Factors Affecting the Mental Health of older Adults in Rural and Urban Communities: An Exploration

McGee, Phyllis; Tuokko, Holly; MacCourt, Penny; Donnelly, Michael

doi:10.7870/cjcmh-2004-0018

Cited by 8 publications

(4 citation statements)

References 11 publications

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“…Furthermore, it has been suggested that high workloads (Hinton et al 2007, McCusker et al 2007, Wen et al 2007) and limited resources (Crabb & Hunsley 2006, Mackenzie et al 2006) also contribute to the lack of attention given to older adults with MI diagnoses. Research has identified that standards of practice, negative attitudes, and incompetency and lack of education not only led to MI diagnoses being overlooked, misdiagnosed and/or inadequately treated (Adelman et al 2007, Cook et al 2007, Hinton et al 2007, Wen et al 2007), but also resulted in prolonged hospital stays, increased re/admissions and increased costs (De Coster et al 2004, McGee et al 2004, CMHA 2005, Mackenzie et al 2006. Investigators have concluded that to date, older adults with MIs may not have received the care and treatment they required to be discharged in a timely manner.…”

Section: Figurementioning

confidence: 99%

A population‐based comparison of the use of acute healthcare services by older adults with and without mental illness diagnoses

Adams

Koop

Quan

et al. 2014

Psychiatric Ment Health Nurs

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Older adults with mental illness (MI) are a highly vulnerable population and need to be provided healthcare services in a timely and thorough way. Compared with older adults without MI, older adults with MI spend a great deal of time being hospitalized and hence costing millions of dollars because the care they need is often overlooked and/or not provided. While they end up spending too much time in hospital, in the emergency department and getting readmitted to hospital because of their MI, this could have been prevented or lessened if an adequate assessment and treatment regime was done by clinicians who were well informed on the topic of older adults' mental health. Older adults with MI are also more likely to leave hospital for long-term care settings, to die and to have more sickness compared with older adults who do not have MI. Further, they are also more likely to be admitted to hospital on an urgent, unplanned basis. How older adults with MI use acute hospitals is important for psychiatric nurses to know and understand, as they can help to provide the care needed so they do not have to be in hospital for long periods of time. Psychiatric nurses can share much support and information on making sure older adults with MI are accurately care for when needed. To explore and compare predictors of hospital length of stay (LOS), acute LOS (ALOS), emergency room (ER) wait times, rate of readmission (ROR) and costs of inpatient hospital care for older adults with and without mental illness (MI) diagnoses in the province of Newfoundland and Labrador (NL). This descriptive-comparative study used aggregate population level data of 12,283 people aged 65 years and older admitted to an acute care hospital in the province of NL. A total of 8.3% of hospitalized older adults had MI diagnoses. Older adults with MI diagnoses had a significantly longer LOS, ALOS, ROR, ER wait time and costs compared with older adults without MI diagnoses, after controlling for medical co-morbidities. Key variables such as patient demographics, admission indicators, discharge indicators and other medical co-morbidities had differential impacts on observed service use. While only a small percentage of hospitalized older adults had MI diagnoses, the use and cost of acute hospitalizations was significantly greater than that of older adults without MI diagnoses.

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Section: Figurementioning

confidence: 99%

A population‐based comparison of the use of acute healthcare services by older adults with and without mental illness diagnoses

Adams

Koop

Quan

et al. 2014

Psychiatric Ment Health Nurs

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“…Mental health issues are new to the rural aging research agenda and are of increasing concern (see, for example, McGee, Tuokko, MacCourt, & Donnelly, 2004; Bédard, Gibbons, & Dubois, 2007; Patten, Semak, & Russell, 2001). Among those aged 55 and older, rural adults report a higher proportion of mental distress (Karunanayake & Pahwa, 2009; Wang, 2004).…”

Section: Healthmentioning

confidence: 99%

Aging in Rural Canada: A Retrospective and Review

2011

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Research on rural aging has developed considerably since publication of the book Aging in Rural Canada (Butterworths, 1991). The purpose of this article is twofold: to provide a retrospective on issues in rural aging from this book, and to review Canadian literature on rural aging since its publication. The review highlights new directions in conceptual definitions of rural, and in issues of social engagement, independence, family and social networks, and rural services and health. Two main research lenses are evident. The marginalization lens focuses on rural seniors with health problems, but has not included those marginalized by poverty or gender. The aging-well lens focuses on contributions and engagement, but has omitted research on social relationships and quality of family interaction. The report includes a call for interrogation about interaction between people and place, and for understanding issues of rural diversity and processes of rural aging.

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“…A substantial body of work has focused on services for older adults in rural areas. For example, research has addressed mobility constraints impeding rural seniors' access to regionalized services (Ryser & Halseth, 2012), challenges to the provision of health care services (Forbes & Edge, 2009;Hanlon & Halseth, 2005), the views concerning factors that affect the mental health of older adults and how well these factors were addressed in rural and midsize urban communities (Mcgee, Tuokko, MacCourt, & Donnelly, 2004), as well as determinants of health service used by Canadians 55 or older across a range of urban and rural areas of residence (McDonald & Conde, 2010).…”

Section: Rural Agingmentioning

confidence: 99%

What Community Characteristics Help or Hinder Rural Communities in Becoming Age-Friendly? Perspectives From a Canadian Prairie Province

Spina

Menec

2013

J Appl Gerontol

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Age-friendly initiatives are increasingly promoted as a policy solution to healthy aging, The primary objective of this article was to examine older adults' and key stakeholders' perceptions of the factors that either help or hinder a community from becoming age-friendly in the context of rural Manitoba, a Canadian prairie province. Twenty-four older adults and 17 key informants completed a qualitative interview. The findings show that contextual factors including size, location, demographic composition, ability to secure investments, and leadership influence rural communities' ability to become age-friendly. Government must consider the challenges these communities face in becoming more age-friendly and develop strategies to support communities.

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Factors Affecting the Mental Health of older Adults in Rural and Urban Communities: An Exploration

Cited by 8 publications

References 11 publications

A population‐based comparison of the use of acute healthcare services by older adults with and without mental illness diagnoses

A population‐based comparison of the use of acute healthcare services by older adults with and without mental illness diagnoses

Aging in Rural Canada: A Retrospective and Review

What Community Characteristics Help or Hinder Rural Communities in Becoming Age-Friendly? Perspectives From a Canadian Prairie Province

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