Ageism in Mental Health and Health Care: A Critical Review

@article{Robb2002AgeismIM,
  title={Ageism in Mental Health and Health Care: A Critical Review},
  author={C. Robb and Hongbing Chen and W. Haley},
  journal={Journal of Clinical Geropsychology},
  year={2002},
  volume={8},
  pages={1-12}
}
Discussions of aging and mental health widely assume that ageism among mental health providers is an important factor limiting access to mental health services for older adults. Given the widespread citation of ageism as a problem, we critically review the history of the ageism construct, and evidence for its existence in both mental health and medical professionals. There is surprisingly little empirical evidence for age bias among mental health providers. Considerable evidence does suggest… Expand
Improving the Mental Health of Older Adults
TLDR
Evidence for the effectiveness of psychological interventions with older adults, the importance of ethnic diversity issues in mental health and aging within the population of dementia caregivers, and the influence of public policies on the accessibility of mental health services for older adults are analyzed. Expand
Ageism in the Health Care System: Providers, Patients, and Systems
Older adults are major consumers of health care. Within the context of an ageing society, their presence in the health care system will continue to grow. Ageist stereotypes and discrimination againstExpand
Health anxiety and medical utilization: The moderating effect of age among patients in primary care.
TLDR
Assessing for health anxiety could be particularly important for older adult patients who frequently seek out medical services, and the moderating effect of age was specific to a somatic/body preoccupation, rather than health worry, dimension of health anxiety. Expand
Experiences of ageism and the mental health of older adults
TLDR
It is suggested that experiences of ageism may be an important factor in the health and well-being of older adults, especially for those who are younger, male, and heterosexual, and may need to be taken into account when devising strategies for supporting healthier and happier ageing. Expand
Culture and ethnicity in the mental health of older adults
Abstract The older adult population has seen marked demographic changes with racial and ethnic minority individuals constituting the fastest-growing segment within this group. Mental healthExpand
Beliefs about mental illness and willingness to seek help: A cross-sectional study
TLDR
Correlational analyses showed that increases in negative attitudes about mental illness (specifically, the view that the mentally ill have poor interpersonal skills) are associated with decreases in willingness to seek psychological services, suggesting that negative stereotypes about mentally illness held by some older adults could play a role in their underutilization of mental health services. Expand
Navigating the Minefield: Managing Refusal of Medical Care in Older Adults with Chronic Symptoms of Mental Illness
TLDR
There are multiple complex issues to consider when an older adult with chronic symptoms of mental illness refuses treatment for serious comorbid medical conditions and clinicians should adopt a role of advocacy for their patients. Expand
Ageism as a Risk Factor for Chronic Disease.
  • J. Allen
  • Psychology, Medicine
  • The Gerontologist
  • 2016
TLDR
Experts have found empirical support for the weathering hypothesis as well as its theorized contribution to racial and ethnic health disparities and recommendations for future research are concluded. Expand
Intrinsic and extrinsic barriers to mental health care among community-dwelling younger and older adults
TLDR
Results indicated that younger adults perceived fear of psychotherapy, belief about inability to find a psychotherapist, and insurance concerns to be greater barriers than older adults, providing further evidence that stigma about receiving mental health services is not a primary barrier among younger or older adults. Expand
Role of Dignity in Mental Healthcare: Impact on Ageism and Human Rights of Older Persons.
TLDR
Mental health professionals are uniquely positioned to incorporate the strategies to promote dignity in their clinical care and research as well as advocate for related social/health policies based on a human rights approach. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 53 REFERENCES
Age and health bias in practicing clinical psychologists.
TLDR
Results revealed some evidence for age bias, but much stronger effects indicating health biases regardless of client age, and implications for service delivery to older adults, and individuals with health problems, are discussed. Expand
Stigma and ageism: compounding influences in making an accurate mental health assessment.
TLDR
Strategies for overcoming the impact of stigma and ageism are presented to assist healthcare providers to advocate for geropsychiatric clients. Expand
Therapists' Attitudes as Explanation of Underservice of Elderly in Mental Health: Testing an Old Hypothesis
  • B. Knight
  • Psychology, Medicine
  • International journal of aging & human development
  • 1985
TLDR
It is suggested that Likert ratings and semantic differentials differ in sensitivity to personal experience with the aged, that therapists had more positive beliefs about the elderly than did college students, and that therapist attitudes were not correlated with either proportion of elderly clients seen or desire to work with elderly. Expand
Psychiatry and the elderly: an overview.
: The author notes that the elderly in our society have not been provided with treatment, research, and services commensurate with their needs. These needs are reflected in the increasing incidenceExpand
Assessing the Effects of Physician-Patient Interactions on the Outcomes of Chronic Disease
TLDR
It is concluded that the physician-patient relationship may be an important influence on patients' health outcomes and must be taken into account in light of current changes in the health care delivery system that may place this relationship at risk. Expand
Recognition and treatment of depression in the elderly.
  • G. Small
  • Medicine
  • The Journal of clinical psychiatry
  • 1991
TLDR
Clinical issues related to recognition of depression in elderly patients are reviewed and a systematic approach to diagnostic and treatment decision making is provided to assist the clinician when confronted with this often complex and challenging patient population. Expand
The Attitudinal Impact of Training in Gerontology/Geriatrics in Medical School: A Review of the Literature and Perspective
TLDR
The authors review the literature regarding the effect of education on medical student attitudes toward patient care and toward geriatric patient care in particular and suggest that empathically oriented programs that stress the establishment of contact with healthy, functioning older persons may be twice as effective as cognitively oriented programs That stress the acquisition of technical knowledge. Expand
Interventions in Physician-Elderly Patient Interactions
TLDR
The authors contend that the formation of strong, meaningful relationships between elderly patients and their physicians is best achieved through effective medical communication and care, and thus should be the function of appropriate interventions. Expand
Management of pain in elderly patients with cancer. SAGE Study Group. Systematic Assessment of Geriatric Drug Use via Epidemiology.
TLDR
Evaluating the adequacy of pain management in elderly and minority cancer patients admitted to nursing homes found age, gender, race, marital status, physical function, depression, and cognitive status were independently associated with the presence of pain. Expand
Cancer treatment and age: patient perspectives.
BACKGROUND Despite some evidence that age does not meaningfully influence the efficacy or toxicity of cancer treatment, older patients tend to receive less comprehensive cancer therapies. PURPOSEExpand
...
1
2
3
4
5
...