Mental health service discrimination against older People

Abstract

Aims and method To provide a picture of availability and equality of access to mental health services for older people prior to the Equality Act. In 2010, a questionnaire was sent to health commissioners in England, Scotland and Wales under a Freedom of Information request. Results Overall, 132 (76%) replied. Of 11 services, 7 were either unavailable or did not provide equality of access to older people in more than a third of commissioning areas. When provided by specialist older people's mental health, services were more often considered to ensure equality. Clinical implications Increasing need resulting from an ageing population is unlikely to be met in the face of current inequality. Inequality on the basis of age is the result of government policy and not the existence of specialist services for older people. Single age-inclusive services may create indirect age discrimination. Availability alone is insufficient to demonstrate equality of access. Monitoring the effects of legislation must take this into account. Declaration of interest The survey was conducted by the Policy Unit of the Royal College of Psychiatrists on behalf of the Faculty of the Psychiatry of Old Age, Royal College of Psychiatrists. All authors were involved with developing the questionnaire and preparation of the paper. D.A. and P.C. were elected members serving on the Executive Committee of the Faculty at the time the study was conducted. R.M. was Policy Analyst with the Royal College of Psychiatrists at the time of the study.