Models of mental health care for older adults: a review of the literature

Abstract

Aim. This paper reviews literature that draws on models of mental health care for older adults. Background. It is predicted that as a consequence of the aging of the population the incidence of mental health disorders, common in older populations, will also rise. Many such disorders can be successfully managed if detected early. Assessment and management requires collaboration between health professionals who are skilled and educated in the management of older adults with mental illness and the use of models of care appropriate to this population. Results. The paucity of research in this area is demonstrated. Conclusion. The need for mental health nurses to challenge current models of mental health care for older adults is identified so that they take on an expanded and developed specialist role in care of older adults with mental illness.

Older Persons’ Experiences of Depressive Ill-Health and Family Support

“…An older-age related increase in depression has been documented  [3]. Although older people constitute a large proportion of the population, older persons with mental ill-health have been neglected in terms of research as well as access to mental health services, and therefore knowledge of older persons' experiences of their health situation is generally poor  [4]. …”

Struggling for existence—Life situation experiences of older persons with mental disorders

“…Young or middle-aged persons with mental disorders frequently participate in research focused on their subjective needs (Middelboe et al, 2001), their experience of their own daily lives (Erdner, Magnusson, Nyström, & Lützen, 2005), and of their integration in the community (Granerud & Severinsson, 2006). However, although constituting a large part of the community, older persons with mental disorders have been neglected in research (Moyle & Evans, 2007) as well as social services and health care (NBHW, 2012). The extent and quality of municipal home help services for older persons with mental disorders has been described as inadequate; for example, older persons suffering from depression receive very little home help service (Larsson, Thorslund, & Forsell, 2004) and those with severe deficiencies are the most dissatisfied with the care and services they receive (NBHW, 2011).…”