Age Equality and Later Life

Achieving age equality for people of all ages is important, however , a number  of recent  of reports and reviews have shown that it is older people who have been most discriminated against in many areas  and in  mental health in particular.

The Age Equality in Later life Programme  has evolved from the Mental health in later life programme that originated in the National Institute for Mental Health in England (NIMHE). Our work continues to support the development of services for older people who use mental health services in England. We offer evidence-based support to help local organisations and communities implement policy and promote innovation. We work with organisations specialising in health (including prison health), social care and other areas of local government, and we seek to foster collaboration between public, voluntary and independent sectors.

October 2010 -Ending age discrimination in health and social care
Equity and excellence; liberating the NHS sets out the Government's
commitment to end age discrimination in health and social care in 2012. A resource pack to support local authorities and NHS organisations prepare for the legislation has been prepared by health and care organisations in the South West. www.southwest.nhs.uk/age-equality.html


Achieving Age Equality throughout society is a moral, financial and legal imperative. The Equality Act (April 2010), combined with emerging mental health  policy  which covers people of all ages, makes this  even more relevant.

Age discrimination
Defintions
Age Discrimination is an unjustifiable difference in treatment based solely on age.

  • Age discrimination may be direct or indirect in form.
  • Direct age discrimination occurs when a direct difference in treatment based on age cannot be justified. An older person with bi‐polar disorder who is excluded from a day centre at age 65 because ‘it's not for pensioners', would be an example of direct age discrimination. Direct age discrimination will occur if people with comparable needs are treated differently,purely on the basis of their age.
  • Indirect discrimination occurs when a seemingly neutral provision, measure or practice has harmful repercussions on a person.) For example, poor quality dementia services, equally applied to the whole community will indirectly discriminate against older people who are the predominant users of these services. Indirect age discrimination will occur if people from different age groups, with different needs, are treated in the same way, with the result that the needs of the older person are not fully met.
  • Institutional practices and policies that perpetuate stereotypes about older people (E.g. services that exclude older people once they reach 65 NSF MH) There are structural issues about service configuration there is dilemma and debate around nominally eliminating an age barrier to services but not addressing different needs of some older people , particularly the old old.

 

We are working to Promote Age Equality in Mental Health via a number of work programmes to promote better recognition and diagnosis of mental health issues in later life, better access for older people and age appropriate services based on need

 

Contacting the programme

National Programme Lead: Polly Kaiser polly.kaiser @ nmhdu.org.uk

Programme Administrator: Elaine Collins elaine.collins @ nmhdu.org.uk

 

 

EHRC Formal Inquiry into Homecare

Do you or someone you know receive homecare? Are you a carer?

The Equality and Human Rights Commission want to know your views on the quality of care delivered to older people (aged 65 and over) in the home (the good and the bad) in relation to human rights.

They have compiled a short list of questions to help you feedback to them which should take no longer than fifteen minutes to answer.

The Commission's formal Inquiry launches on the 10th November and evidence gathering will run until 4th February 2011.

Download the call for evidence and terms of reference on their website here.

Age Equality and Later Life - Reports

Healthcare Commission                    Equality in later life
A national study of older people’s mental health services. july 2009

This  showed  that older people are being denied access to the full range of mental health services that are available to younger adults. In particular, they found that there was poor access to out-of-hours and crisis services, psychological therapies and alcohol services. 

Download

Age discrimination in mental health services: making equality a reality
Royal College of Psychiatrists’ position statement PS2/2009

Download                               

Achieving Age Equality in health and social care A report to the Secretary of State for Health by Sir Ian Carruthers OBE and Jan Ormondroyd October 2009

Download         

All things being equal –   Mental Health Foundation 2009

The All things being equal report says that mental health and social care services are in need of a major shake up to care for the growing numbers of older people with mental ill health, and cope with the demanding nature of the baby boomer generation.

Download                                            

AGE EQUALITY:WHAT DOES IT MEAN FOR OLDER PEOPLE’S MENTAL HEALTH SERVICES?
Guidance Note for Everybody’s Business:Integrated mental health services for older adults: a service development guide

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Cost-effectiveness analysis and ageism: a review of the theoretical literature. Leeds Institute for Health Sciences 2008

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A literature review of the likely costs and benefits of legislation to prohibit age discrimination in health, social care and mental health services and definitions of age discrimination that might be operationalised for measurement.

Carried out by the Centre for Policy on Ageing on behalf of the Department of Health. December 2007

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Ageism and age discrimination in mental health care in the UK. A review of the literature. Commissioned by the Department of Health and carried out by the Centre for Policy on Ageing.

October 2009

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