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Older South Asian man sits eating a biscuit in his garden talking to a younger person.

Mental health in later life

5 March 2024

UNDERSTANDING NEEDS, POLICIES AND SERVICES IN ENGLAND

Anna Iskander-Reynolds

Older people’s mental health has long been overlooked. Poor mental health is often dismissed by health professionals as an ‘inevitable’ part of getting older. And despite NHS Talking Therapies having higher than average recovery rates among the over-65s, this service is less likely to be offered to older people.

Commissioned by Age UK, this briefing summarises evidence about the mental health of older people in England. It finds that ageist attitudes underpin a system that discriminates against older people, while fatalistic assumptions about what people can expect for their mental health in later life undermine the provision of effective support to promote wellbeing, prevent mental ill health and treat mental health difficulties.

The briefing finds that while older people may possess many protective factors for good mental health, they face numerous risk factors, including poorer physical health, reduced mobility and, for some, poverty and racism. Tackling the risk factors and boosting protective factors can increase wellbeing in later life and either prevent or stop the escalation of mental health problems.

Diagram of a tree representing key factors and themes impacting older people’s mental health. The causes are represented by tree roots and include: Ageism; an ageing population; reduced social networks; social determinants including poverty and racism; environmental determinants including cost of living crisis and poor housing; physical and mental health difficulties; bereavement; caring responsibilities; inadequate services; and high rates of probable mental health problems in care homes. The impacts are represented by leaves on the tree and include: misdiagnosis e.g. of depression/dementia; untreated mental health problems; lack of research; strain on VCSE; loneliness; higher risk of injury; older people are underappreciated; carer strain; deteriorating mental health; lack of recognition; isolation; lack of specialist support. The trunk of tree represents the “main problem”: An ageing population who are not getting the mental health support and awareness they deserve.

There is no national plan or blueprint for mental health support in later life. As the population ages, this is becoming more urgent. Mental health in later life opens up a conversation that has been left on the margins of policy and practice for too long, making key recommendations of how we can create better mental health for older people.

Join us in the fight for equality in mental health

We’re dedicated to eradicating mental health inequalities. But we can’t do it without your support.

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