The understanding and experience of falls among older people living in the community with mental illness: A qualitative study

Abstract

Introduction: Compared to the general older population, older adults with mental illness living in the community have an increased risk of falls. However, little is known about falls experienced by this group. This study aimed to explore the understanding and experience of falls from the perspectives of older adults living in the community with mental illness as well as to identify any falls prevention strategies valued by them. Methods: Ten consumers aged 50 and over with experiences of falling were recruited at a community mental health service in Sydney ( four male and six female; mean age 70.4 years). An audiotape, semi-structured interview was conducted with each participant. Recordings were transcribed verbatim and data were thematically analysed using Nvivo11 software to identify key themes. Results: Four major themes were generated: 1. Making sense of falls, 2. Being self reliant, 3. Enduring the consequences of falls, and 4. Preventing future falls - perceptions and strategies. Conclusion: Most participants were uncertain about the cause of their falls and seemed to not understand their falls risks. They were also less likely to seek help after a fall, despite injuries. Consequences of falls included physical injury negative emotional impacts. Most participants expressed concern about future falls, however their strategy to prevent falls was simply to be careful. Future occupational therapy practice should focus on designing targeted fall prevention approaches tailored to the needs of this group of older adults.