Division of Geriatric Psychiatry, Department of Psychiatry, Queen's University, Kingston, Ontario, Canada.
Can J Aging. 2009 Jun;28(2):97-105. doi: 10.1017/S0714980809090175.
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.
加拿大在满足有复杂精神和身体健康问题的老年人的医疗保健需求方面面临重大挑战。研究表明，协作式心理健康服务可有效满足这一群体多样化的健康需求。然而，在为这一人群规划服务提供时，常常被忽视但却很重要的一个方面是，确保老年人有足够的能力获得现有的最佳实践服务。本文报告了协作式心理健康倡议-老年人工作组进行的一项全国性共识建立活动，该活动旨在制定一个与协作式心理健康护理相关的、针对老年人可及性需求的全国性知情框架。该框架旨在为规划者、管理者和服务提供者提供对老年人在三个优先支柱（个人、护理人员、系统）方面独特可及性需求的理解，并使他们能够在基于现场的协作式心理健康倡议中嵌入解决这些问题的策略。
