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Policymakers’ perspectives on responding to the elderly’s mental health needs in post-disaster situations

机译:政策制定者对灾后情况下应对老年人心理健康需求的看法

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摘要

Background: Mental health issues following the occurrence of disaster remain neglected area especially for older people group. The purpose of this study was to explore stakeholders’ perspectives on post-disaster management related to the elderly’s mental health needs.Design and methods: This qualitative case study was conducted between June and October 2020. The investigators conducted in-depth interviews with policymakers who were in charge of disaster management at national, provincial, and regional levels. The policymakers were selected through purposive sampling. A policy analysis was conducted by the investigators to answer the research question.Results: The results were presented based on actor, content, context, and process. The actors engage in intersectoral collaboration between disaster agencies, health agencies, and social agencies. The content is largely comprehensive; however, the disaster management policy should not neglect to address mental health conditions after a disaster event. The context is the vulnerability and risk of the elderly in terms of experiencing physical and mental issues after a disaster, which should be considered by policymakers in Indonesia. The process is the development of disaster management policies, which are influenced by cultural, economic, political, and international factors.Conclusions: This study reveals that stakeholders need to pay attention to the mental health issue of elderly in national and regional policy, particularly during post-disaster situations. In addition, posttraumatic stress in post-disaster situations should be highlighted in order to formulate a better aged care policy.
机译:背景:灾害发生后的心理健康问题仍然被忽视,尤其是对于老年人群体。本研究的目的是探讨利益相关者对与老年人心理健康需求相关的灾后管理的看法。设计和方法: 该定性案例研究于 2020 年 6 月至 2020 年 10 月期间进行。调查人员对负责国家、省和地区层面灾害管理的决策者进行了深入访谈。政策制定者是通过有目的的抽样选出的。研究人员进行了政策分析以回答研究问题。结果:结果根据参与者、内容、上下文和流程呈现。参与者参与救灾机构、卫生机构和社会机构之间的跨部门合作。内容在很大程度上是全面的;但是,灾害管理政策不应忽视解决灾害事件发生后的心理健康状况。背景是老年人在灾后经历身心问题的脆弱性和风险,印度尼西亚的政策制定者应该考虑这一点。这个过程是灾害管理政策的制定,这些政策受文化、经济、政治和国际因素的影响。结论: 本研究揭示了利益相关者需要在国家和地区政策中关注老年人的心理健康问题,尤其是在灾后情况下。此外,应强调灾后情况下的创伤后压力,以便制定更好的老年护理政策。

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