How to improve the organisation of Mental Healthcare for older adults in Belgium? : Short report

52 p.ill.,KEY MESSAGES 1 -- SYNTHESIS 4 -- 1. INTRODUCTION 8 -- 2. MAIN AIM 9 -- 3. METHODS 10 -- 4. CONCEPTS AND MODELS APPLICABLE FOR MENTAL HEALTHCARE IN THE ELDERLY 11 -- 4.1. GENERAL MODELS AND CRITERIA 11 -- 4.1.1. The C.A.R.I.T.A.S. criteria 11 -- 4.1.2. The Chronic Care Model (CCM) 12 -- 4.1.3. Integrated people-centered health services 12 -- 4.2. IMPLEMENTATION STRATEGIES TO ORGANISE MENTAL HEALTHCARE IN OLDER ADULTS 12 -- 4.3. BARRIERS IN IMPLEMENTATION OF MENTAL HEALTHCARE SYSTEMS FOR THE OLDER ADULTS 15 -- 4.4. MENTAL HEALTHCARE FOR OLDER ADULTS IN PRIMARY CARE SETTINGS 15 -- 4.5. PERCEPTION OF THE BELGIAN SITUATION BASED ON THEORETICAL MODELS 15 -- 5. LESSONS FROM ABROAD 17 -- 5.1. APPROACHES TO MENTAL HEALTHCARE FOR OLDER PEOPLE 17 -- 5.2. KEY RECOMMENDATIONS IN GUIDELINES FOR SENIORS’ MENTAL HEALTH SERVICE ORGANISATION 17 -- 5.3. MENTAL HEALTH SERVICES FOR OLDER PEOPLE 18 -- 5.4. WHO ARE THE PROFESSIONALS INVOLVED IN MENTAL HEALTHCARE FOR OLDER ADULTS? 19 -- 5.5. BARRIERS AND LEVERS FOR THE IMPLEMENTATION OF MENTAL HEALTH SERVICES FOR OLDER ADULTS 20 -- 5.5.1. Common barriers 20 -- 5.5.2. Levers to overcome these barriers 20 -- 6. OVERVIEW OF MENTAL HEALTH SERVICES FOR OLDER PERSONS IN BELGIUM 21 -- 6.1. USE OF MENTAL HEALTH SERVICES IN HOSPITAL SETTINGS 21 -- 6.2. USE OF MENTAL HEALTH SERVICES IN RESIDENTIAL SETTINGS 22 -- 6.3. USE OF MENTAL HEALTH SERVICES IN NON-RESIDENTIAL SETTINGS 23 -- 6.4. PROVISION OF CARE IN THE LEAST COMPLEX ENVIRONMENT: AN OVERARCHING -- PRINCIPLE THAT GUIDES THE PROVISION OF SERVICES FOR OLDER PATIENTS 26 -- 6.5. LESSONS FROM INNOVATIVE PROJECTS FOR OLDER ADULTS WITH MENTAL HEALTH PROBLEMS (‘THERAPEUTIC PROJECTS’ AND ‘PROTOCOL 3’ PROJECTS) 27 -- 7. DISCUSSION 29 -- 7.1. C.A.R.I.T.A.S. PRINCIPLES AS A GOOD APPROACH FOR THE ORGANISATION OF MENTAL HEALTHCARE FOR OLDER ADULTS 29 -- 7.2. REQUIREMENTS OF A SYSTEM WITH MENTAL HEALTHCARE SERVICES ADAPTED TO THE NEEDS OF OLDER PERSONS 30 -- 7.2.1. Services must be commissioned on the basis of need, frailty and not only age 30 -- 7.2.2. Comprehensive care for older persons can only be reached by a strong collaboration between services dedicated to somatic, mental and social care. 31 -- 7.3. FURTHER CONSIDERATIONS FOR THE SYSTEM 34 -- 7.4. LIMITATIONS OF THE STUDY 38 -- 8. CONCLUSION 4