gms | German Medical Science

17. Deutscher Kongress für Versorgungsforschung

Deutsches Netzwerk Versorgungsforschung e. V.

10. - 12.10.2018, Berlin

Survey on mental health promotion and mental disorder prevention for older people in cities as part of the mind map project

Meeting Abstract

  • Lilli Neumann - Albertinen-Haus, Zentrum für Geriatrie und Gerontologie, Wissenschaftliche Einrichtung an der Universität Hamburg, Forschungsabteilung, Hamburg
  • Ulrike Dapp - Albertinen-Haus, Zentrum für Geriatrie und Gerontologie, Wissenschaftliche Einrichtung an der Universität Hamburg, Forschungsabteilung, Hamburg
  • Wienke Jacobsen - Albertinen-Haus, Zentrum für Geriatrie und Gerontologie, Wissenschaftliche Einrichtung an der Universität Hamburg, Forschungsabteilung, Hamburg
  • Frank van Lenthe - Erasmus University Rotterdam, Department of Public Health, Rotterdam, Netherlands
  • Wolfgang von Renteln-Kruse - Albertinen-Haus, Zentrum für Geriatrie und Gerontologie, Wissenschaftliche Einrichtung an der Universität Hamburg, Forschungsabteilung, Hamburg

17. Deutscher Kongress für Versorgungsforschung (DKVF). Berlin, 10.-12.10.2018. Düsseldorf: German Medical Science GMS Publishing House; 2018. Doc18dkvf326

doi: 10.3205/18dkvf326, urn:nbn:de:0183-18dkvf3263

Published: October 12, 2018

© 2018 Neumann et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.


Outline

Text

Background: The MINDMAP consortium (2016-2019) addresses the pathways through which cities and urban environments influence mental wellbeing and cognitive function in older populations. Thus, the project aims to identify opportunities offered by the urban environment for the promotion of mental wellbeing and functioning of older individuals in Europe by bringing together 10 European cities with urban longitudinal aging studies: GLOBE, HAPPIE (3 cities), HUNT, LASA, LUCAS, RECORD, Rotterdam study, Turin study. A survey on mental health-care planning policies, strategies and programmes addressing the heterogeneous group of older people covering health promotion to need of nursing care was performed in selected MIONDMAP cities for profound data interpretation.

Research Question:

1.
What are the healthcare planning policies, strategies and programmes that promote mental-wellbeing in older people in the European MINDMAP cities?
2.
Which information do existing healthcare planning policies, strategies and programmes include and which differences appear among MINDMAP cities?
3.
Which recommendations can be given for sciences, policies and planners using experience from evidence-based practice feedback from the MINDMAP cities?

Methods: First, the MINDMAP partners identified experts in the 12 MINDMAP cities with the best overview and background knowledge of the current mental health sector. After pretesting, semi-structured telephone interviews (1–2 h) with the identified expert were performed always by the same interviewer. Part 1 of the interview addressed policies and strategies related to mental health promotion and mental disorder prevention on national and city levels according to the structure of the 12 work packages addressed in the interdisciplinary MINDMAP consortium. Part 2 focussed on mental health programmes and providers. All interviews were transcribed and analysed using a structured evaluation matrix based on the WHO Public-Health Framework for Healthy Aging including the geriatric functioning continuum. The analysis was performed by two independent researchers who worked on each transcript while extracting and transforming the information given according to this evaluation matrix. Also, national and local strategy papers and local programmes referred to by the interviewees were intensively studied for this evaluation process. Then, the results of both the independent evaluations were collected and cross-checked. In cases of unequal assessment, a third researcher was involved to reach concordance.

Results: A complete survey (12 out of 12) was performed reporting on 41 policies and 280 programmes on the city level. Each city referred to at least one (1–7) policy and strategy. All of them addressed the range from mental health promotion, mental disorder prevention, treatment, recovery and care. 197/280 programmes to promote mental well-being, prevent mental disorders or provide mental care were exclusively for the older population. Others included older age in cross-generational programmes. There were 91/280 programmes explicitly dedicated to health promotion and prevention for older people, in particular. However, it appeared from extensive analyses that the focus on older citizens, specific target groups, and multidimensional programmes could be intensified should be strengthened. Examples of good practices were based on national guidelines and local strategies to strengthen both physical and mental health. Promising intervention programmes for older people made use of a target group identification based on the bio-psycho-social approach.

Discussion: There is a broad variety to cope with the challenges of ageing in health, and to address both physical and mental capacities in older individuals and their dynamic interactions in an urban environment.

Practical Implications: Main conclusions from the MINDMAP survey provide the opportunity for evidence-based mental health promotion:

  • National and city level policies/ strategies should correspond with what is actually offered on the city level.
  • Data sources from longitudinal ageing cohorts, central city registries or health registries could be used to appropriately define indicators for the measurement of programme effects.
  • Available evidence-based gerontologic/geriatric expertise could be integrated in order to develop and to tailor multidimensional programmes for promotion of mental well-being and mental disorder prevention in the older population.
  • Screening or assessment indices could be applied to address special (risk) groups within the growing heterogeneous older part of our populations.

Funding: MINDMAP is supported by the European Union Commission Horizon2020 Programme under grant agreement no 667661. LUCAS was funded by the Bundesministerium für Bildung und Forschung (BMBF) Fkz: LUCASI: 01ET0708, LUCASII: 01ET1002A, LUCASIII / PROLONG HEALTH: 01EL1407.