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Care for elderly people with mental illness: a global problem.
1Behavioural and Brain Sciences Unit, Institute of Child Health, London, UK, email dskuse@ich.ucl.ac.uk.
Summary
Global populations are aging, increasing the number of elderly individuals susceptible to mental illness. This study examines the inadequate geriatric care, particularly in low- and middle-income countries, challenging assumptions about cultural respect for the aged.
Area of Science:
- Geriatric Medicine
- Global Health
- Sociology of Aging
Background:
- Global populations are aging due to improved diets and medical care.
- Elderly individuals are increasingly vulnerable to mental illness.
- Geriatric care quality is insufficient, even in high-income nations, with age discrimination reported.
Purpose of the Study:
- To investigate the quality of geriatric mental healthcare in low- and middle-income countries.
- To explore attitudes towards the elderly in different cultural contexts.
- To examine the impact of industrialization on the care of older adults.
Main Methods:
- Thematic analysis of articles from India, Africa, and South-East Asia.
- Review of existing literature on geriatric care and ageism.
- Cross-cultural comparison of societal attitudes towards the elderly.
Main Results:
- Elderly individuals in high-income countries report experiencing age discrimination in healthcare.
- Assumptions of greater respect for the elderly in lower-income regions appear to be a misapprehension.
- Industrialization is associated with changing, often negative, attitudes towards the elderly.
Conclusions:
- Geriatric mental healthcare is a growing global challenge, exacerbated in lower-income settings.
- Cultural factors do not guarantee better care for the elderly; industrialization negatively impacts these attitudes.
- Urgent improvements in geriatric care are needed worldwide, addressing ageism and cultural shifts.
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