title: Elderly mental health: needs.
abstract: This paper highlights the mental health needs of the elderly. It tackles the issues of their institutionalisation and community care. Rapid urbanisation in Indian society throws up special problems in elderly care. There is great evidence of a raise in morbidity, mortality, hospitalisation and loss of functional status related to common mental disorders in the elderly patients. Overlap of depression and anxiety is very common with up to almost half of the elderly patients reporting significant depressive and anxiety symptoms. Also, depression is the most common psychiatric disorder in late life. Growth in the elderly population means a direct increase in age related diseases such as dementia and poor mental health outcomes such as depression, anxiety, suicide and serious constraints on the quality of life among elderly individuals. The need to identify new and unmet problem areas and develop efficient therapeutic outcomes for this special population is stressed.
authors.affiliation: MD Professor and Head, Department of Psychiatry, GSMC and KEMH, Mumbai, Maharashtra, India.
authors.forename: Shubhangi R
authors.initials: SR
authors.lastname: Parkar
keywords: Age-related diseases; Alienation; Ashramas; Institutionalisation and community care; Misconceptions about elderly and ageing; Overlap of depression and anxiety; Pitras; Poor mental health outcomes; Rina; Social isolation; Traditional Indian culture; Urbanisation; Vriddha