Collaborative Care Models to Address Late-Life Depression: Lessons for Low-And-Middle-Income Countries

Tapia-Muñoz, Thamara; Mascayano, Franco; Toso-Salman, Josefina

doi:10.3389/fpsyt.2015.00064

Cited by 8 publications

(7 citation statements)

References 29 publications

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“…The first aspect seems to be the importance of providing healthcare professionals the opportunity for positive social contact, interaction, and involvement with people living with mental health issues. Research has shown that this type of contact, interaction, and involvement is effective in decreasing negative beliefs about mental illness [ 81 , 82 ], building confidence with such clientele, and consequently decreasing healthcare professionals’ reluctance to engage in mental health care in clinical practice [ 26 , 50 , 83 ]. Therefore, in parallel to anti-stigma campaigns and the institutionalization of best mental health practices through the drafting of national substance use and suicide prevention strategies in Tunisia, ways to encourage PCPs’ positive social interactions and involvement with people presenting with mental health issues in primary care settings, even those they deem to be more complex, would likely be beneficial.…”

Section: Discussionmentioning

confidence: 99%

Mental health knowledge, attitudes, and self-efficacy among primary care physicians working in the Greater Tunis area of Tunisia

Spagnolo¹,

Champagne²,

Leduc³

et al. 2018

Int J Ment Health Syst

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BackgroundNon-specialists’ involvement in mental health care is encouraged in the field of global mental health to address the treatment gap caused by mental illness, especially in low- and middle-income countries. While primary care physicians (PCPs) are involved in mental health care in Tunisia, a lower-middle-income country in North Africa, it is unclear to what extent they are prepared and willing to address mental health problems, substance use disorders, and suicide/self-harm. In this context, we aim (1) to report on mental health knowledge, attitudes, and self-efficacy among a sample of PCPs working in the Greater Tunis area, prior to the implementation of a mental health training program developed by the World Health Organization; and (2) to identify what characteristics are associated with these competencies.MethodsIn total, 112 PCPs completed questionnaires related to their socio-demographic and practice characteristics, as well as their mental health knowledge, attitudes, and self-efficacy. Descriptive analyses and regression models were performed.FindingsPCPs had more knowledge about depression, symptoms related to psychosis, and best practices after a suicide attempt; had favourable attitudes about distinctions between physical and mental health, learning about mental health, and the acceptance of colleagues with mental health issues; and believed most in their capabilities related to depression and anxiety. However, most PCPs had less knowledge about substance use disorders and myths about suicide attempts; had unfavorable attitudes about the dangerousness of people with mental health problems, personal disclosure of mental illness, non-specialists’ role in assessing mental health problems, and personal recovery; and believed the least in their capabilities related to substance use disorders, suicide/self-harm, and psychosis. Participation in previous mental health training, weekly hours (and weekly hours dedicated to mental health), weekly provision of psychoeducation, and certain work locations were associated with better mental health competencies, whereas mental health knowledge was negatively associated with weekly referrals to specialized services.ConclusionsFindings suggest that PCPs in our sample engage in mental health care, but with some gaps in competencies. Mental health training and increased interactions/involvement with people consulting for mental health issues may help further develop non-specialists’ mental health competencies, and integrate mental health into primary care settings.Electronic supplementary materialThe online version of this article (10.1186/s13033-018-0243-x) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Mental health knowledge, attitudes, and self-efficacy among primary care physicians working in the Greater Tunis area of Tunisia

Spagnolo¹,

Champagne²,

Leduc³

et al. 2018

Int J Ment Health Syst

View full text Add to dashboard Cite

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“…Table 1 shows the level of loneliness among elderly women in PKWTNS as determined using the UCLA Loneliness Scale instrument. It is worth nothing that none of the respondents reported "never" feeling lonely (0-20) and only 5.1 percent (n=4) were feeling minimal loneliness or "rarely" (21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40). A very large majority of respondents at 94.9 percent (n=74) were classified as "sometimes" feeling lonely (41-60).…”

Section: Findings Respondent Backgroundsmentioning

confidence: 99%

“…The presence of a chronic medical illness may in fact decrease the chances of recognition and therefore treatment of loneliness in the setting. The more severe condition of the illness, the higher the risk of loneliness 22 . A meta-analysis of interventions among elderly women with diabetes and loneliness showed that both psychotherapies and antidepressants were efficacious in treating loneliness among the elderly women with diabetes.…”

Section: Findings Respondent Backgroundsmentioning

confidence: 99%

Prevalence of Demographic Profiles and Loneliness among Elderly Women in Private Care Institution

2020

IJPHRD

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Loneliness among elderly women living in nursing home based on demographic profile become a phenomenon in many developed countries. In most research, loneliness has been identified as a negative feeling that can lead to death. Loneliness among elderly women occur when they are 60 years and above once their children grow up and married. Then, there retired from occupations and their spouse died and make they live alone. Thus, this study aimed to identify the factors of demographic profiles have an impact on loneliness among elderly women. This research was conducted at a private institution in Terengganu, Malaysia with 78 elderly women as respondents quantitatively. The questionnaires from UCLA Loneliness Scale were adopted to analyse the risk of elderly having loneliness in nursing home. The result showed the factors of demographic profile have an impact on loneliness among elderly women in private institution its strength and significant. As a conclusion, the study on loneliness among elderly women in nursing home is important to raise awareness about this alarming issue in the society especially among elderly women.

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“…First, 'depressive symptoms' were evaluated via the Geriatric Depression Scale (GDS) (Brink et al, 1982). The selection of depression as the mental health indicator owes to its significance in understanding psychological well-being in the ageing process (Tapia-Muñoz et al, 2015). The abbreviated version (GDS-SF, containing fifteen items) was used.…”

Section: Health Outcomesmentioning

confidence: 99%

Strangers in Their Own World: Exploring the Relation Between Cultural Practices and the Health of Older Adults in Native Communities in Chile

Peralta

Moreno

Rodríguez-Rodríguez

2019

The British Journal of Social Work

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In recent years, social gerontology has emphasised the concept of cultural diversity with the purpose of understanding how there is a differentiated ageing process in the life pathways of ethnic minorities. This study analyses the implications of Indigenous cultural practices for the health of a cross-sectional sample of 569 Indigenous Chileans (Aymara = 201 and Mapuche = 368) aged sixty and over. Measures were applied for depression, health problems, consumption of medication, cultural practices and resilience. The data analysis consisted of a linear and logistic regression analysis for scores on health-related measures. The results show significant differences amongst the Indigenous groups. Mapuche participants have more depressive symptomatology, more health problems and lower consumption of medication. There are differences in the explanatory variables for mental and physical health, but the results generally confirm that maintaining Indigenous medical practices, being resilient and engaging in intergenerational transmission of Indigenous culture are related with better health. These results suggest the need to incorporate an Indigenist and/or multicultural perspective into anti-oppressive social work practice by designing interventions and policies that help to maintain and perpetuate Indigenous health practices in community spaces.

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Collaborative Care Models to Address Late-Life Depression: Lessons for Low-And-Middle-Income Countries

Cited by 8 publications

References 29 publications

Mental health knowledge, attitudes, and self-efficacy among primary care physicians working in the Greater Tunis area of Tunisia

Mental health knowledge, attitudes, and self-efficacy among primary care physicians working in the Greater Tunis area of Tunisia

Prevalence of Demographic Profiles and Loneliness among Elderly Women in Private Care Institution

Strangers in Their Own World: Exploring the Relation Between Cultural Practices and the Health of Older Adults in Native Communities in Chile

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