DESK REVIEWS | 04.03.10. (How) does the policy outline the interface between other aspects of care (e.g., general health care for older adults, mental health care etc)?

DESK REVIEW | 04.03.10. (How) does the policy outline the interface between other aspects of care (e.g., general health care for older adults, mental health care etc)?

As the existing policies were developed to meet the needs of older people in Brazil (regardless of having dementia) they are broad in scope and incorporate other aspects of care, such as general healthcare (Brazilian Ministry of Health, 2006b). Mental health care is available through the National Policy for Primary Care (Política de Nacional de Atenção Básica) for all people of all ages. People who have been identified to be in need of mental health support may be sent to the Centres of Psychosocial Attention (Centro de Atenção Psicosocial – CASP) where they receive specialised care (Brazilian Ministry of Health, 2012, 2018e). People living with dementia might follow this route; however, these individuals are most often involved in the health system through the primary healthcare units, rather than through the mental health services.

References:

Brazilian Ministry of Health. (2006b). Política Nacional de Saúde da Pessoa Idosa. Brazilian Ministry of Health. http://bvsms.saude.gov.br/bvs/saudelegis/gm/2006/prt2528_19_10_2006.html

Brazilian Ministry of Health. (2012). Política Nacional de Atenção Básica. http://189.28.128.100/dab/docs/publicacoes/geral/pnab.pdf

Brazilian Ministry of Health. (2018e). Orientações Técnicas para a Implementação de Linha de Cuidado para Atenção integral à Saúde da Pessoa Idosa no Sistema Único de Saúde—SUS. Ministério da Saúde do Brasil.

The policy outlines that efforts to achieve healthy and productive brains must be supported through balanced nutrition, physical activities, and cognitive, spiritual and social stimulations. The efforts should be supported by families, society, and the environment. These efforts are supposed to create a healthy lifestyle that reduces risk factors and reduces the risk of developing cognitive impairment in older people (Ministry of Health Republic of Indonesia, 2015b). The policy did not explicitly state the intersection with mental health care.

References:

Ministry of Health Republic of Indonesia. (2015b). National Strategy: Management of Alzheimer and Other Dementia Diseases: Towards Healthy and Productive Older Persons. Ministry of Health Republic of Indonesia.

It outlines the interface with other aspects of care with regards to the prevention and promotion of mental health with a life-course perspective. This involves considering known risk factors, and encouraging active and healthy ageing, which could help preventing, or at least delaying, the onset of dementia and other conditions.

Not applicable as there is no dementia-specific policy or plan for South Africa.