Well-being in elderly long-term care residents with chronic mental disorder: a systematic review

Aging Ment Health. 2019 Mar;23(3):287-296. doi: 10.1080/13607863.2017.1408773. Epub 2017 Dec 21.

Abstract

Objectives: One of the most important objectives of care for older long-term care residents with chronic mental disorders is to facilitate well-being. This review provides an overview of research literature on well-being in this population.

Method: A systematic review was conducted using Pubmed, PsycINFO and PsycARTICLES for all studies up until March 2016. Three reviewers independently assessed the eligibility of the publications and made a selection.

Results: From a total of 720 unique search results, ten studies were deemed eligible. Specialized care, specifically the presence of mental health-workers was associated with increased well-being outcomes. Perceived amount of personal freedom was also related to higher well-being, whereas stigmatization and depression were related to reduced well-being. Size of residence, single or group-accommodation or moving to another locationdid not, however, seem to have an impact on well-being.

Conclusion: Specialized care, aimed at psychiatric disorders and extra attention for depressed residents are useful tools to promote well-being. Additionally, themes like personal freedom and stigmatization should be taken into consideration in the care for older long-term care residents with chronic mental disorder. However, as very little research has been conducted on this topic, conclusions should be interpreted with caution. More research is highly desirable.

Keywords: Psychiatric disorders; elderly; long-term care; residential facilities; well-being.

Publication types

  • Systematic Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Chronic Disease
  • Female
  • Humans
  • Long-Term Care / methods
  • Long-Term Care / psychology*
  • Male
  • Mental Disorders / diagnosis
  • Mental Disorders / epidemiology
  • Mental Disorders / psychology*
  • Mental Disorders / therapy
  • Middle Aged
  • Personal Satisfaction
  • Quality of Life / psychology*