Dr Bruce Bomans CANTERBURY

Bruce Boman Director of Training Sydney South West Psychiatry Training Network People with dementia should be kept at home in a familiar environment for as long as possible  Treatment of older people with mental disorders should, as far as possible, be done in the community not in hospital, so…  The majority of an old age mental health service’s resources & personnel should be in the community not in a hospital  My work is completely community based  I am part of a multidisciplinary team of geriatricians, nurses, occupational therapists, physiotherapists & social workers  Our team leader is a social worker  We see our patients where they are living  Either in their homes or in nursing homes  I work in a very multicultural area and  Often conduct my assessments using an interpreter  Common language groups are Greek, Arabic, Korean, Chinese, Italian & Vietnamese  Let me show you some photos of the area  People with chronic mental illness like schizophrenia & bipolar disorder  People with new onset mental illness particularly depression & late onset schizophrenia  People with dementia who have behavioural problems like aggression, paranoid delusions & depression  30-40% of elderly people see a friend or relative outside their household on a daily basis  So don’t confuse living alone with being lonely   Meals delivered to the person’s home each day  Transport to go shopping  Help with housework  Less common in Australia for adult children to have their elderly, frail parents live with them than in Vietnam  When elderly people can no longer care for themselves often live in residential care facilities  Hostel: for elderly who need lower level care Residents have their own serviced room & get meals, supervision & medication  Elderly person will often have to pay a large amount of money to become a resident Typical hostel dining room For elderly who need high level care  Help with bathing, dressing, toileting, eating, medication  Many people in nursing homes have dementia (60-80%)  Government subsidises cost in nursing homes  Some nursing homes have specific dementia care areas Do you think there will continue to be three generation families in large urban cities like Hanoi?