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GERIATRIC PSYCHIATRY IN INDIA, CLINICAL SERVICES, RESEARCH & TRAINING: THE IPS REPORT
MENTAL HEALTH SERVICES FOR OLDER PEOPLE IN SOUTH ASIA: UNMET NEEDS?
Abstract
Abstract Body
There are no specific epidemiological studies conducted in this area, however as region is comprising of the most populous countries of the world, it is estimated that there are about eighty million people suffering from dementia. With appropriate epidemiological studies and increase in life expectancy, this figure might be much higher at present. Delphi consensus study shows dementia to be 1.9% in South Asia. Main stay of the problem is the capabilities of the physician to recognise the problem, and even if they recognise the interventional strategies are not part of the management plan.
The availability of psychometric tools, investigative imaging and other services and support system are all compromise. Generally the families have firm conviction that after the medical treatment the person suffering from dementia will be cured. The care givers need to be educated how to provide the basic care to the person suffering from dementia. In majority of the cases the women who is the soul caretaker and the person responsible for the food, laundry, cleaning and other household chores will take care of the elderly. This increases the burden of care and as men are the sole bread earners so they are reluctant to remain awake at nights and provide the care required for the person suffering from dementia.
In this presentation I will try to highlight important loop holes in the diagnosis and management of mental health in old age in South-Asia.