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Wider Determinants of Health

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Primary Care Mental Health in Older People

Abstract

Wider determinants of health are most complex, and there exists a complex interaction between lifestyle and the physical, social, and economic environment and individual characteristics. Wider determinants of health play an important role in the mental health of older adults. During primary care assessment of patients’ mental wellbeing, it is important to consider the broader influences on the individual, such as physical health, family/friends and social networks, finances/debts, alcohol and drug use, life events, etc. These wider determinants should be taken into consideration when giving health promotion information. As the wider determinants are often outside the scope of primary care, GPs and others should work with other professionals such as social workers in order to ensure holistic assessment of the older adult’s needs and appropriate care planning. Professionals should be mindful of cultural influences, diversities, and differences, maintaining the individual’s dignity during the process.

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Authors and Affiliations

  1. International University of Catalonia (UIC), Barcelona, Spain

    Sabine Bährer-Kohler

  2. Dr. Bährer-Kohler & Partners, Basel, Switzerland

    Sabine Bährer-Kohler

  3. Clinical Senior Cognitive Behavioural Therapist, Efficacy, London, UK

    Brendan McLoughlin

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  1. Sabine Bährer-Kohler
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Correspondence to Sabine Bährer-Kohler .

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Editors and Affiliations

  1. Unité de Psychiatrie et de Psychothérapie, Centre Les Toises, Lausanne, Switzerland

    Carlos Augusto de Mendonça Lima

  2. Mental Health and Population Health, NOVA University Lisbon, Lisbon, Portugal

    Gabriel Ivbijaro

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Bährer-Kohler, S., McLoughlin, B. (2019). Wider Determinants of Health. In: de Mendonça Lima, C., Ivbijaro, G. (eds) Primary Care Mental Health in Older People. Springer, Cham. https://doi.org/10.1007/978-3-030-10814-4_3

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