Who cares for older people with mental illness? A survey of residential aged care facilities in the Australian Capital Territory: Implications for mental health nursing

Jones, Tony S.; Matias, May; Powell, Jo; Jones, Eriita; Fishburn, Joe; Looi, Jeffrey Cl

doi:10.1111/j.1447-0349.2007.00482.x

Cited by 12 publications

(13 citation statements)

References 16 publications

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“…The establishment in 2006 of the Equality and Human Rights Commission, championing rights and equality throughout the UK, and the work of the Scottish Human Rights Commission (2010) to embed a human rights‐based approach into the care of older people raise the profile of rights‐based thinking into nursing practice. Implicit in these campaigns is the quality and quantity of training of those who care for people with dementia (see Jones et al. , 2007), with a responsibility placed on nurses to engage care workers and people with dementia with a rights‐based approach to care.…”

Section: Discussionmentioning

confidence: 99%

Human rights, citizenship and dementia care nursing

Kelly¹,

Innes²

2012

Int J Older People Nursing

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Section: Discussionmentioning

confidence: 99%

Human rights, citizenship and dementia care nursing

Kelly¹,

Innes²

2012

Int J Older People Nursing

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“…It is now well acknowledged that there is a crisis in aged care in Australia with an absolute decline in the number of nurses working in this sector by 22.3% over the period 1986–2001 (Hugo 2007). An exodus of both general and psychiatric registered nurses from residential aged care facilities has meant that a de‐professionalizing of aged care has come about with important implications for the well‐being of elderly people, particularly those with complex mental health problems (Jones et al . 2007).…”

Section: Introductionmentioning

confidence: 99%

A population-based retrospective cohort study comparing care for Western Australians with and without Alzheimer's disease in the last year of life

Rosenwax

McNamara

Zilkens

2009

Health &Amp; Social Care in the Community

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Our study investigated health service use for people in the last year of life, comparing those who died with and without Alzheimer's disease (AD) documented on the death certificate. Using a population-based retrospective cohort design, and utilizing the Western Australian Data Linkage System for the period 2000-2002 (2.5 years), the study found that 992 people died of either AD alone or AD with at least one other condition recorded on the death certificate. Of those with documented AD, 90.4% were aged 75 or more years, two-thirds were female (68.8%), more than one-half were widowed (59.3%) and the majority lived in a major city (77.0%). Most deceased people had comorbidities recorded on death certificates (90.0%); the majority having either two (34.5%) or three (28.8%) comorbid conditions. Over two-thirds of people aged over 75 years with AD died in a residential aged care facility (RACF, 67.4%), while the greatest proportion of people without AD died in hospital (52.9%). When a comparison was made in the use of hospital and community-based services for decedents aged over 75 years with and without AD, dissimilarities were evident. Less than one-half of people with documented AD received hospital care in the last year of life (46.3%) compared to over 80% of people without AD (80.5%). Likewise, fewer people in the Alzheimer's group received community care when compared to those without documented AD (10.8% vs. 28.5%). Despite a small group of people with AD (5.4%) who were transferred to an RACF shortly before dying, most people in this group lived and died in an RACF and had their care provided in this setting. Adequate nursing, medical and allied health services, and the provision of appropriate social support, including the use of advance care directives in RACFs, are essential for equitable provision of care to people with AD.

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“…Most PCAs possess basic educational qualifications (e.g., Certificate III in Aged Care; King et al, 2012) but report low rates of on-the-job training in mental illness. In one study, only 17% of PCAs reported receiving training in mental illness upon commencement of employment at RACFs, and only 11% reported ongoing training in mental illness (Jones et al, 2007). Additionally, more senior staff, such as registered nurses, have also reported limited training in understanding depression (Davison, McCabe, Mellor, Karantzas, & George, 2009).…”

Section: Discussionmentioning

confidence: 99%

“…One such factor is inadequate staff training in detecting mental illness (Jones et al, 2007;Richardson & Martin, 2004). One such factor is inadequate staff training in detecting mental illness (Jones et al, 2007;Richardson & Martin, 2004).…”

mentioning

confidence: 99%

“…Firstly, access to psychological services for residents may be impeded by factors related to aged care staff. One such factor is inadequate staff training in detecting mental illness (Jones et al, 2007;Richardson & Martin, 2004). McCabe, conducted focus groups with carers, nurses, general practitioners (GPs), and aged care managers who worked in four aged care settings in Australia, and concluded that the level of knowledge of late-life depression among staff was low.…”

mentioning

confidence: 99%

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The Availability of Psychological Services for Aged Care Residents in Australia: A Survey of Facility Staff

Stargatt

Bhar

Davison

et al. 2017

Australian Psychologist

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Objective: Rates of depression and anxiety are high among older adults in residential aged care facilities (RACFs). This study examined the extent to which psychological services are made available to facility residents in Australia, and investigated barriers to accessing such services. Method: The sample consisted of 90 senior staff from a random sample of RACFs. Participants completed self-report questionnaires regarding their perspectives on the availability of psychological services and potential barriers to access psychological services. Results: Access to psychological services was poor. Psychologists were employed at a rate only one third that of other providers of mental health services. Residents were rarely referred to psychologists or to psychological treatments. The most important barriers to access, as perceived by participants, were the low availability of psychologists specialising in treating older adults, lack of government funding for such access, and limited staff training in detecting depression and anxiety. Conclusion: Access to psychologists and psychological services remains poor in Australian residential aged care settings. Such access may be improved by developing a workforce of clinical geropsychologists, improving funding mechanisms for residents to access psychological services, and addressing staff knowledge about depression and anxiety.

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Who cares for older people with mental illness? A survey of residential aged care facilities in the Australian Capital Territory: Implications for mental health nursing

Cited by 12 publications

References 16 publications

Human rights, citizenship and dementia care nursing

Human rights, citizenship and dementia care nursing

A population-based retrospective cohort study comparing care for Western Australians with and without Alzheimer's disease in the last year of life

The Availability of Psychological Services for Aged Care Residents in Australia: A Survey of Facility Staff

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