Healthcare professionals' perspectives on patient mental health treatment engagement in later life

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dc.contributor.authorRapaport, Li-elle
dc.contributor.examiningcommitteeKrysanski, Valerie (Clinical Health Psychology)
dc.contributor.examiningcommitteeReynolds, Kristin (Psychology)
dc.contributor.supervisorMackenzie, Corey S
dc.date.accessioned2023-09-07T16:39:48Z
dc.date.available2023-09-07T16:39:48Z
dc.date.issued2023-07-06
dc.date.submitted2023-08-23T13:24:48Zen_US
dc.date.submitted2023-09-07T03:57:18Zen_US
dc.degree.disciplinePsychologyen_US
dc.degree.levelMaster of Arts (M.A.)
dc.description.abstractOlder adults face complex challenges in seeking and receiving mental health treatment. While older adults access psychological services less frequently than other populations, strong engagement can predict better treatment outcomes. This study explores practitioners’ perspectives on the treatment engagement of patients referred for specialty geriatric mental health services. Guided by Raue & Sirey’s (2011) late-life treatment engagement model, 11 interviews were conducted with specialty geriatric mental health professionals (geriatric psychiatrists and gero-psychologists) and frequent referral sources such as general practitioners and other specialty health providers to assess their perspectives on patient treatment engagement barriers and potential improvement to the current referral process. The data were analyzed using the framework analytic approach, and summative content analysis was used to extract suggested treatment engagement interventions. Results from the framework analysis highlighted mental health literacy, attitudes, and beliefs as key influences on treatment decisions and the importance of patient-centered care, strong relationship dynamics, and collaboration among providers and older adults when navigating treatment systems. Streamlined communication between the referral source, specialists, and patients was also proposed with a call to educate family doctors, and patients, and their families about available services, referral processes, and how to openly discuss mental health. Findings from this study highlight the importance of considering provider and referrer factors in attempts to better engage patients and suggest a need for interventions to improve knowledge about mental health services.
dc.description.noteOctober 2023
dc.description.sponsorshipUniversity of Manitoba Centre on Aging, University of Manitoba
dc.identifier.urihttp://hdl.handle.net/1993/37604
dc.language.isoeng
dc.rightsopen accessen_US
dc.subjectolder adults
dc.subjectmental health
dc.subjecttreatment engagement
dc.subjectpractitioner perspectives
dc.subjectcollaborative care
dc.titleHealthcare professionals' perspectives on patient mental health treatment engagement in later life
dc.typemaster thesisen_US
local.subject.manitobayes
oaire.awardNumber766
oaire.awardTitleCanada Graduate Scholarships—Master’s Program: Fall 2020 Competition
oaire.awardURIhttp://www.outil.ost.uqam.ca/CRSH/Detail.aspx?Cle=206802&Langue=2
project.funder.identifierhttps://doi.org/10.13039/501100000155
project.funder.nameSocial Sciences and Humanities Research Council of Canada
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