[Tomorrow's psychiatry for older adults: solutions for a future-proof care].

Abstract

Backgrund: Psychiatric disorders in older adults are underdiagnosed and undertreated, despite their high prevalence and significant impact on medical care utilisation. Given demographic developments and the limited number of specialised psychiatrists, an age-based mental health care division is not sustainable for the future. Which solutions are future-proof?

Aim: To describe solutions for a future-proof psychiatry for older adults.

Method: Literature review and consideration.

Results: Future-proof care requires a strategic positioning of old age psychiatrists, focusing on their specific expertise at the intersection of psychiatry and somatics, neurocognitive disorders, the psychosocial characteristics of the third and fourth stages of life, and end-of-life care. This includes an effective role in early detection and consultation in general practice, guidance during transitions in the psychosocial context of individuals, transitions from vitality to physical frailty in mental health care, and within the somatic care chain involving general hospitals and long-term care facilities.

Conclusion: For future-proof care, strategic positioning of the old age psychiatrist is desirable, as well as investments in research, education, network-based care, and digital technology to flexibly respond to the evolving care demands.