barriers to the provision of mental health services to individuals with severe physical disability.

Pelletier¹,

Rogers²,

Dellario³

1985

Journal of Counseling Psychology

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Individuals with severe physical disability are at high risk for psychological problems, and growing evidence suggests a lack of adequate mental health services for this population. To shed light on this problem, a large, multiphase survey was conducted, including samples of individuals with physical disability, consumer advocates, rehabilitation and mental health administrators, rehabilitation counselors, and mental health practitioners. This article reports the extent to which respondents from each sample considered 10 variables as barriers to provision of mental health services to individuals with severe physical disability. Results indicate that individuals with severe physical disability are an underserved group and that there are several major barriers to adequate mental health services for this population. Conclusions and recommendations are made regarding policy and program development and training of professionals.

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Anticipated and actual barriers to developing community mental health programs for the elderly

Cited by 6 publications

References 8 publications

Attitudes towards mental health care in younger and older adults: Similarities and differences

Attitudes towards mental health care in younger and older adults: Similarities and differences

Receptivity and planned change: Community attitudes and deinstitutionalization.

Barriers to the provision of mental health services to individuals with severe physical disability.

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