Mental health access for older adults in Southampton: insights from lived experiences

Abstract

Most existing research on older adults' access to mental health services relies on quantitative methods, which often overlook the depth and complexity of lived experiences. In contrast, this policy brief draws on a study employing a qualitative design based on in-depth interviews, which allowed for a more nuanced understanding of personal and social dynamics that influence access.
Older adults are significantly underserved in mental health services (MHS) access (NHS, 2025; Sharland et al., 2023). Data shows that 11.5% over 65 in Southampton have mental health issues (Southampton Strategic Assessment, 2025) but it is unclear how the access rate is. This policy brief shares findings from a qualitative study involving in-depth interviews with four older adults (65+) who have used MHS in the city. Using a life-course perspective and the Network Episode Model (NEM), the study reveals how access is shaped by individual experiences, social networks, and system responsiveness. Key barriers include limited recognition of mental health problems, ongoing stigma, and a fragmented health system. Facilitators include supportive GPs, peer influence, and mental health literacy. To enhance access, policies must prioritise integrated care, stigma reduction, and improved communication about services.
This brief is based on a study conducted by Jana and Heuser (under review), which explores older adults' lived experiences of accessing mental health services in Southampton. It complements findings from a policy brief by Wang (2024), who identified systemic issues including long wait times, digital exclusion, and insufficient funding, as well as a strong preference among older adults for face-to-face, personalised care.

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ORCID for Christoph Heuser: orcid.org/0000-0002-7235-097X

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