The psychosocial age: a tool to reduce the institutional stigma of elderly people with mental disorders

Dumand, Isabelle; Clesse, Christophe; Salime, Samira; Lietard, Florian; Decker, Michel; Lighezzolo-Alnot, Joëlle; Batt, Martine

doi:10.1684/pnv.2018.0761

Cited by 3 publications

(5 citation statements)

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“…In addition, the literature focusing on economic dynamics emphasizes (but is not evidence-based) that despite the proven effectiveness of community-based care for APSDMHD ( 9 ), community-based care could reduce unnecessary costs by being more efficient, better organized, identified, and visible ( 47 , 51 , 52 ). This is to limit costly recourse to hospitalization ( 39 ), rehospitalization ( 21 , 30 , 35 ), or placement in retirement homes ( 8 , 12 , 21 , 34 ). These publications do not however provide precise figures.…”

Section: Resultsmentioning

confidence: 99%

“…More recently, a French study of 790 health professionals working with individual carrying psychiatric disorders showed that these professionals had the same representation as the general population ( 59 ). These professional attitudes can then lead to the hasty idea that these individuals supported by psychiatry present major adaptation difficulties and lead to professional counter-attitudes ( 42 ), apprehension ( 42 ), or even the emergence of discrimination in state, institutional and professional support ( 8 , 12 , 14 , 59 ).…”

Section: Resultsmentioning

confidence: 99%

“…Finally, the presence of these stigmatizing elements induces the idea that accompanying APSDMHD is too complex or impractical, which often leads to the emergence of institutional resistance ( 34 , 38 , 42 , 61 ). On this point, some authors have pointed out that stigma and discrimination mechanisms may have kept APSDMHD away from community support policies ( 12 , 59 , 62 ). Faced with these elements, many state or supranational institutions ( 2 , 3 , 63 , 64 ), have recalled that stigmatization mechanisms have deleterious consequences on the organization and delivery of community services, as well as on the living conditions of older people with mental disorders ( 5 , 22 , 42 , 57 , 58 ).…”

Section: Resultsmentioning

confidence: 99%

“…Nowadays, it seems that aging people with severe and disabling mental health disorders who are hospitalized for long periods of time (APSDMHD-H) do not fully benefit from this mechanism ( 8 , 11 , 12 ). Yet, the numerical importance of this population ( 13 , 14 ), the difficulty of institutions to provide an appropriate ambulatory care setting for these individuals ( 15 – 17 ), or the little emergence of new knowledges in this field ( 18 ) shows today the need and urgency to conduct extensive research work in this specific field.…”

Section: Introductionmentioning

confidence: 99%

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Process of Deinstitutionalization of Aging Individuals With Severe and Disabling Mental Disorders: A Review

et al. 2022

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BackgroundFor more than 60 years, psychiatric services has gradually gone from an asylum model to a community model. This change has led to the emergence of a deinstitutionalization movement. This movement seems to have left behind long-term hospitalized aging individuals with severe and disabling mental disorders. The objective of this article is to conduct a review on the challenges and issues associated with the process of deinstitutionalization among hospitalized aging individuals with severe and disabling mental disorders.MethodsUsing PRISMA statement, the research methodology was carried out in English and French in 16 databases with a combination of 3 lists of keywords. The selection process was then followed by a thematic analysis which aimed at categorizing by theme and classifying the writings selected.ResultsA total of 83 articles published between 1978 and 2019 were selected and organized into six categories: (a) a forgotten population in research and health policies, (b) an economic presentation of the deinstitutionalization process, (c) an improvement in quality of life and global functioning for deinstitutionalized patients (d) from stigmatization to the rejection of elderly psychiatric inpatients from deinstutionalization process, (e) a difficult community-based care offer and a difficult epistemological identification, (f) from the lack of community services to the phenomenon of transinstitutionalization. The current state of scientific research, institutional policies and clinical practices associated with the deinstitutionalization process of SVPTSIH are then commented.ConclusionsRecommendations are proposed to researchers and professionals concerned with the support of long-term hospitalized aging individuals with severe and disabling mental disorders.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Process of Deinstitutionalization of Aging Individuals With Severe and Disabling Mental Disorders: A Review

et al. 2022

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“…Research ( 30 – 35 ) show that various mental disorders are increasingly being diagnosed among older people. Despite this, practitioner-clinicians still face diagnostic difficulties for different diseases, which is related to the masking of symptoms and their different specificity in older people compared to younger patients.…”

Section: Discussionmentioning

confidence: 99%

Ambulophobia as a Specific Phobia—Defining the Problem Among Patients of Long-Term Care Facilities in Poland

Górski

Buczkowska

Krzywkowska

et al. 2022

Front. Public Health

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BackgroundAmbulophobia is a type of specific phobia that involves a fear of walking. This phobia mainly affects older people, who prefer not to leave their bed or home to avoid walking on uneven surfaces and reduce the risk of falling. The problem seems to be very important in terms of public health and the organization of long-term care, as Poland has one of the highest rates of elderly population growth.ObjectivesThe aim of the study was to determine the prevalence of ambulophobia among patients of long-term care facilities in Poland and to identify factors increasing the risk of this specific phobia in the study group.Material and MethodsThe study was conducted between January and July 2021. Data collected from 379 patients of 16 long-term care facilities located in Poland were analyzed. The study used the diagnostic criteria for specific phobias according to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, and standardized questionnaires such as MMSE, GDS-16, DOS and ADL. The χ2 test was used to test the significance of differences (p = 0.05).ResultsThe prevalence of ambulophobia in the study group was 30.1%. Ambulophobia significantly more often concerned the female sex (37.7%) and people over 70 years of age (42,1%). Factors such as depression, Parkinson's disease, orthostatic hypotonia, a history of falling or being a witness to another person falling, and disability of at least a moderate degree increased the likelihood of ambulophobia.ConclusionsBased on the obtained results, it was found that the protective factors in the development of ambulophobia are male sex, younger age, high independence, fewer drugs used per day and no previous falls or seeing another person fall.

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Health professional’s social representation about ederly subject with mental health disorders: a pilot study on 790 health professionals

Salime

Clesse

Batt

2019

Aging & Mental Health

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The psychosocial age: a tool to reduce the institutional stigma of elderly people with mental disorders

Cited by 3 publications

References 0 publications

Process of Deinstitutionalization of Aging Individuals With Severe and Disabling Mental Disorders: A Review

Process of Deinstitutionalization of Aging Individuals With Severe and Disabling Mental Disorders: A Review

Ambulophobia as a Specific Phobia—Defining the Problem Among Patients of Long-Term Care Facilities in Poland

Health professional’s social representation about ederly subject with mental health disorders: a pilot study on 790 health professionals

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