Improve the level of elderly mental health services and care
August 09, 2019 08:24 Source: "China Social Sciences", August 9, 2019, No. 1753, Author: Ran Mao Puemanman

In recent years,Population aging quickly intensified worldwide。The relevant data released in the United Nations "World Population Outlook 2019" shows,2019 Global 65 and above population account for 9%of the total population,It is expected to be 2050,The proportion of population of 65 and above will reach 16%。my country has entered an aging society since 2002,The speed of population aging is significantly faster than other low -income countries。The "China Aging and Healthy Country Evaluation Report" released by the World Health Organization,2010,The population of 60 and above in my country accounts for 12.4%of the total population,It is expected to be 2040,This ratio will rise to 28%。Affected by urbanization and urban and rural population flow,Overall,my country's rural population aging is faster than the aging speed of urban population。From 1982 to 2005,The proportion of population 60 and above rises from 7.8%to 13.7%,City rose from 7.1%to 12.1% 。The aging of the population and the social problems it produced have become the focus of concern to the world including China。

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With the development of society and economy and the aging of the population,The mental health of the elderly has become an important public health problem and prominent social problems。Report by the World Health Organization (WHO) display,China's disease spectrum has begun to transform from infectious diseases to non -infectious diseases。It is estimated,In our country,The burden of disease caused by mental disorders accounts for 13%of all non -infectious disease burdens。Large studies display,Mental Bet365 app download disease affects the quality of life of the elderly to varying degrees,Lotten the life satisfaction of the elderly,It may even become one of the influencing factors that cause the elderly to commit suicide。

The common mental health issues commonly included in the elderly mainly include dementia、Emotional disorders (such as depression、Two -way obstacles)、anxiety disorder, etc.。According to the 2012 national psychiatric disease epidemic survey,among people 65 and above,The prevalence of Alzheimer's disease reached 5.6%(3.5-7.6),Emotional disorders (depression,two -way disorder) prevalence of 3.9%(3.0-4.8),Anxiety disorder reaches 4.7%(3.3-6.1)。As of 2010,Chinese Alzheimer's patients have exceeded 6 million,It is estimated that it may rise to 22.5 million by 2040。The prevalence of dementia in rural areas is significantly higher than that of urban areas。At the same time,Global,Depression has also become a prominent problem facing the elderly。The prevalence of depression among the elderly,About 49%in developed countries,About 21.9%in developing countries。Studies show,The overall prevalence of depression among the elderly in our country is 22.7%,The height of the prevalence of the prevalence is due to gender、Age、Geographical location and education level is different。other,The overall prevalence of mild cognitive disorder in our country is 12.7%,Gender、Age、Educational level and other factors,The prevalence (9.6%) in the eastern region is significantly lower than the western region (14.7%)。The prevalence of mild cognitive impairment in rural areas in my country is higher than that of urban areas。Mild cognitive impairment of the elderly will become an important issue for future elderly spiritual hygiene attention,Especially for developing countries。The above evidence Bet365 app download shows,The mental health of the elderly has become a public health problem that is generally concerned,It has become a major challenge facing Chinese society and families。How to provide effective treatment and care for patients with elderly mental disorders?

There are differences in the treatment of patients with elderly mental disorders。Elderly patients cannot make full use of effective health services (such as inpatients and community mental health services) will affect their prognosis of health and disease,If the disability rate is increased、Cognitive damage and mortality。and,Different from my country's urban and rural health services and health insurance systems,City and rural elderly people have huge differences in obtaining health services,Rural elderly people are more difficult to obtain effective health services and care。How to provide necessary treatment services for the elderly with mental health,It has become an important issue that affects my country's mental health services。

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Patients with elderly mental disorder not only need to be treated,More care。Chinese traditional culture emphasizes that family and children should respect and support the elderly。So far, patients with elderly mental disorders in our country are still mainly at home.,Family members are the auxiliary staff of the treatment service of elderly patients,It is also the main provider of its care service。but,With the rapid development of socio -economic and urbanization,Family structure and family concept have changed a lot。The decrease in the average number of families with the average family,The concept of "filial piety" in the society has changed。This has caused some problems in the treatment and care of individual elderly patients,There is a situation where no one cares or Bet365 app download take care of it,This may further lead to loneliness and depression in the elderly。How to organically combine the treatment and care of elderly patients,This is very important。

Due to physical weakness、Effects of chronic diseases and mental illness,Self -care ability of elderly patients is limited,Need to provide it with long -term care。Current,The long -term care of elderly patients in our country faces many challenges。First,Patient's managing system supply and demand gap is large,Large load in control,Resources are relatively insufficient。The main caregiver is mainly spouse、Children supplemented; the care system is more fragile,The availability of the resources is not high。Elderly patients not only need the treatment and care of mental illness,Many need to be caring for the end。but,This service is relatively lacking,Especially elderly people who receive home care services。2,Professional and non -professionals are relatively insufficient and lack of training。First -line nursing staff and health care labor serious insufficiency,There is a large gap between the long -term care labor force of the city and the countryside,The development of the rural pension service system and spiritual health services is far behind cities; professional and social staff serious shortages,The education and training level of medical staff and community staff of elderly care institutions is low,Lack of practical skills for the elderly with mental health problems。At the same time,The salary level of medical staff and social workers with elderly care services is low,Poor treatment,Limited occupational development,Laboratory attractiveness,Large personnel liquidity。Last,Informal nursing personnel are less professional training and guidance,Especially family caregivers,Lack of professional nursing bet365 Play online games ability,Great care pressure in all aspects。So,How to strengthen majors (such as doctors、Nurse、Social workers、Hospital Manager、Community staff, etc.) and non -professional (such as family members、Friends or non -relatives caregivers, etc.) Training for managers,Is an urgent problem。

At the same time,Provide families who take the main care of the elderly patients with mental disorders,Due to long -term high load、Tedicated and complex care work,Economic burden is relatively heavy,Facing pressure in all aspects,Other needs are also difficult to get met。Many managers may have bad emotions (such as fear、Self -blame sadness、Emotional frustration)。How to emphasize family treatment and care,Policies to support the relatives of the elderly,Protect the rights and interests of the relatives of the elderly (such as economic assistance、Support Service、Knowledge training, etc.),Enhance the quality of long -term care?

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2016,my country proposed the "Healthy China 2030" planning outline。To achieve the strategic goal of "Healthy China 2030",It is necessary to strengthen the service and research of patients with elderly mental disorders,The level of continuous improvement of elderly mental health services and care。

Entering aging society in my country currently,In the context of the government promoting the "Healthy China" strategy,How to promote the mental health of the elderly,Promote the elderly mental health service,Reduce the burden of long -term care of patients with elderly patients? This needs to promote and improve the following work。First,The knowledge level of the elderly health of the whole people should be improved,Pay attention to the mental health problems that the elderly may appear,Emphasized prevention。2,Promote the formulation of elderly mental health services and the formulation bet365 best casino games of related policies in managing related policies,Promote the development of related services and care。third,In mental health services,Changing the traditional "biomedical mode",Using "Bio -Psychology -Social Medicine Model"。fourth,Improve the community -based mental health services and the compound Yuan system,Prevention and treatment of promoting elderly mental disorder,Ensure that the elderly mental disorder can be obtained as much as possible in the community spiritual health service,Reduce long -term hospitalization。Fifth,Development of comprehensive spiritual health services and compound personnel teams,Including elderly doctors、Elderly Psychiatrist、Nurse、Physical therapist、Psychotherapist (consultant)、Medical or mental health society workers、Occupational therapist、Nursing staff (caregiver), etc.,Constantly improving the elderly mental health service。In view of the importance of mental health social workers in elderly mental health and compound Yuan,The team of mental health social workers urgently need to establish and strengthen。Sixth,Strengthen professional training and guidance for mental health services and health care personnel,Combined with Chinese cultural characteristics and successful experience in other countries,Establish relevant training content,Explore new effective services and care methods,Improve the level of care of professionals。Seventh,Policies and fund support for the home care of elderly patients,Improve the quality of home care,Develop a comprehensive family care service。Eighth,Pay attention to the differences in urban and rural development in my country,Increase the mental health services of elderly patients in rural areas and support for Fuyuan,Provide support for the necessary policies and funds,Gradually narrow Bet365 lotto review the gap between urban and rural elderly mental health services and Fuyuan。Ninth,For elderly patients in need,Provide a dying care care service,Make sure that the elderly live to the last moment with dignity。Tenth,Research on the spiritual health services and care of the elderly,Constantly promote the innovation of the theory and service of the elderly's mental health,Sustainable development of promoting elderly mental health services and care。

(Author Unit: Department of Social Work and Social Administration of the University of Hong Kong)

Editor in charge: Changchang
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