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Getting mental health care makes the body healthier — especially for the elderly

Taking care of our minds is an often neglected aspect of aging. What are we going to do about it?

  • Studies have shown that depression can worsen in our old age.
  • Other mental health concerns, too, are not only debilitating on their own but they can often make it more difficult to treat other health conditions.
  • However, recent advances in how we treat mental health in the elderly are making a big difference. Here's how.

It's an unfortunate fact of life that as we grow older, our bodies stop working as well as they once did. Our muscles weaken, tying our shoes can send our backs into spasms, our hearing and vision isn't as sharp as it used to be. It's a time when taking care of yourself is more important than ever.

But we often forget that our minds, too, need to be taken care of. According to the CDC, 20% of people over 55 have some kind of mental health concern. Yet only two-thirds of this group receive treatment for their condition. Out of any other group, older men have the highest suicide rate. One study found that older patients were more likely to be diagnosed with a major depressive disorder, and that their depression grew worse with age. Older participants were more likely to have chronic depression, took longer to be in remission, and experienced depression with greater severity, according to the same study.

While mental health is enough of a concern on its own, it can also make treating physical health issues more difficult. "There is no clear-cut demarcation where behavioral health comorbidities start and where physical comorbidities end," said Dr. Joseph Conigliaro, Northwell Health's chief of general internal medicine. "When a patient with diabetes or congestive heart failure or any number of issues also has depression, anxiety, or schizophrenia, providing consistent care becomes much more challenging."

Percentage of older adults who claim they don't receive the social and emotional support they need by state, which can put individuals at risk for developing mental health conditions.

Centers for Disease Control and Prevention and National Association of Chronic Disease Directors. The State of Mental Health and Aging in America Issue Brief 1: What Do the Data Tell Us? Atlanta, GA: National Association of Chronic Disease Directors; 2008.

Bringing psychiatry to primary care

How can we better meet the mental health needs of elderly patients? In his book, Healthcare Reboot, Michael J. Dowling points to the divide between psychiatry and primary care as a major issue. "While it was true that psychiatrics went to medical school," he writes, "their subsequent clinical training was so far removed from other doctors that they tended to live in a psychiatric silo. In many ways, psychiatrists had walled themselves off from the rest of the medical profession."

A Gallup poll on the perceived honesty of various professions shows another way in which psychiatry has been pushed aside. 85%, 75%, and 70% of respondents reported that nurses, pharmacists, and medical doctors had very high ethical standards, respectively. Only 41% of respondents reported that psychiatrists had very high ethical standards.

One way to bring psychiatry back into the domain of primary care is to do just that; tighten the connections between psychiatrists and general practitioners through the collaborative care model. In this system, a behavioral health care manager and a psychiatrist are incorporated into the primary care setting. The psychiatrist serves as a consultant for the primary care physician and the behavioral health care manager, who could be a psychologist or a nurse trained in managing mental health. The primary care provider has some training in screening patients for mental health issues. Rather than refer them to a psychiatrist, they can instead point them to the behavioral health care manager. This helps normalize the relationship between mental health and primary care and can reduce the stigma associated with seeking help for mental health conditions.

A study on the use of this model for older adults suffering from depression showed resounding success — using the collaborative care model doubled the efficacy of depression treatment. Over twelve months, half of the patients reported an at least 50% reduction in their depression symptoms compared with a 19% reduction in the control group. What's more, the system saves money. For every $1 spent on implementing the collaborative care model, hospitals get $7 back over the course of four years. Today, Northwell Health and other health care organizations have incorporated psychologists and other mental health professionals in their primary care clinics to help deliver the mental health care that elderly patients need.

Photo by Anthony Metcalfe on Unsplash

Virtual reality: Not just for gaming

Addressing mental health issues in the elderly doesn't just have to take place in hospitals and clinics, however. Advances in technology are blurring the lines of where treatment can happen. Rendever, for instance, is a new project by MIT graduates that uses VR to help provide the elderly with mental health treatment. VR has the potential to serve as a powerful therapeutic tool for older adults, especially those in assisted living. Often, older adults in assisted living can feel isolated and trapped in their conditions; VR offers an avenue out of those conditions. In an interview with AARP, a co-founder of Rendever related a story about an isolated former pilot flying a simulated aircraft: "All of a sudden he was sitting in a pilot seat again, and all these stories started bubbling out of him." VR technology like Rendever have been used to treat PTSD, chronic pain, phobias, depression, and drug addiction. There's even some preliminary evidence that VR could be used to keep cognitive function sharp in old age.

From the clinic to the home

One major challenge for the elderly is mobility. It's not always practical for them to travel to a clinic, psychiatrist, or psychologist. The use of "virtual visits" has become increasingly more common for health organizations. Companies like Apple and Samsung are increasingly leveraging their smartphone technologies to provide easier access to healthcare records and tackle chronic conditions. For its part, Northwell researchers have helped pioneer the use of remote intensive care units, or eICUs, to watch over multiple patients at once from a central location.

It may seem as though technology like this wouldn't be useful for psychiatric issues; in fact, the opposite is true. For the elderly, easy access to a psychiatrist may make them more likely to reach out. For patients in assisted-living facilities or unable to travel, "telepsychiatry" is sometimes the only way they can gain access to a psychiatrist.

When it comes to the health of the elderly, a broken hip or a pneumonia diagnosis can overshadow the importance of maintaining a healthy mind in one's older years. Taking care of one's physical health will always be important, especially in geriatric patients, but it doesn't make sense to focus solely on treating a physical health issue while ignoring ongoing mental health concerns. Fortunately, advances in our institutions, systems, and technology are bringing mental health issues back into the spotlight.

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The Omni Calculator site is a stunning treasure trove of free calculators.

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It's true that high-school calculus teachers torture their students with them, but it's also true that once some degree of mastery is in hand, mathematicians love a good — efficient, clever, and useful — formula.

These things aren't just for classrooms or advanced scientific applications, either. While it's amazing that formulas predict what will happen if we slingshot a spacecraft around some distant celestial body, they can also be part of our earthly lives calculating all sorts of everyday things.

In any event, for many math heads (carefully typed), slinging formulas together and inventing new calculators is just plain fun. Last week, for example, UK physicist Steven Wooding sent us the link to a calculator he and a friend constructed that predicts contactable alien civilizations. That was fun, but the site to which he directed us is nothing short of dazzling: It's called Omni Calculator, and it's a mind boggling repository of 1175 calculators whose purpose is to help everyone get to the right answers in their personal and professional lives.

A mathematical treasure chest

Image source: Alexey Godzenko/Shutterstock

Want to know exactly how many balloons it would take to send your house airborne, as in the Pixar's Up? No problem. Hate running unexpectedly out of toothpaste en route to bed? Live your best life. Ditto toilet paper.

Some of the calculators are pretty profound, too, such as the Every Second calculator that shows just how much happens in the world every 60th of a minute — it's an enthralling set of numbers.

Fun stuff aside, Omni Calculator is an absolutely staggering collection, an incredible resource for normal people and professionals from doctors to chemists to financial advisers to construction teams and more.

Who is Omni Calculator?

Image source: rawf8/Shutterstock

Omni Calculator is the project of a Polish startup of 24 people dedicated to helping people solve all of the small math problems in their daily lives. The company manifesto:

"In a surprisingly large part, our reality consists of calculable problems. Should I buy or rent? What's my ideal calorie intake? Can I afford to take this loan? How many lemonades do I need to sell in order to break even? Often times we don't solve these problems, because we lack knowledge, skills, time or willingness to calculate. And then we make bad, uninformed decisions?"
Omni Calculator is here to change all that — we are working on a technology that will turn every* calculation-based problem trivial to solve for anyone.

The asterisk says, "within reason."

It all started when founder Mateusz Mucha built a unique web calculator: It could calculate in any direction without a fixed input or output. He invested $80 in translating his Percentage Calculator into 15 languages and stood back as the app was downloaded 4 million times and counting.

At some point Mateus changed his goal: "Instead of calculating one thing, we'll calculate all of them — for everybody." To serve this aim, all of Omni Calculator's calculators are free to use, developed by the company in collaboration with all sorts of experts.

Go spend some time looking around and bookmarking tools for your own use. You're pretty much guaranteed to find something that solves a problem with which you're struggling. At the very least you'll come across some amazing calculators that will get you thinking about unexpected things.

COVID Calculators

Omni Calculator provides a special set of calculators that allow you to crunch COVID-19 numbers for yourself, from a social distancing calculator to one that can predict when your next stimulus check should be due.

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