A Study on Mental Health Service Needs among Older Adults and the Policy Response in China: Experiences in Urban Shanghai

IF 1 Q4 GERONTOLOGY
Honglin Chen, Yanyan Chen, Yan Wang, Hongtu Chen, Levkoff Sue, Tianshu Pan, Yuanyuan Wang, Yanling He
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Abstract

Despite increasing awareness of mental health problems among older adults, limited mental health services are available to meet their needs. The proposed study aimed to evaluate the need for mental health services among older adults in Shanghai, China, and identify gaps in the existing service system to inform policy making. Based on 80 face-to-face interviews amongst several groups of older adults and community officers, doctors and government stakeholders, the study found that (a) the mental health needs of older adults living with family members mainly present as needs for social interaction, sense of belonging, and self-realization; (b) special groups, such as older adults living alone, mainly desire support to address loneliness, older adults with physical disabilities desire social respect, and those with mental disabilities seek social acceptance; and (c) community cadres and other stakeholders have paid little attention to demands related to mental well-being among older people. It is necessary to deliver mental health education to community stakeholders and the public, popularize mental health knowledge, and publicize professional psychological counseling and treatment services. Meanwhile, policy makers should allocate resources to train professional mental health services personnel to meet these growing mental health needs and increase financial support for mental health services for older adults.

中国老年人心理健康服务需求及政策响应研究——以上海城市为例
尽管老年人对心理健康问题的认识不断提高,但能满足他们需求的心理健康服务却十分有限。本研究旨在评估中国上海老年人对心理健康服务的需求,并找出现有服务体系中的不足,为政策制定提供参考。通过对多组老年人、社区干部、医生和政府相关人员进行 80 次面对面访谈,研究发现:(a)与家人同住的老年人的心理健康需求主要表现为社会交往、归属感和自我实现的需求;(b)特殊群体,如独居老年人,主要希望得到支持以解决孤独感,肢体残疾老年人希望得到社会尊重,精神残疾老年人寻求社会接纳;(c)社区干部和其他相关人员很少关注老年人的心理健康需求。因此,有必要对社区相关人员和公众开展心理健康教育,普及心理健康知识,宣传专业的心理咨询和治疗服务。同时,政策制定者应分配资源,培养专业的心理健康服务人员,以满足这些日益增长的心理健康需求,并增加对老年人心理健康服务的财政支持。
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来源期刊
Ageing International
Ageing International GERONTOLOGY-
CiteScore
2.70
自引率
6.70%
发文量
39
期刊介绍: As a quarterly peer-reviewed journal that has existed for over three decades, Ageing International serves all professionals who deal with complex ageing issues. The journal is dedicated to improving the life of ageing populations worldwide through providing an intellectual forum for communicating common concerns, exchanging analyses and discoveries in scientific research, crystallizing significant issues, and offering recommendations in ageing-related service delivery and policy making. Besides encouraging the submission of high-quality research and review papers, Ageing International seeks to bring together researchers, policy analysts, and service program administrators who are committed to reducing the ''implementation gap'' between good science and effective service, between evidence-based protocol and culturally suitable programs, and between unique innovative solutions and generalizable policies. For significant issues that are common across countries, Ageing International will organize special forums for scholars and investigators from different disciplines to present their regional perspectives as well as to provide more comprehensive analysis. The editors strongly believe that such discourse has the potential to foster a wide range of coordinated efforts that will lead to improvements in the quality of life of older persons worldwide. Abstracted and Indexed in: ABI/INFORM, Academic OneFile, Academic Search, CSA/Proquest, Current Abstracts, EBSCO, Ergonomics Abstracts, Expanded Academic, Gale, Google Scholar, Health Reference Center Academic, OCLC, PsychINFO, PsyARTICLES, SCOPUS, Social Science Abstracts, and Summon by Serial Solutions.
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