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Age discrimination in mental health services needs to be understood

  • Dave Anderson (a1)
Summary

The ageing population presents a major challenge to health and social care services now and for decades to come. Age discrimination in mental health services is more pronounced than in other areas of healthcare. Legislation, currently being reviewed, which will make unjustified age discrimination unlawful from 2012, has implications for the organisation and delivery of mental healthcare that need to be understood.

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Copyright
Corresponding author
Dave Anderson (helen.bickerton@merseycare.nhs.uk)
Footnotes
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Declaration of interest

D.A. is the immediate past Chair of the Faculty of Old Age Psychiatry, Royal College of Psychiatrists, and member of the National Advisory Group on Age Discrimination in Health and Social Care. The opinions expressed in this editorial are his own and not necessarily those of these organisations.

Footnotes
References
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1 Royal College of Psychiatrists. Age Discrimination in Mental Health Services: Making Equality a Reality (Position Statement PS2/2009). Royal College of Psychiatrists, 2009.
2 Anderson, D, Banerjee, S, Barker, A, Connelly, P, Junaid, O, Series, H, et al. The Need to Tackle Age Discrimination in Mental Health: A Compendium of Evidence. Royal College of Psychiatrists, 2009.
3 McCrone, P, Dhanasiri, S, Patel, A, Knapp, M, Lawton-Smith, S. Paying the Price: The Cost of Mental Health Care in England to 2026. King's Fund, 2008.
4 Wanless, D, Forder, J, Fernandez, J-L. Securing Good Care for Older People. King's Fund, 2006.
5 Carruthers, I, Ormondroyd, J. Achieving Age Equality in Health and Social Care: A Report to the Secretary of State for Health. Central Office of Information, 2009.
6 NHS South West. Age Equality in Health and Social Care – NHS South West Resource Pack. Department of Health, 2010 (http://www.southwest.nhs.uk/age-equality.html).
7 Beecham, J, Knapp, M, Fernandez, J-L, Huxley, P, Mangalore, R, McCrone, P, et al. Age Discrimination in Mental Health Services. Personal Social Services Research Unit, 2008.
8 Forder, J. The Costs of Addressing Age Discrimination in Social Care. Personal Social Services Research Unit, 2008.
9 Care Quality Commission. Position Statement and Action Plan for Mental Health 2010–2015. Care Quality Commission, 2010.
10 Department of Health. National Service Framework for Mental Health: Modern Standards and Service Models. Department of Health, 1999.
11 Department of Health. National Service Framework for Older People. Department of Health, 2001.
12 Appleby, L. National Service Framework for Mental Health – Five Years On. Department of Health, 2004.
13 Philp, I. Better Health in Old Age. Department of Health, 2004.
14 Tucker, S, Baldwin, R, Hughes, J, Benbow, S, Barker, A, Burns, A, et al. Old age mental health services in England: implementing the National Service Framework for Older People. Int J Geriatr Psychiatry 2007; 22: 211–7.
15 Healthcare Commission, Audit Commission, Commission for Social Care Inspection. Living Well in Later Life: A Review of Progress against the National Service Framework for Older People. Commission for Healthcare Audit and Inspection, 2006.
16 Healthcare Commission. Equality in Later Life: A National Study of Older People's Mental Health Services. Healthcare Commission, 2009.
17 Centre for Policy on Ageing. A Literature Review of the Likely Costs and Benefits of Legislation to Prohibit Age Discrimination in Health, Social Care and Mental Health Services and Definitions of Age Discrimination that might be Operationalised for Measurement. Centre for Policy on Ageing, 2007.
18 Hilton, C. The clinical psychiatry of later life in Britain from 1950–1970: an overview. Int J Geriatr Psychiatry 2005; 20: 423–8.
19 Hagestad, GO, Uhlenberg, P. The social separation of old and young: a root of ageism. J Soc Issues 2005; 61: 343–60.
20 Department of Health, Care Services Improvement Partnership. Age Equality: What does it Mean for Older People's Mental Health Services? CSIP, 2007 (http://www.its-services.org.uk/silo/files/age-equality-guidance-note-pdf.pdf).
21 Fortin, M, Soubhi, H, Hudon, C, Bayliss, EA, van den Akker, M. Multimorbidity's many challenges. BMJ 2007; 334: 1016–7.
22 Academy of Medical Sciences. Rejuvenating Ageing Research. Academy of Medical Sciences, 2009.
23 Department of Health. New Horizons: A Shared Vision for Mental Health. Department of Health, 2009.
24 Foresight Mental Capital and Wellbeing Project. Making the Most of Ourselves in the 21st Century: Final Project Report. Government Office for Science, 2008.
25 Hope, P. Equality Bill: Age Discrimination in Health and Social Care Statement. Lords Hansard, Written Ministerial Statements 2009; 27 April (http://services.parliament.uk/hansard/Lords/ByDate/20090427/writtenministerialstatements/part002.html).
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BJPsych Bulletin
  • ISSN: 1758-3209
  • EISSN: 1758-3217
  • URL: /core/journals/bjpsych-bulletin
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Age discrimination in mental health services needs to be understood

  • Dave Anderson (a1)
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