Fragmentation in Australian Commonwealth and South Australian State policy on mental health and older people A governmentality analysis
Mental health care for older people is a significant and growing issue in Australia and internationally. This article describes how older people’s mental health is governed through policy discourse by examining Australian Commonwealth and South Australian State government policy documents, and comme...
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| Published in | Health (London, England : 1997) Vol. 20; no. 6; pp. 541 - 558 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
London, England
Sage Publications, Ltd
01.11.2016
SAGE Publications Sage Publications Ltd |
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| Abstract | Mental health care for older people is a significant and growing issue in Australia and internationally. This article describes how older people’s mental health is governed through policy discourse by examining Australian Commonwealth and South Australian State government policy documents, and commentaries from professional groups, advocacy groups and non-governmental organisations. Documents published between 2009 and 2014 were analysed using a governmentality approach, informed by Foucault. Discourses of ‘risk’, ‘ageing as decline/dependence’ and ‘healthy ageing’ were identified. Through these discourses, different neo-liberal governmental strategies are applied to ‘target’ groups according to varying risk judgements. Three policy approaches were identified where older people are (1) absent from policy, (2) governed as responsible, active citizens or (3) governed as passive recipients of health care. This fragmented policy response to older people’s mental health reflects fragmentation in the Australian policy environment. It constructs an ambiguous place for older people within neo-liberal governmental rationality, with significant effects on the health system, older people and their carers. |
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| AbstractList | Mental health care for older people is a significant and growing issue in Australia and internationally. This article describes how older people’s mental health is governed through policy discourse by examining Australian Commonwealth and South Australian State government policy documents, and commentaries from professional groups, advocacy groups and non-governmental organisations. Documents published between 2009 and 2014 were analysed using a governmentality approach, informed by Foucault. Discourses of ‘risk’, ‘ageing as decline/dependence’ and ‘healthy ageing’ were identified. Through these discourses, different neo-liberal governmental strategies are applied to ‘target’ groups according to varying risk judgements. Three policy approaches were identified where older people are (1) absent from policy, (2) governed as responsible, active citizens or (3) governed as passive recipients of health care. This fragmented policy response to older people’s mental health reflects fragmentation in the Australian policy environment. It constructs an ambiguous place for older people within neo-liberal governmental rationality, with significant effects on the health system, older people and their carers. |
| Author | Reed, Richard Lawn, Sharon Henderson, Julie Muir-Cochrane, Eimear Dawson, Suzanne Fuller, Jeffrey Oster, Candice |
| Author_xml | – sequence: 1 givenname: Candice surname: Oster fullname: Oster, Candice – sequence: 2 givenname: Julie surname: Henderson fullname: Henderson, Julie – sequence: 3 givenname: Sharon surname: Lawn fullname: Lawn, Sharon – sequence: 4 givenname: Richard surname: Reed fullname: Reed, Richard – sequence: 5 givenname: Suzanne surname: Dawson fullname: Dawson, Suzanne – sequence: 6 givenname: Eimear surname: Muir-Cochrane fullname: Muir-Cochrane, Eimear – sequence: 7 givenname: Jeffrey surname: Fuller fullname: Fuller, Jeffrey |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27147440$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1080_13607863_2017_1320702 crossref_primary_10_1002_ajs4_139 crossref_primary_10_1186_s13033_019_0311_x crossref_primary_10_1002_ajs4_71 crossref_primary_10_1111_ajr_12529 crossref_primary_10_1177_1363459318800171 |
| Cites_doi | 10.1108/JICA-09-2013-0037 10.1017/S1041610210001754 10.1093/fampra/cmi115 10.1093/ageing/afr106 10.1177/0018726711435180 10.1111/j.1440-1584.2011.01218.x 10.1080/1362517022019775 10.1016/j.jaging.2014.03.004 10.1016/S0890-4065(01)00025-1 10.1071/PY07041 10.4135/9781848607927.n6 10.1111/j.1748-3743.2007.00064.x 10.5172/hesr.2009.18.4.349 10.1177/0261018305057024 10.1111/j.1365-2648.2010.05536.x 10.1016/j.jaging.2011.10.004 10.1080/09581596.2013.784394 10.3928/00485713-20140108-04 10.1111/j.1471-0374.2009.00277.x 10.2307/591464 10.1177/070674371405900502 10.1016/j.jagp.2012.10.025 10.5172/hesr.14.3.242 10.1093/oso/9780199283262.001.0001 10.1071/AH13011 10.18052/www.scipress.com/ILSHS.27.108 10.1177/0958928712449772 10.1002/j.1839-4655.2011.tb00213.x 10.1177/1440783312473670 |
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| Snippet | Mental health care for older people is a significant and growing issue in Australia and internationally. This article describes how older people’s mental... Mental health care for older people is a significant and growing issue in Australia and internationally. This article describes how older people's mental... |
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| SubjectTerms | Aging Caregivers Citizens Governmentality Health care policy Mental health services Neoliberalism Older people Public policy Rationality State |
| Subtitle | A governmentality analysis |
| Title | Fragmentation in Australian Commonwealth and South Australian State policy on mental health and older people |
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