Reducing stigma and discrimination against older people with mental disorders: a technical consensus statement

Graham, Nori; Lindesay, James; Katona, Cornelius; Bertolote, José Manoel; Camus, Vincent; Copeland, J. R. M.; Lima, Cabral; Gaillard, Michel; Nargeot, Marie Christine Gély; Gray, John E.; Jacobsson, Lars; Kingma, Mireille; Kühne, Nicolas; O’Loughlin, Anne; Rutz, Wolfgang; Saraceno, Benedetto; Taintor, Zebulon; Wancata, Johannes

doi:10.1002/gps.876

Cited by 131 publications

(105 citation statements)

References 2 publications

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“…For example, the symptoms experienced by people with dementia, which may include poor self-care or incontinence, are often regarded by others as evidence of neglect (365). Furthermore, to the extent that individuals attempt to avoid social interactions with people with dementia, family caregivers may be inadvertently excluded as well.…”

Section: Perceptions Held By People With Dementia and Their Caregiversmentioning

confidence: 99%

Nursing Students' Intentions to Work in Dementia Care: Influence of Age, Ageism, and Perceived Barriers

McKenzie

Brown

2014

Educational Gerontology

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Section: Perceptions Held By People With Dementia and Their Caregiversmentioning

confidence: 99%

Nursing Students' Intentions to Work in Dementia Care: Influence of Age, Ageism, and Perceived Barriers

McKenzie

Brown

2014

Educational Gerontology

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“…Furthermore, studies have revealed that loss of socialstatus and discrimination occurs when stigmatization interferes with older people's ability to participate in their communities (Graham et al 2003;Green et al 2005). In this study, the personal preferences of older people labeled as having dementia may have been ignored because of their reduced comprehension and expressive ability.…”

Section: Effects On Social Activities Status and Exclusionmentioning

confidence: 91%

“…Most non-professionals are unclear about the diagnostic criteria for dementia, and popular misuse of the terms 'dementia' and 'demented' is prevalent (Graham et al 2003). Many individuals consider certain characteristics or actions of older individuals to be abnormal.…”

Section: Introductionmentioning

confidence: 99%

Higher Incidence of Deteriorated Mental Health in Older People Being Mistakenly Labeled as Dementia: A Two-Year Consecutive Community-Dwelling Study in Shanghai, China

Xie

Chen

Jin

et al. 2016

Tohoku J. Exp. Med.

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Dementia has been increasingly paid attention by policymakers in China. However, the majority of the public has an indistinct concept of dementia and its diagnostic criteria. Therefore, many abnormal characteristics and actions of older people are labeled as having dementia while diagnosed without dementia. We examined a multi-stage cluster sample of 11,223 participants aged 60 years and above who have been clinically confirmed by general practitioners as not having dementia in 2013, and 7,861 participants were willing to participate the following study and were followed-up in 2014. To assess the differences of status of older people who were mistakenly labeled as having dementia or not, we asked main caregivers 'Do you think this older person suffers from dementia?', and found out that 244 participants had been mistakenly labeled as having dementia since 2013. Related effects were measured using international generic scales as well, and the results showed that participants with better physical status deteriorated more rapidly if they were mistakenly labeled as having dementia. Additionally, the mental health of these 244 participants also deteriorated more quickly. Older adults that were not labeled as having dementia were more willing to participate in social activities relative to their labeled counterparts. In conclusion, being mistakenly labeled as having dementia without a medical diagnosis impaired older adults' physical functioning and mental health. Moreover, the reduction of social activities of labeled older people leads to separation and social exclusion.

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“…Moreover, some of the symptoms of the middle stage of dementia, such as agitation and incontinence, inappropriate clothes or dishevelment can be embarrassing to family members, who isolate themselves and the relative with dementia to avoid having to expose themselves to the reactions they anticipate from those outside the family. The person with dementia's symptoms (for example, poor self-care and incontinence) are often regarded as evidence of neglect 22 . Also, to the extent that individuals attempt to avoid social interactions with people with dementia, their family carers may be inadvertently excluded as well.…”

Section: Dementia Compared To Other Conditionsmentioning

confidence: 99%

CBT for Older People: An Introduction

Laidlaw¹

2015

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Nicole L Batsch has 16 years' experience in developing ageing and dementia programmes across the US. Her expertise encompasses many disciplines including developing a literacy programme for seniors, family carer interventions, a hospitalbased senior wellness centre, dementia staff training for home care and care homes and initiatives for people with early stage dementia living in the community. One programme was internationally disseminated based on its successful research outcomes. She recently served on the board of the American Society on Aging. Ms Batsch is currently a PhD Candidate at King's College London in the Institute of Gerontology focusing on dementia.Mary S Mittelman received a Doctor of Public Health in psychiatric epidemiology and an MS in biostatistics from Columbia University School of Public Health. Dr Mittelman is Director of the Psychosocial Research and Support Program of the NYU Comprehensive Center on Brain Aging and Research Professor in the NYU Langone Medical Center Department of Psychiatry. For more than 20 years, she was Principal Investigator of the NYU-Spouse Caregiver Intervention study, which has won many awards internationally. In the past few years, Dr Mittelman has made a commitment to disseminate research findings and to collaborate with community organizations to implement evidence-based psychosocial interventions.Published by Alzheimer's Disease International (ADI), London. September 2012. Copyright © Alzheimer's Disease International. Preface S ymptoms of dementia are perceived differently in different parts of the world. this includes considering dementia as a normal part of ageing, mental illness, something metaphysical linked to supernatural or spiritual beliefs or as an irreversible disease of the brain. It is very important that there is better public awareness and understanding to reduce the stigma associated with dementia. this can happen only with well developed and executed political and public campaigns to support a societal shift towards acceptance and inclusion of people affected by dementia. Essay authorsLow levels of understanding about dementia lead to various misconceptions resulting in perpetuation of stigma which is prevalent in most countries at various levels. People with dementia are often isolated, or hidden, because of stigma or the possibility of negative reactions from neighbours and relatives to behavioural and psychological symptoms. the idea that nothing can be done to help people with dementia often leads to hopelessness and frustration.Urgent action is required to improve the understanding of dementia and so reduce stigma. It is with this aim that Alzheimer's Disease International (ADI) has produced this report on stigma to coincide with World Alzheimer's Month 2012.Overcoming stigma will help tremendously with achieving ADI's vision of an improved quality of life for people with dementia and carers. We also worked with the World Health Organization (WHO) on their report Dementia: a public health priority, which was released in April 2012. Dr...

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Reducing stigma and discrimination against older people with mental disorders: a technical consensus statement

Cited by 131 publications

References 2 publications

Nursing Students' Intentions to Work in Dementia Care: Influence of Age, Ageism, and Perceived Barriers

Nursing Students' Intentions to Work in Dementia Care: Influence of Age, Ageism, and Perceived Barriers

Higher Incidence of Deteriorated Mental Health in Older People Being Mistakenly Labeled as Dementia: A Two-Year Consecutive Community-Dwelling Study in Shanghai, China

CBT for Older People: An Introduction

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