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Centre for Policy on Ageing | |
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Ageism and age discrimination in mental health care in the United Kingdom
— a review from the literature; commissioned by the Department of Health | | Corporate Author | Centre for Policy on Ageing - CPA |
| Publisher | Centre for Policy on Ageing, London, December 2009 |
| Pages | 60 pp (+ 40 pp appendices) |
| Source | Centre for Policy on Ageing, 25-31 Ironmonger Row, London EC1V 3QP. Available at: http://www.cpa.org.uk/information/reviews/reviews.... |
| Keywords | Ageism ; Psychiatric treatment ; Costs [care] ; Literature reviews. |
| Annotation | The Department of Health (DH) commissioned the Centre for Policy on Ageing (CPA) to undertake four separate reviews from the literature to provide evidence of ageism and age discrimination in the UK in social care, secondary health care, mental health services, and primary health care. This semi-systematic literature based review looks at possible evidence of age discrimination in mental health service provision for older people in the UK in the context of policy since 1999. The report considers stigma stereotypes and ageist attitudes; evidence of under-provision, variation in provision, and under-use of mental health services by older people. It presents study data on age discrimination in the treatment of particular conditions including depression and dementia; on prevention and public health interventions; and on education and training. It suggests that there appears to be no ethical problems in use of quality adjusted life years (QALYs) by the National Institute for Health and Clinical Excellence (NICE) to compare relative cost-effectiveness of treatments applicable to all ages. However, age discrimination in using QALYs may arise when comparing cost of effective treatment for conditions such as Alzheimer's disease (AD). The review concludes that there is evidence of continued explicit institutional "direct" age discrimination in some localities, but that mental health service provision should reflect local variations in need. Appendix 1 (7 pp), on methodology, notes search strategies and processes, and the search results for the databases searched. Appendix 2 (33 pp), a bibliography, lists all items found; key items cited are also listed at the end of the main report. This review has been conducted in the context of the European Commission Draft Directive COM (2008) 425 (July 2008) and the introduction of the Equality Bill to Parliament (April 2009). It has also informed 'Achieving age equality in health and social care' (2009), the review led from the South West region by Sir Ian Carruthers and Jan Ormondroyd. (RH). |
| Accession Number | CPA-100129004 E |
| Classmark | B:TOB: LP: QDC: 64A |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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