Counseling Services in Mental Health Care for Older Adults in The Community from A Social Work Perspective

This paper examines the provision of counseling services in community-based mental health care for older adults from a social work perspective. The study highlights the growing demand for psychosocial support among the elderly as they face challenges related to aging, social isolation, and mental health risks. Counseling services, delivered within the framework of community social work, play a crucial role in early intervention, emotional support, and resource mobilization for older adults. However, the development of these services remains limited due to inadequate resources, fragmented coordination, and a lack of trained social work professionals. The findings underscore the need to strengthen community-based counseling services, integrate them into the broader health and social care system, and adopt holistic, person-centered, and culturally sensitive approaches. Such efforts are essential to enhance the mental well-being of older adults and promote their active social participation.

older adults, mental health, counseling services, social work, community

1. Carmel, S., & coauthors. (2019). Health and well-being in late life: Gender differences. Journal (rev.). [Google Scholar] [Crossref]

2. Chau, N.T.M. (2021). Gender differences in access to mental health care services for older adults in the community. Vietnam Social Sciences Journal, 9(2), 45–56. [Google Scholar] [Crossref]

3. Chesser, A., Keene Woods, N., Smothers, K., & Rogers, N. (2016). Health literacy and older adults: A systematic review. Health Promotion Practice. [Google Scholar] [Crossref]

4. Chou, K. L., & Chi, I. (2021). Education and utilization of mental health services among older Chinese adults in Hong Kong. International Journal of Geriatric Psychiatry, 36(2), 290–298. https://doi.org/10.1002/gps.5430 [Google Scholar] [Crossref]

5. General Statistics Office & United Nations Population Fund. (2023). Population and development of Vietnam 2023. Hanoi: Statistical Publishing House. [Google Scholar] [Crossref]

6. General Statistics Office & UNFPA. (2021). The 2019 population and housing census – Population aging and older persons in Vietnam. [Google Scholar] [Crossref]

7. Gutiérrez, L., Tomás, J. M., & Galiana, L. (2021). Community-based psychological interventions for depression and anxiety in older adults: A systematic review. Aging & Mental Health, 25(6), 1125–1137. https://doi.org/10.1080/13607863.2020.1783512 [Google Scholar] [Crossref]

8. Hang. N.T, (2022). The need for social work services in mental health care for older adults in the community. Journal of Labour and Social Sciences, 26 (2), 45–56. [Google Scholar] [Crossref]

9. HelpAge International. (2020). Intergenerational Self-Help Clubs in Vietnam: A holistic and sustainable community-based model. HelpAge International. [Google Scholar] [Crossref]

10. Kiely, K. M., et al. (2019). Gender, mental health and ageing. (Narrative review on epidemiology of mental health by gender). [Google Scholar] [Crossref]

11. Lan, P.T. (2021). Educational attainment and differences in the need for social work services in mental health care for older adults. Vietnam Social Sciences Journal, 9 (3), 55–66. [Google Scholar] [Crossref]

12. Lee, J., & Park, S. (2020). The impact of education level on the use of mental health services among older adults. Aging & Mental Health, 24(7), 1123–1131. https://doi.org/10.1080/13607863.2019.1571012 [Google Scholar] [Crossref]

13. Minh, N.H & Quy.L.T, (2018). Gender roles and social participation of older adults in Vietnam. Journal of Family and Gender Studies, 28(3), 45–56. [Google Scholar] [Crossref]

14. National Association of Social Workers [NASW]. (2021). Social work speaks: National Association of Social Workers policy statements (12th ed.). NASW Press. [Google Scholar] [Crossref]

15. Nguyen, H. T. (2016). Social work in mental health care in Vietnam: Current situation and policy recommendations. Vietnam Journal of Social Sciences, 5(3), 44–52. [Google Scholar] [Crossref]

16. Nguyen, T. M. H., & Tran, Q. V. (2022). Gender and health of older adults in Vietnam: Current situation and policy recommendations. Journal of Sociology, 4 (160), 45–56. [Google Scholar] [Crossref]

17. People’s Committee of Hoc Mon District. (2024). Report on the patriotic emulation movement “Elderly – Bright examples” in 2024 and orientations and tasks for 2025. [Google Scholar] [Crossref]

18. Pham, T. H., & Nguyen, M. T. (2019). Mental health problems among older adults in Vietnam: A review. Vietnam Journal of Public Health, 7(2), 45–56. [Google Scholar] [Crossref]

19. Przybylko, G., et al. (2021). The influence of gender and age on outcomes of mental health programs. JMIR Mental Health. [Google Scholar] [Crossref]

20. Trang, N.T. T., Tran, T. Q., & Le, V. T. (2017). Depression among older people in Vietnam: Prevalence and associated factors based on VNAS 2011. Journal of Population and Social Studies, 25(3), 213–229. https://doi.org/10.25133/JPSSv25n3.0014 [Google Scholar] [Crossref]

21. Van, N.H.N., Dung,P.T.M & Phuong.T.M., (2021). Challenges in developing social work services in the field of mental health at the community level. Journal of Public Health, (6), 74–79. [Google Scholar] [Crossref]

22. Wang, J., Wu, X., Lai, W., Long, E., Zhang, X., Li, W., & Wang, D. (2020). The prevalence of depression and anxiety among older adults: A systematic review and meta-analysis. International Journal of Geriatric Psychiatry, 35(3), 218–229. https://doi.org/10.1002/gps.5223 [Google Scholar] [Crossref]

23. World Health Organization. (2017). Mental health of older adults. [Google Scholar] [Crossref]

24. World Health Organization. (2019). World health statistics 2019: Monitoring health for the SDGs, sustainable development goals. Geneva: WHO. [Google Scholar] [Crossref]

25. Yu, H., Li, M., Li, Z., Xiang, W., Yuan, Y., Liu, Y., & Zhou, X. (2021). Coping style, social support and psychological distress in the general Chinese population in the early stages of the COVID-19 epidemic. BMC Psychiatry, 21(1), 1–11. https://doi.org/10.1186/s12888-020-03058-2 [Google Scholar] [Crossref]

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