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Developing a National Consensus on the Accessibility Needs of Older Adults with Concurrent and Chronic, Mental and Physical Health Issues: A Preliminary Framework Informing Collaborative Mental Health Care Planning*

Published online by Cambridge University Press:  01 June 2009

Salinda Horgan ,
Ken LeClair ,
Martha Donnelly ,
Geri Hinton ,
Penny MacCourt  and
Sarah Krieger-Frost
Salinda Horgan*
Affiliation:
Division of Geriatric Psychiatry, Dept. of Psychiatry, Queen’s University
Ken LeClair
Affiliation:
Division of Geriatric Psychiatry, Dept. of Psychiatry, Queen’s University
Martha Donnelly
Affiliation:
Division of Geriatric Psychiatry, Dept. of Psychiatry, UBC
Geri Hinton
Affiliation:
Family Caregiver; Executive Director, Office for Seniors (retired)
Penny MacCourt
Affiliation:
Research Affiliate, Centre on Aging, University of Victoria
Sarah Krieger-Frost
Affiliation:
Seniors Mental Health Team, Capital Health District
*
†Correspondence to: / Correspondance à : Salinda Horgan, PhD Manager, Program Evaluation & Health Services Development Geriatric Psychiatry Service, Providence Care (MHS) & Assistant Professor, Geriatric Division Department of Psychiatry, Queen’s University 752 King Street West, Postal Bag 603, Kingston, Ontario, K7L 4X3 Phone: (613) 548-5567 x.5896 Fax: (613) 540-6128 Email: horgans@providencecare.ca
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Abstract

Canada faces a significant challenge in meeting the health care needs of older adults with complex mental and physical health issues. Studies have shown collaborative mental health services to effectively address the diverse health needs of this group. However, an often overlooked yet important aspect of service delivery planning for this population is to ensure that older adults are sufficiently able to access available best-practice services. The article reports on a national consensus-building exercise conducted by the Collaborative Mental Health Initiative—Seniors Working Group to develop a nationally informed framework on the accessibility needs of older adults as they relate to collaborative mental health care. The framework is intended to provide planners, administrators, and providers with an understanding of the unique accessibility needs of older adults across three priority pillars (personal, caregiver, systemic) and to enable them to embed strategies to address these issues within field-based collaborative mental health initiatives.

Résumé

Le Canada fait face à un défi important, soit de répondre aux besoins en soins de santé des personnes âgées manifestant des problèmes physiques et mentaux complexes. Les études montrent que les services de santé mentale en collaboration sont efficaces en ce qui concerne les divers besoins de santé de ce groupe. Cependant, un aspect négligé, néanmoins important, de la planification de la prestation de services pour cette population est de s’assurer que les personnes âgées ont suffisamment accès aux services de pratiques d’excellence offerts. Cet article présente un exercice national de réalisation de consensus mené par l’Initiative canadienne de collaboration en santé mentale – Seniors Working Group. L’objectif de la réalisation de consensus est de développer, à l’aide de renseignements provenant de tout le paysQ1: Ok, oui c bon je comprends. si ton cadre conceptuel est nationally informed, c’est que forcément il reçoit de l'info de partout dans le pays. C’est pourquoi je l’ai traduit comme ça. Pour rester plus proche de l'anglais, on pourrait mettre kekchose comme obtenant des renseignements sur le plan national..?, un cadre conceptuel sur les besoins d’accessibilité des personnes âgées relatifs aux soins de santé mentale en collaboration. Le cadre conceptuel a pour but de fournir aux planificateurs, administrateurs et fournisseurs les éléments nécessaires pour comprendre les besoins uniques des personnes âgées en matière d’accessibilité, en fonction de trois priorités (l’élément personnel, systémique, et les prestataires de soins), et de leur permettre d’implanter des stratégies pour résoudre ces problèmes, à l’intérieur d’initiatives collaboratives de santé mentale mises en place sur le terrain.

Keywords

soins de santé mentale pour les personnes âgéessoins de santé mentale en collaborationplanification des soins en santé mentaleseniors mental healthcollaborative mental health carehealth care planning
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 28 , Issue 2 , June 2009 , pp. 97 - 105
Copyright
Copyright © Canadian Association on Gerontology 2009

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Footnotes

*

The authors are grateful to the participants who shared their knowledge and gave of their time to develop a robust and practical framework to inform collaborative mental health care planning for older adults with complex needs. The authors also gratefully acknowledge the two consultants, Ms. Linda Kessler and Dr. Brian Draper, who provided valuable feedback on the final iteration of the framework and associated toolkit. Acknowledgment is made to the Canadian Collaborative Mental Health Initiative for supporting the data collection and consensus planning process. The authors are indebted to the two anonymous reviewers for their helpful comments and suggestions.

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