Abstract
Abstract
Background
Questions of equitable access to primary mental healthcare (PMHC) for older persons in India have been examined mostly in terms of the coverage of services, although perceptions of mental health and old age and social norms at the community level should be considered in the shaping of PMHC approaches. The present qualitative study, therefore, examined how social perceptions and norms of mental health in old age are and should be considered in the design and implementation of primary healthcare approaches in India.
Methods
A secondary thematic analysis of semi-structured interviews with key stakeholders (n = 14) of PMHC in India was conducted.
Results
Four key themes emerged from the analysis, in which social perceptions and norms were discussed: (1) family participation and low threshold access to mental healthcare, (2) the position of community health workers as an important pillar of old age and mental health-sensitive community-based care, (3) the role of social cohesion and traditional values in fostering a positive and supportive community environment for old age mental health, and (4) the empowerment of communities, families and older persons through mental health education.
Conclusions
PMHC, with its focus on mental health promotion, could be an important anchor for combatting negative attitudes about mental health and old age. The findings presented in this study can inform age-sensitive policies and programmes for mental health in India and could inform future research on the subject.
Publisher
Springer Science and Business Media LLC
Reference81 articles.
1. Murray CJL, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990–2010: a systematic analysis for the global burden of disease study 2010. The Lancet. 2012;380(9859):2197–223.
2. Rathod S, Pinninti N, Irfan M, Gorczynski P, Rathod P, Gega L, et al. Mental health service provision in low- and middle-income countries. Health Serv Insights. 2017;10:1178632917694350.
3. Alloh F, Regmi P, Onche I, van Teijlingen E, Trenoweth S. Mental Health in low- and middle income countries (LMICs): going beyond the need for funding. Health Prospect J Public Health. 2018;17(1):12–7.
4. de Mendonça Lima CA, Ivbijaro G. Mental health and wellbeing of older people: opportunities and challenges. Ment Health Fam Med. 2013;10(3):125–7.
5. Ministry of Social Justice and Empowerment [MSJE]. National Policy for Senior Citizens. New Delhi: MSJE; 2011.