Psychiatric Bulletin (2007) 31: 194. doi: 10.1192/pb.31.5.194b
© 2007 The Royal College of Psychiatrists
Are old age services equipped to cope with immigrant elders?
Asad Raffi, Senior House Officer in General Adult Psychiatry
Royal Oldham Hospital, Oldham OL1 2JH, email:
asadraffi{at}yahoo.co.uk
As a trainee psychiatrist of ethnic origin, I wonder whether old age
psychiatric services are aware of problems they are likely to face in the
future and how they plan to adapt to them. Those migrants who came to the UK
from India, Pakistan and Bangladesh in the late 50s and 60s are now reaching
retirement age and consequently any mental health problems they experience
would need to be addressed by old age psychiatry services. Some services may
have had experience of treating the parents of these migrants, but not in the
numbers they are likely to face.
Traditionally, elders have been cared for in older age by the extended
family, who have been able to meet their cultural, social and physical needs.
As the current generation of descendants becomes more integrated into Western
society, the break up of the extended family is both evident and inevitable.
There are also wider implications. Are there culturally sensitive and
appropriate placements available for such people once they are discharged, if
going home is no longer an option? Surely we need to plan ahead and address
these issues which we are highly likely to face in the near future.