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• W2181551512 abstract "Health care of older people is related to their socio-cultural milieu. Families continue to be the major support for older people. However, social changes and consequent reduction in the availability of care resources like the traditional family, are putting pressure on home-based care in India. The treatment gap for geriatric mental health problems is huge. Dementia and depression are the two major mental health problems in the later years of life. Screening for cognitive impairment is difficult in these settings as illiteracy influences the individual's performance on cognitive tests. The tests standardized elsewhere usually discriminate against illiterate people from rural societies, as they tend to perform poorly on these. Trained health workers can identify dementia cases in the community and support home-based care. Primary care doctors will have to be trained in identifying and managing depression and dementia. Provision of support to families and development of formal care services will help to meet the care needs of older people. It is incorrect to attribute near mythical strength to the abilities of families engaged in care; their distress is real and families need support to sustain care. INTRODUCTION The daily life of an older person varies considerably according to social, economic, and cultural contexts. The experience of ill health, disability, poverty and loneliness can have adverse impact on the mental health of older people. Access to healthcare, provision for social security and support are important concerns in later years of life. India, with its profound geographical and socio-cultural diversity, is home to more than a billion people. There are several languages in India and 22 of them are officially recognized. Social norms, traditions, customs and food habits also vary across the country. The practice of the indigenous system of medicine often referred to as Indian System of medicine, co-exist with practice of modern medicine. Traditional indigenous treatments are available for geriatric health conditions. Ageing and disability Neuropsychiatric disorders of late life often lead to functional impairment and need for care. Many older individuals would need assistance for carrying out activities of daily living. The onset of 'need for care' would vary with age and would also depend on the condition causing the disability. This need for care is usually met by what is known as informal care, which is a natural social resource that allows members of a social unit to offer and take help. Availability of care in any society would depend on a number of factors. The family is the main resource for care. Within the family," @default.
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• W2181551512 title "Cultural and social aspects of mental illness among the elderly" @default.
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