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心理健康领域的年龄歧视。

Ageism in the Mental Health Setting.

机构信息

Yale School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA.

Icahn School of Medicine at Mount Sinai, New York, NY, USA.

出版信息

Curr Psychiatry Rep. 2024 Nov;26(11):583-590. doi: 10.1007/s11920-024-01531-2. Epub 2024 Sep 16.

DOI:10.1007/s11920-024-01531-2
PMID:39278983
Abstract

PURPOSE OF REVIEW

This paper summarizes the prevalence, impact, and presentation of ageism across multiple mental health care settings including inpatient, outpatient, long-term care, and criminal justice. Strategies for combating ageism are described.

RECENT FINDINGS

Ageism is a common form of bias that has deleterious medical and psychosocial consequences for older adults. Ageism manifests in a variety of ways in mental health settings. Clinical, educational, and public policy strategies are recommended to combat ageism in mental health settings. Ageism remains pervasive in society and in mental health care settings. Ageism impacts healthcare trainees, healthcare providers, healthcare systems, and older adults themselves. Age-friendly practices and strategies for combating ageism exist and need broader dissemination.

摘要

目的综述

本文总结了在多个心理健康护理环境中(包括住院、门诊、长期护理和刑事司法)普遍存在的年龄歧视的流行率、影响和表现。还描述了对抗年龄歧视的策略。

最近的发现

年龄歧视是一种常见的偏见形式,对老年人的医疗和心理社会后果有不良影响。年龄歧视在心理健康环境中以多种方式表现出来。建议采取临床、教育和公共政策策略来打击心理健康环境中的年龄歧视。年龄歧视在社会和心理健康护理环境中仍然普遍存在。年龄歧视影响医疗保健培训生、医疗保健提供者、医疗保健系统和老年人自身。存在以老年人为中心的实践和打击年龄歧视的策略,需要更广泛的传播。

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本文引用的文献

1
Optimizing Older Adult Mental Health in Support of Healthy Ageing: A Pluralistic Framework to Inform Transformative Change across Community and Healthcare Domains.优化老年人心理健康以支持健康老龄化:一个多元化框架,为社区和医疗保健领域的变革提供信息。
Int J Environ Res Public Health. 2024 May 23;21(6):664. doi: 10.3390/ijerph21060664.
2
How to Draw on Narrative to Mitigate Ageism.如何利用叙事来缓解年龄歧视。
AMA J Ethics. 2023 Oct 1;25(10):E745-750. doi: 10.1001/amajethics.2023.745.
3
Exploring the intersection of structural racism and ageism in healthcare.
探讨医疗保健中结构性种族主义和年龄歧视的交集。
J Am Geriatr Soc. 2022 Dec;70(12):3366-3377. doi: 10.1111/jgs.18105. Epub 2022 Nov 10.
4
Mental health care for older adults: recent advances and new directions in clinical practice and research.老年人的心理健康护理:临床实践与研究的最新进展及新方向
World Psychiatry. 2022 Oct;21(3):336-363. doi: 10.1002/wps.20996.
5
Experiences of Everyday Ageism and the Health of Older US Adults.日常年龄歧视体验与美国老年成年人健康。
JAMA Netw Open. 2022 Jun 1;5(6):e2217240. doi: 10.1001/jamanetworkopen.2022.17240.
6
Perspective: Social Determinants of Mental Health for the New Decade of Healthy Aging.观点:健康老龄化新十年的心理健康社会决定因素
Am J Geriatr Psychiatry. 2022 Jun;30(6):733-736. doi: 10.1016/j.jagp.2022.01.006. Epub 2022 Jan 21.
7
The virtual 4Ms: A novel curriculum for first year health professional students during COVID-19.虚拟4M:COVID-19期间面向一年级健康专业学生的新型课程。
J Am Geriatr Soc. 2021 Jun;69(6):E13-E16. doi: 10.1111/jgs.17185. Epub 2021 Apr 26.
8
Ageism: a social determinant of health that has come of age.年龄歧视:一个已然成年的健康社会决定因素。
Lancet. 2021 Apr 10;397(10282):1333-1334. doi: 10.1016/S0140-6736(21)00524-9. Epub 2021 Mar 18.
9
Future forward: AGS initiative addressing intersection of structural racism and ageism in health care.向前展望:AGS 倡议解决医疗保健中结构性种族主义和年龄歧视的交叉问题。
J Am Geriatr Soc. 2021 Apr;69(4):892-895. doi: 10.1111/jgs.17053. Epub 2021 Feb 9.
10
Preparing Long-Term Care Staff to Meet the Needs of Aging Persons With Serious Mental Illness.为满足严重精神疾病老年患者的需求,对长期护理人员进行培训。
J Am Med Dir Assoc. 2019 Jun;20(6):683-688. doi: 10.1016/j.jamda.2019.03.018. Epub 2019 May 2.