Barriers to serving older adults with a psychiatric disability.

Hatfield, Agnes B.

doi:10.1037/h0095234

Cited by 18 publications

(20 citation statements)

References 14 publications

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“…At the turn of the century, older adults represented 12.5% of the U.S. population, but only 2% to 9% of persons seeking mental health and psychiatric services were older (Hatfield, 1999). Possible factors that might contribute to this discrepancy include cost and unavailability of services, lack of transportation, service provider attitudes and patient attitudes toward the use of mental health services (Hayslip, Panek, & Patrick, 2007).…”

Section: Introductionmentioning

confidence: 96%

Mental Health Attitudes Among Rural and Urban Older Adults

Hayslip

Maiden

Thomison

et al. 2010

Clinical Gerontologist

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This study compared samples of rural (n = 107) and urban older adults (n = 126), to explore differences in their attitudes toward mental health and mental health services. The moderating role that personality may play in accounting for rural versus urban differences in these variables was also explored. Each person completed a multidimensional measure of mental health attitudes and a trait measure of personality. Older adults in urban areas expressed more positive attitudes about mental health services than their rural counterparts, even when controlling for the poorer health of rural aged persons. In both groups, older adults who had sought mental health care held more positive views about such help than those who had not. There was an interaction between personality and the rural/urban dichotomy, such that NEO Neuroticism and, to a lesser extent, NEO Openness to Experience impacted mental health attitudes and help-seeking differentially among rural and urban older adults. These findings suggest that public policy makers and mental health providers should consider the interactive roles of culture-environment, personality, and attitudes toward mental health services when designing mental health programs for older adults.

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Section: Introductionmentioning

confidence: 96%

Mental Health Attitudes Among Rural and Urban Older Adults

Hayslip

Maiden

Thomison

et al. 2010

Clinical Gerontologist

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“…Hatfield (1999) notes that while older adults now constitute approximately 12.7% of the US population, estimates of mental health service usage ranges from approximately 2% of private services to between 4% and 7% of community mental health services to about 9% of inpatient care.…”

Section: Introductionmentioning

confidence: 98%

Attitudes towards mental health care in younger and older adults: Similarities and differences

Robb

Haley

Becker

et al. 2003

Aging & Mental Health

133

106

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It is commonly assumed that older and younger adults have very different attitudes about seeking mental health services and that this is a major factor in reducing the use of mental health services by the elderly. However, little evidence exists to illustrate how elders actually perceive mental health care. Responses from a survey of 474 older adults age 65 and over were compared with data from a national survey of 1001 persons age 21-65. Results indicate similarities in many attitudes including likelihood of seeking treatment for severe mental disorders, importance of mental health care, and concerns about cost and coverage as barriers to care. Differences included use of services, perceptions about less severe disorders, referral sources, and preferred providers. Clinical, policy and public education implications are discussed.

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“…The development of effective psychotropic medication has benefited some older persons (Hatfield, 1999). However, alcohol, prescription drugs, and nonprescription drugs are all too often used to ameliorate emotional or physical pain.…”

Section: Psychological Factorsmentioning

confidence: 99%

“…The so-called sandwich generation, middle aged persons who are providing care for older relatives while still raising children, often could use services such as financial and psychological counseling, support groups, and respite. Unfortunately services are sometimes unavailable or uncoordinated and overburdened family members handle problems without help (Hatfield, 1999).…”

Section: Mary Margaret Just 123mentioning

confidence: 99%

“…Most studies reviewed for this article strongly recommend that comprehensive detection, treatment, and follow up programs be developed to reduce older persons' vulnerability (Choi & Mayer 2000;Cyphers, 1999;Hazelton, Sterns, & Chisholm, 2003;Hatfield, 1999;NCEA, 1998;NCEA, 2002;O'Connell, Chin, Cunningham, & Lawlor, 2003). Accurate assessment and collaborative planning are not effective when services for mistreated elders are inadequate or simply unavailable.…”

Section: Implementation Access Issuesmentioning

confidence: 99%

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Chapter 6. Issues in Caregiving

Just¹

2007

Journal of Human Behavior in the Social Environment

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Some 10 to 29% of persons over 65 in the United States are sufficently physically, cognitively, or emotionally impaired to need some level of caregiving from their informal and formal support systems. Unfortunately, there are still some older persons who need care, but care is either not provided, inadequate, or involves some form of mistreatment. This chapter discusses the difficulties of maltreatment and substance abuse.

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Barriers to serving older adults with a psychiatric disability.

Cited by 18 publications

References 14 publications

Mental Health Attitudes Among Rural and Urban Older Adults

Mental Health Attitudes Among Rural and Urban Older Adults

Attitudes towards mental health care in younger and older adults: Similarities and differences

Chapter 6. Issues in Caregiving

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