"Mental Health Has Been Left Behind": A Qualitative Exploration of stakeholders' Perceptions of Older adults' Mental Well-Being Needs and Services in a Colombian Displaced Community.

IF 2.6 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Thaïs Caprioli, Maria Isabel Zuluaga-Callejas, Mark Gabbay, Gabriel Saldarriaga-Ruiz, Yeferson Castaño-Pineda, Erika Maria Montoya, Andrew Robertson, Clarissa Giebel
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引用次数: 0

Abstract

Objectives: Many older Colombians have been exposed to violence. This study sought to explore stakeholders' perceptions of older adults' mental well-being needs and mental well-being service provision within a Colombian displaced community.

Methods: Employing an exploratory qualitative design, semi-structured and in-depth interviews were conducted with stakeholders of health, public health and welfare services between October 2021-June 2022. Two public advisors were involved in devising the topic guide, which elicited information on older adults' mental well-being needs and service provision. Interviews were conducted in Spanish, transcribed verbatim and translated into English. Data were analyzed by an inductive thematic analysis.

Results: Thirteen stakeholders were interviewed. Three themes were generated: 'older adults' unmet well-being needs;' characterizing the provision of mental well-being services; and barriers and facilitators to increasing the provision of mental well-being services. Older adults experienced considerable mental well-being needs. While stakeholders' motivation to address unmet needs appeared high, service provision seemed limited and fragmented, hamstrung by insufficient resources.

Conclusions: Older adults in this community are underserved. Greater priority and resources, need to be allocated to mental well-being services.

Clinical implications: Greater and widely accessible resources, human and financial, are required to further expand the current provision of mental well-being services.

“心理健康已被抛在后面”:哥伦比亚流离失所社区中利益相关者对老年人心理健康需求和服务的看法的定性探索。
目标:许多年长的哥伦比亚人遭受过暴力。本研究旨在探讨利益相关者对哥伦比亚流离失所社区老年人心理健康需求和心理健康服务提供的看法。方法:采用探索性定性设计,于2021年10月至2022年6月对卫生、公共卫生和福利服务的利益相关者进行半结构化和深度访谈。两名公共顾问参与了主题指南的设计,该指南收集了有关老年人心理健康需求和服务提供的信息。采访以西班牙语进行,逐字记录并翻译成英语。数据分析采用归纳专题分析。结果:访谈了13位利益相关者。产生了三个主题:“老年人未满足的福祉需求”;表征心理健康服务的提供;以及增加心理健康服务提供的障碍和促进因素。老年人经历了相当大的心理健康需求。虽然利益攸关方解决未满足需求的动机似乎很高,但服务提供似乎有限且支离破碎,受到资源不足的制约。结论:该社区的老年人服务不足。需要将更多的优先事项和资源分配给精神健康服务。临床意义:需要更多和更广泛的人力和财力资源,以进一步扩大目前提供的精神健康服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Clinical Gerontologist
Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY
CiteScore
6.20
自引率
25.00%
发文量
90
审稿时长
>12 weeks
期刊介绍: Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.
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