Wang Huali, Yu Xin
Dementia Care and Research Center, Beijing Dementia Key Lab, Peking University Institute of Mental Health (Sixth Hospital), NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, 100191, China.
Lancet Reg Health West Pac. 2023 Mar 9;35:100721. doi: 10.1016/j.lanwpc.2023.100721. eCollection 2023 Jun.
Aging population grows faster and has great demand for mental healthcare in the Western Pacific Region. Within the continuum of holistic care framework, mental healthcare for older adults is conceptualized to promote people's mental wellbeing, the "positive" states of mental health. As social determinants accounts much for mental health outcomes, addressing these factors may benefit older adults mental wellbeing in natural settings. Social prescribing, emerged as an innovative approach linking medical and social care, has been observed to potentially benefit mental wellbeing of older adults. However, it remained uncertain how to successfully implement social prescribing schemes in realistic world, such as community. In this viewpoint, we discuss three key elements, , stakeholders, contextual factors, and outcome measures, that might facilitate identification of appropriate implementation strategies. Besides, we argue that implementation research needs to be strengthened and supported, aiming to accumulate evidence for scaling up social prescribing schemes to promote older adults mental wellbeing in the population level. We also provide directions for future implementation research on social prescribing for mental healthcare among older adults in the Western Pacific Region.
在西太平洋地区，老龄化人口增长迅速，对精神卫生保健有着巨大需求。在整体护理框架的连续统一体中，老年人的精神卫生保健旨在促进人们的心理健康，即心理健康的“积极”状态。由于社会决定因素在很大程度上影响心理健康结果，解决这些因素可能会在自然环境中有益于老年人的心理健康。社会处方作为一种将医疗和社会护理联系起来的创新方法，已被观察到可能有益于老年人的心理健康。然而，在现实世界中，如社区，如何成功实施社会处方计划仍不确定。在这一观点中，我们讨论了三个关键要素，即利益相关者、背景因素和结果指标，这些要素可能有助于确定适当的实施策略。此外，我们认为需要加强和支持实施研究，旨在积累证据，以便扩大社会处方计划，在人群层面促进老年人的心理健康。我们还为西太平洋地区老年人精神卫生保健社会处方的未来实施研究提供了方向。
