Abstract:
OBJECTIVE:Integrated care has been identified as means of managing the demands on the healthcare budget while improving access to and quality of services. It is particularly pertinent to rural health services, which face limited access to specialist and support services. This paper explores the capacity of three rural communities in South Australia to deliver integrated mental health support for older people. METHODS:Thirty-one interviews were conducted with local health and social service providers from mental health, community health, general practice, residential aged care, private practice, NGOs and local government as part of a larger action research project on service integration. RESULTS:Participants highlighted differences in service delivery between the communities related to size of the community and access to services. Three structural barriers to delivery of integrated care were identified. These are as follows: fragmentation of governmental responsibility, the current funding climate, and centralisation and standardisation of service delivery. CONCLUSION:We conclude that despite a focus upon integrated care in mental health policy, many features of current service delivery undermine the flexibility and informal relationships that typically underpin integration in rural communities.
journal_name
Aging Ment Healthjournal_title
Aging & mental healthauthors
Henderson J,Dawson S,Fuller J,O'Kane D,Gerace A,Oster C,Cochrane EMdoi
10.1080/13607863.2017.1320702subject
Has Abstractpub_date
2018-08-01 00:00:00pages
1025-1031issue
8eissn
1360-7863issn
1364-6915journal_volume
22pub_type
杂志文章abstract::When diagnosis of dementia occurs earlier in the disease process, more time is available for treatment aimed at maintaining patient function and delaying decline, and for family education about the disease and its management. Primary care providers often, however, face challenges in making timely diagnoses. Nineteen p...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860410001725018
更新日期:2004-09-01 00:00:00
abstract:OBJECTIVES:We examined the prospective effects of an evidence-based exercise intervention on depressive symptoms in older Hispanics/Latinos and the potential synergistic effects (if any) of an attribution-retraining component to counter negative ascriptions to the aging process. METHOD:We analyzed baseline, 1-, 12-, 2...
journal_title:Aging & mental health
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1080/13607863.2018.1450833
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Few studies have measured the impact of dementia-related fear on daily functioning, despite its clinical relevance. Our aim was to determine the relationship between fear-avoidance of memory loss, perceived memory failures and self-reported quality of life in a community based sample of older adults using a ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1856780
更新日期:2020-12-09 00:00:00
abstract:OBJECTIVES:In younger populations childhood sexual and physical abuse have been found to be associated with suicidal ideation. Such associations have not been examined among older adults. SETTING:Data from the National Comorbidity Study-Replication (NCS-R). PARTICIPANTS:Older adults (60+, N = 1610) from the NCS-R sam...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2012.758236
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:Demonstrations of the effectiveness of interventions requires evidence that the model can be implemented with fidelity. Caregiving interventions that are tailored to the individual or family require flexibility, which adds some challenges to the assessment of fidelity. This paper outlines the components nece...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1647134
更新日期:2020-12-01 00:00:00
abstract::The current emphasis on early detection and disclosure of a diagnosis of dementia highlights the need to examine couples' shared constructions of, and responses to, the diagnosis, and to explore the appraisals that couples make about the illness at an early stage. While the experiences of carers and of people with dem...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860500114555
更新日期:2005-07-01 00:00:00
abstract::It is still largely unknown which actions people take to improve their mood when they feel they are getting depressed. Using the five-factor model of personality, we explore coping actions in a population of older adults in residential homes in relation to personality traits. A total of 350 non-cognitively impaired in...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860601086496
更新日期:2007-07-01 00:00:00
abstract::Complicated grief reactions are relatively common following spousal bereavement. Old-age spousal loss qualifies as a possible traumatic stressor; however, posttraumatic stress disorder (PTSD) as a possible complication of the loss has rarely been explored in this population. This study aimed to investigate the frequen...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860903228770
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVES:Limited health literacy has been shown to be associated with poor health status. However, research to date has not elucidated the factors that mediate the relationship between low literacy and poor health outcomes. The purpose of this study was to examine the mediating effect of self-efficacy on the relation...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607861003801011
更新日期:2010-09-01 00:00:00
abstract::Objectives: Impaired cognition and pre-frailty are associated with poor health outcomes. However, research has not examined the combined impact of cognitive impairment and pre-frailty on future frailty and mortality among older Mexican Americans. Methods: Data for this analysis came from the 2006-2007 and 2010-2011 wa...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1493719
更新日期:2019-10-01 00:00:00
abstract::This study examined the relationship between adherence to tradition and depression in a large sample (N = 1502) of Chinese elders living in the People's Republic of China. In Chinese traditional culture, an elder's purpose, meaning and self-worth are derived, in large, from their social roles within the family and com...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860500308017
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVES:To investigate the characteristics of the caregiving experience according to age at onset of dementia to adapt support programs. METHOD:Fifty-seven spouse caregivers of persons with early-onset dementia (PEOD) and 93 spouse caregivers of persons with late-onset dementia (PLOD) participated. The characterist...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2017.1339777
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVE:Late-life suicide is a complex clinical and public health problem. METHOD:In this article, some of the key complexities inherent in studying late-life suicide are discussed in the service of promoting high-quality late-life suicide prevention science. RESULTS:We discuss the following research issues: the re...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2015.1065791
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:To document the reliability, construct and nomological validity of the perceived Social Stigmatisation (STIG) scale in the older adult population. DESIGN:Cross-sectional survey. SETTING:Primary medical health services clinics. PARTICIPANTS:Probabilistic sample of older adults aged 65 years and over waitin...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2014.944092
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVES:The associations between subclinical depressive symptoms, as well specific symptom subscales, on brain structure in aging are not completely elucidated. This study investigated the extent to which depressive symptoms were related to brain volumes in fronto-limbic structures in a sample of middle-aged to olde...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2018.1432030
更新日期:2019-07-01 00:00:00
abstract:OBJECTIVE:Increased focus on the quality of health care requires tools and information to address and improve quality. One tool to evaluate and report the quality of clinical health services is quality indicators based on a clinical database. METHOD:The Capital Region of Denmark runs a quality database for dementia ev...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2010.508769
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVES:To examine whether the incidence of stroke influences affective well-being (positive affect and negative affect), and whether such a relationship is moderated by general self-efficacy. METHOD:Longitudinal data from 2008, 2011 and 2014 were used from a population-based sample of community-residing individual...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1671315
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVES:To adapt the Internalized Stigma of Mental Illness scale (ISMI) to examine self-stigma associated with aging and to study the psychometric properties of this adapted version (IS65+). Finally, self-stigma associated with age in older people is studied. METHOD:The IS65+ was administered to a random sample of ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2016.1247422
更新日期:2018-02-01 00:00:00
abstract:OBJECTIVES:To examine the impact of a meditation program in mitigating loneliness and promoting wellbeing, life satisfaction and contentment among retired South Asian older adults. METHOD:Intervention group older adults (IN2 =166) underwent weekly classes of the customized meditation program for 2 years as compared to...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2019.1691143
更新日期:2021-02-01 00:00:00
abstract:OBJECTIVE:Positive psychological factors (PPFs) have been reported to have a significant impact on health in the general population. However, little is known about the relationship of these factors with mental and physical health in schizophrenia. METHOD:One hundred and thirty-five outpatients with schizophrenia and 1...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2016.1251572
更新日期:2018-03-01 00:00:00
abstract::The purpose of this study was to consider the contribution of intergenerational exchange to mental health. Using data from a national sample of Jewish Israelis age 60 and over with children (n = 1799), reciprocal and non-reciprocal exchange patterns were identified and examined in relation to respondents' scores on a ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860410001669723
更新日期:2004-05-01 00:00:00
abstract:OBJECTIVES:Financial debt held by older adults in the U.S. has grown over the past two decades. This study examines the extent to which credit cards, other consumer debts, and mortgage debt increase financial stress. Outcome measures of financial stress include the material domain ("bill-paying difficulty") and psychol...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2020.1843000
更新日期:2020-11-10 00:00:00
abstract:OBJECTIVES:The purpose of this study is to clarify causal relations between coping strategies and burnout in family caregivers of frail elders in Japan. METHODS:Baseline and 1-year follow-up interviews were conducted with 546 caregivers living in suburban Tokyo. Using newly refined measures, five coping strategies of ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860802224318
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVES:This study examined determinants of discriminatory behavior towards a person with Alzheimer's disease (AD) using an attribution model. More specifically, the effects of residing in a nursing home compared with the community were examined. METHOD:A phone survey was conducted during the summer of 2007 with a ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860802380649
更新日期:2008-11-01 00:00:00
abstract::The Acute versus Chronic Pain Questionnaire (ACPQ) was applied to older people. Two groups emerged from an analysis of which an item of each pair (an acute and a chronic affective item) was considered to cause the most suffering. One group of subjects comprised those who expected to suffer more from one or more acute ...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860220142378
更新日期:2002-08-01 00:00:00
abstract:OBJECTIVES:The effect of chronic disease status on quality of life (QoL) has been well established. However, less is known about how chronic diseases affect QoL. This article examines impairment in three domains of the WHO International Classification of Functioning, Health and Disability (ICF) - body function, activit...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2014.955457
更新日期:2015-07-01 00:00:00
abstract:OBJECTIVE:The aims of the study were to report on the development and evaluation of a staff training intervention in dementia care designed for use in the general hospital setting: the 'Getting to Know Me' training programme. The study also aimed to undertake initial psychometric analysis on two new outcome scales desi...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607863.2013.856860
更新日期:2014-05-01 00:00:00
abstract::This study investigates general and social self-efficacy as possible mediators of the relationship between quantity and quality of social relations and depressive symptomatology. Mediation models were examined using a regionally representative sample of middle-aged (35-59) and older adults (60+). Hierarchical regressi...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/13607860500310690
更新日期:2006-05-01 00:00:00
abstract::Early intervention in Alzheimer's disease (AD) should focus on psychological and social needs as well as the provision of medication. One possible component of early intervention programmes for people with early-stage AD is cognitive rehabilitation aimed at fostering the development of strategies for coping with memor...
journal_title:Aging & mental health
pub_type: 杂志文章
doi:10.1080/1360786021000045854
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVES:Prior integrative reminiscence interventions have had a limited focus on attachment themes. The attachment-focused integrative reminiscence (AFIR) intervention differs from these in its central emphasis on attachment themes. The wide range of health benefits resulting from integrative reminiscence may be due...
journal_title:Aging & mental health
pub_type: 杂志文章,随机对照试验
doi:10.1080/13607863.2015.1023764
更新日期:2016-01-01 00:00:00