Older Adult Day Support Center/Community Integration Services, Family Service Agency, San Francisco, California 94109, USA.
J Aging Soc Policy. 2010 Oct;22(4):360-78. doi: 10.1080/08959420.2010.507650.
This project is based on the results of telephone surveys with 52 local, state, and national informed respondents including policymakers, county leaders, planners, and advocates in mental health and aging with a particular focus on the states of California and Florida. This article addresses challenges to access to mental health services for diverse older adults including barriers related to race and ethnicity, socioeconomic status, location, age, gender, immigrant status, language, sexual orientation, and diagnosis. The article also highlights broad themes that emerged including (1) the importance of outreach and transportation tailored to diverse elders, and (2) recruitment of diverse staff and training related to diversity. The article concludes with policy and practice recommendations to reduce these disparities in access to mental health services for diverse populations of older adults.
本项目基于对 52 名当地、州和国家知情受访者（包括政策制定者、县领导、规划人员和精神健康与老龄化领域的倡导者）的电话调查结果。这些受访者特别关注加利福尼亚州和佛罗里达州。本文探讨了为不同老年群体提供精神健康服务的障碍，包括与种族和民族、社会经济地位、地理位置、年龄、性别、移民身份、语言、性取向和诊断相关的障碍。文章还突出了出现的一些广泛主题，包括：（1）针对不同老年人量身定制的外展和交通的重要性；（2）招聘多样化员工和与多样性相关的培训。文章最后提出了减少不同老年群体获得精神健康服务方面的这些差异的政策和实践建议。
