Healthy ageing at risk without a plan

New research conducted by national mental health chairty, SANE Australia, reveals planning ahead is essential but not common for many older Australians living with a mental illness.

Jack Heath, SANE Australia chief executive, claims many people manage their mental illness over a number of years and they are often resilient; but as they get older, additional challenges can impact on their lives.

“We’ve spoken with older people living with mental illness and while their experiences vary widely, declining physical health, an uncertain housing future and isolation are common concerns,” Mr Heath says.

“All these factors can complicate mental health issues and prevent a person from ageing well. Two in every three people we talked to haven’t discussed a plan for the future,” he explains.

As a result of the SANE Australia research, a resource has been developed, titled Ageing Well: A guide to planning ahead for older people who live with mental illness, their family and friends, to attempt to make the pre-planning process easier.

The plain language guide looks at home and social supports, health, legal, and financial issues and includes a checklist to help work through the planning process.

The resource is supported by senior lobby group, COTA Australia.

“Planning ahead can involve difficult conversations and choices. This guide is a helpful tool to start those conversations and prepare for the future,” says Ian Yates, COTA Australia chief executive.

Suitable housing is a real issue for some people, especially those financially disadvantaged.

People living with a mental illness find it harder than the rest of the community to find and keep their own home. As they age, they often find themselves in less than ideal circumstances.

In one case study, for many of the 40 years Graeme has lived with Schizophrenia, he rented a house with the support of mental health services. However, when the Melbourne artist’s circumstances changed, the 68 year old found himself in a residential aged care facility.

“I didn’t realise I had options. I was unwell at the time, and I needed the extra supports, but I’m well now and it would be nice to have my own place again where I can paint and do my work,” Graeme says.

“I still need help around the house but I didn’t know there are services that can give me that support,” he adds.

According to Mr Heath, people like Graeme need to know these services exist.

“We need to get the message out especially because we know our population is ageing. By 2040, one in give people will be over 65. As the population continues to age, the number of older Australians living with mental illness will increase,” Mr Heath says.

He admits the process of planning ahead can be confronting.

“We’re talking about issues relating to legal and financial affairs and medical or mental health care. These are difficult conversations to have, but without them, we reduce the likelihood that we will be in control of these decisions later on. Planning ahead is crucial to ensure choice, comfort and quality of care,” he says.

“Good mental health is intrinsic to healthy ageing. Planning ahead and being prepared is a really important part of maintaining good mental health as we age.”

Download SANE Australia's  resource, Ageing Well: A Planning Guide, or Growing Older, staying well: Mental health care for older Australians.