Factors | Suggested solutions | |
---|---|---|
Factors related to specific individuals | ||
Individual’s intrinsic factor | Difficulty in seeking help | Recognition of how older people may inadequately understand their health or be unaware of available services |
Delusions | Building a therapeutic alliance | |
Family factor | Discord between family members | Provision of particularly intensive care for families with family discord |
Denial of engagement | To have intensive efforts at contact and early involvement after contact with health care services | |
Multiple cases in one family | Provision of particularly intensive care for families with multiple cases | |
Family’s difficulty in seeking help | Provision of particularly intensive care for families who face difficulties in seeking help | |
Factors related to systems | ||
Physical health system-related factors | Indifference of physical healthcare providers regarding mental health matters | Mental health education campaigns to enhance mental health knowledge among non-mental health professionals |
Discontinuation of physical health conditions | ||
Mental health system-related factors | Irresponsive mental health care systems | Reforms to be more responsible, especially regarding emergency inpatient care |
Uncomfortable experiences in previous visits to clinics | Promote listening without ageism in clinical practice | |
Social service system-related factors | Lack of time to provide care | Expansion of social services regarding human resources, flexibility of use, and breadth of types of care provided |
Social service was not allowed without diagnosis | ||
No appropriate service in the community | ||
Lack of integration between systems | Facilitate integration between the systems | |
Others | ||
Community people-related factors | Encouragement of the community residents to be involved in social security systems | |
Factors related to inter-regional movements | Provision of particularly intensive care for people who have just moved in |