Back to Journals » Journal of Multidisciplinary Healthcare » Volume 9

Home care assistants’ perspectives on detecting mental health problems and promoting mental health among community-dwelling seniors with multimorbidity

Authors Grundberg, Hansson A, Religa D, Hillerås P

Received 28 October 2015

Accepted for publication 21 November 2015

Published 23 February 2016 Volume 2016:9 Pages 83—95


Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Devang Sanghavi

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser

Åke Grundberg,1,2 Anna Hansson,2 Dorota Religa,1 Pernilla Hillerås1,2

1Division of Neurogeriatrics, Department of Neurobiology, Care Sciences, and Society, Karolinska Institutet, Huddinge, 2Sophiahemmet University, Stockholm, Sweden

Introduction: Elderly people with multiple chronic conditions, or multimorbidity, are at risk of developing poor mental health. These seniors often remain in their homes with support from home care assistants (HCAs). Mental health promotion by HCAs needs to be studied further because they may be among the first to observe changes in clients’ mental health status.
Aim: To describe HCAs’ perspectives on detecting mental health problems and promoting mental health among homebound seniors with multimorbidity.
Methods: We applied a descriptive qualitative study design using semi-structured interviews. Content analyses were performed on five focus group interviews conducted in 2014 with 26 HCAs.
Results: Most HCAs stated that they were experienced in caring for clients with mental health problems such as anxiety, depression, sleep problems, and high alcohol consumption. The HCAs mentioned as causes, or risk factors, multiple chronic conditions, feelings of loneliness, and social isolation. The findings reveal that continuity of care and seniors’ own thoughts and perceptions were essential to detecting mental health problems. Observation, collaboration, and social support emerged as important means of detecting mental health problems and promoting mental health.
Conclusion: The HCAs had knowledge of risk factors, but they seemed insecure about which health professionals had the primary responsibility for mental health. They also seemed to have detected early signs of mental health problems, even though good personal knowledge of the client and continuity in home visits were crucial to do so. When it came to mental health promotion, the suggestions related to the aim of ending social isolation, decreasing feelings of loneliness, and increasing physical activity. The results indicate that the HCAs seemed dependent on supervision by district nurses and on care managers’ decisions to support the needed care, to schedule assignments related to the detection of mental health problems, and to promote mental health.

Keywords: home care assistants, mental health promotion, municipal care, older people, Sweden

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]


Other article by this author:

Mental health-promoting dialogues from the perspective of community-dwelling seniors with multimorbidity

Grundberg Å, Ebbeskog B, Gustafsson SA, Religa D

Journal of Multidisciplinary Healthcare 2014, 7:189-199

Published Date: 28 April 2014

Readers of this article also read:

A review of analgesic and emotive breathing: a multidisciplinary approach

Bordoni B, Marelli F, Bordoni G

Journal of Multidisciplinary Healthcare 2016, 9:97-102

Published Date: 29 February 2016

Interprofessional team management in pediatric critical care: some challenges and possible solutions

Stocker M, Pilgrim SB, Burmester M, Allen ML, Gijselaers WH

Journal of Multidisciplinary Healthcare 2016, 9:47-58

Published Date: 24 February 2016

Postpartum depression screening in the Neonatal Intensive Care Unit: program development, implementation, and lessons learned

Cherry AS, Blucker RT, Thornberry TS, Hetherington C, McCaffree MA, Gillaspy SR

Journal of Multidisciplinary Healthcare 2016, 9:59-67

Published Date: 18 February 2016

Interprofessional teamwork innovations for primary health care practices and practitioners: evidence from a comparison of reform in three countries

Harris MF, Advocat J, Crabtree BF, Levesque JF, Miller WL, Gunn JM, Hogg W, Scott CM, Chase SM, Halma L, Russell GM

Journal of Multidisciplinary Healthcare 2016, 9:35-46

Published Date: 29 January 2016