Prevalence of geriatric psychiatric cases in Malaysia and their association with clinical mental health workforce availability

Authors

  • Ely Salwana Institute of Visual Informatics, Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor, Malaysia.
  • Keevanraj Ajit Department of Mathematical Sciences, Faculty of Science and Technology, Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor, Malaysia.
  • Zulhaikal Irfan Zaidi Department of Mathematical Sciences, Faculty of Science and Technology, Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor, Malaysia.
  • Muhammad Iskandar Shah Zahren Department of Mathematical Sciences, Faculty of Science and Technology, Universiti Kebangsaan Malaysia, 43600 Bangi, Selangor, Malaysia.
  • Ahsiah Ismail Department of Computer Science, Kulliyyah of Information and Communication Technology, International Islamic University Malaysia, 53100 Kuala Lumpur, Malaysia.
  • Zahidah Zulkifli Department of Information System, Kulliyyah of Information and Communication Technology, International Islamic University Malaysia, 53100 Kuala Lumpur, Malaysia.

DOI:

https://doi.org/10.31436/ijohs.v6i2.342

Keywords:

clinical staffing, elderly population, geriatric psychiatry, health, psychiatric

Abstract

The aging population presents a global challenge, with increasing attention on the mental health needs of elderly individuals. In Malaysia, the rising number of geriatric psychiatric cases emphasizes the urgent need for effective mental health care solutions. This study investigates the relationship between clinical staffing levels in psychiatric care and the management of geriatric psychiatric conditions. While previous research has established a link between staffing levels and care quality, this study provides specific insights into how workforce availability influences the management of elderly psychiatric patients in Malaysia. Given the growing prevalence of psychiatric disorders such as depression, anxiety, and dementia among older adults, this research addresses a critical gap in understanding the effects of staffing on mental health outcomes. Using descriptive and regression analyses, the study assesses data on psychiatric cases and clinical staffing across Malaysian states. The analysis reveals that higher clinical staffing levels significantly improve the management of geriatric psychiatric conditions. This evidence highlights the critical role that adequate staffing plays in enhancing psychiatric care for the elderly. The study underscores the importance of strategic investments in mental health services, offering insights for policymakers and healthcare planners as they strive to meet the increasing demand for mental health care in Malaysia. By optimizing staffing and resource allocation, the research contributes to better mental health outcomes for Malaysia’s aging population, improving their quality of life.

References

Adams, C., Gringart, E., & Strobel, N. (2024). Barriers to mental health help-seeking among older adults with chronic diseases. Australian Psychologist, 59(2), 154–165. https://doi.org/10.1080/00050067.2023.2282540

Amin, K. (2024, October 31). Silent Struggles: Mental Health Stigma in Malaysia’s Social and Cultural Tapestry. LSE Southeast Asia Blog. Retrieved from https://blogs.lse.ac.uk/seac/2024/10/31/silent-struggles-mental-health-stigma-in-malaysias-social-and-cultural-tapestry/

Astro Awani. (2024, November). One psychiatrist to 100,000 people in Malaysia now – Health DG. https://www.astroawani.com/berita-malaysia/one-psychiatrist-100000-people-malaysia-now-health-dg-324568

Bafail, D. A. (2022). Mental health issues associated with COVID-19 among the elderly population: a narrative review. Cureus. https://doi.org/10.7759/cureus.33081

Baiyewu, O., Esan, O., & Elugbadebo, O. (2021). Mental Health of Older Adults: A Global Perspective of Inequalities and Inadequacies. In Innovations in Global Mental Health. Cham: Springer International Publishing. pp. 1379–1397.

Boo, S. L. (2021, December 15). Malaysia has 1.5 times fewer psychiatrists than 2025 target. CodeBlue. https://codeblue.galencentre.org/2021/12/malaysia-has-1-5-times-fewer-psychiatrists-than-2025-target

Chaurasia, H., & Srivastava, S. (2020). Abuse, neglect, and disrespect against older adults in India. Journal of Population Ageing, 13(2), 497-511. doi:10.1007/s12062-020-09270-x

Coombs, N. C., Meriwether, W. E., Caringi, J., & Newcomer, S. R. (2021). Barriers to healthcare access among U.S. adults with mental health challenges: A population-based study. SSM - Population Health, 15. doi:10.1016/j.ssmph.2021.100847

Dahlberg, L., McKee, K.J., Frank, A. & Naseer, M. (2022). A systematic review of longitudinal risk factors for loneliness in older adults. Aging and Mental Health, 26(2), 225–249. doi: 10.1080/13607863.2021.1876638

Dziedzic, B., Idzik, A., Kobos, E., Sienkiewicz, Z., Kryczka, T., Fidecki, W., et al. (2021). Loneliness and mental health among the elderly in Poland during the COVID-19 pandemic. BMC Public Health, 21(1), 1–12. doi:10.1080/13607863.2021.1876638

Guan, N.C., Lee, T.C., Francis, B., et al. (2018). Psychiatrists in Malaysia: the ratio and distribution, Malaysian Journal of Psychiatry, 27(1), 4-12.

Hassan, M. F. bin, Hassan, N. M., Kassim, E. S., & Hamzah, M. I. (2018). Issues and challenges of mental health in Malaysia. International Journal of Academic Research in Business and Social Sciences, 8(12), 1685–1696. doi:10.6007/ijarbss/v8-i12/5288

Hu, T., & Lee, C. (2024). Monitoring the mental state of the elderly in the community based on machine learning. Applied and Computational Engineering, 99, 155–160. https://doi.org/10.54254/2755-2721/99/20251730

Hu, T., Zhao, X., Wu, M., Li, Z., Luo, L., Yang, C., & Yang, F. (2022). Prevalence of depression in older adults: A systematic review and meta-analysis. Psychiatry research, 311, 114511. https://doi.org/10.1016/j.psychres.2022.114511

Hussein, S.Z., Hussein, S.Z., Ismail, A.H., Hanim, S. & Bakar, A. (2021). Loneliness and health outcomes among Malaysian older adults. Makara Journal of Health Research, 25(2), 87-93. https://doi.org/10.7454/msk.v25i2.1277

Ito, J., Toda, H., & Koike, Y. (2015). Assessment of tweet credibility with LDA features. WWW'15 Companion: Proceedings of the 24th International Conference on World Wide Web, 953–958. https://doi.org/10.1145/2740908.2742569

Liu, J., Kwan, C., Deng, J., & Hu, Y. (2022). The mental health impact of the COVID-19 pandemic on older adults in china: a systematic review. International Journal of Environmental Research and Public Health, 19 (21).

https://doi.org/10.3390/ijerph192114362

Mental Health Problems In Malaysia. (2016, September 28). Retrieved June 3, 2023, from https://www.moh.gov.my/moh/modules_resources/english/database_stores/96/337_451.pdf

Mental illness a big issue in Malaysia, says expert. (2022, December 10). Retrieved June 3, 2023, from https://www.thesundaily.my/local/mental-illness-a-big-issue-in-malaysia-says-expert-NL9973285

Ministry of Health Malaysia. (2023). National Strategic Plan for Mental Health 2020–2025: Strengthening mental health services in primary care. Putrajaya: MOH. Retrieved from https://www.moh.gov.my/moh/resources/Penerbitan/Rujukan/NCD/National%20Strategic%20Plan/The_National_Strategic_Plan_For_Mental_Health_2020-2025.pdf

Nancy Cloak, Schoo, C., & Al Khalili, Y. (2019). Behavioral and psychological symptoms in dementia. Treasure Island (FL): StatPearls Publishing.

Nasreen, H. E., Tyrrell, M., Vikström, S., Craftman, A., Syed Ahmad, S.A., Mat Zin, N., et al. (2024). Caregiver burden, mental health, quality of life and self-efficacy of family caregivers of persons with dementia in Malaysia: baseline results of a psychoeducational intervention study. BMC Geriatrics, 24, 656. https://doi.org/10.1186/s12877-024-05221-9

Raaj, S., Navanathan, S., Tharmaselan, M., & Lally, J. (2021). Mental disorders in Malaysia: an increase in lifetime prevalence. BJPsych International, 18(4), 97–99. doi:10.1192/bji.2021.4

Rosli, R., Goodson, M., Tan, M. P., Mohan, D., Reidpath, D., Allotey, P., et al. (2021). Challenges and research priorities for dementia care in Malaysia from the perspective of health and allied health professionals. International Journal of Environmental Research and Public Health, 18(21). https://doi.org/10.3390/ijerph182111010

Selangor Journal. (2024, November). Only 623 registered psychiatrists in Malaysia: MOH. https://selangorjournal.my/2024/11/only-623-registered-psychiatrists-in-malaysia-moh

Simon Long, Chloé Benoist, & Wendy Weidner. (2023). World Alzheimer Report 2023.

Suhaimi, M., Subhi, N., & Zakaria, E. (2014). Cultural influences in mental health help-seeking among Malaysian family caregivers. Pertanika Journal of Social Science and Humanities. 22(S), 1-16.

Talib, N. H., & Nor, H. M. (2020). Persepsi masyarakat dan pesakit terhadap kesihatan mental. Jurnal Wacana Sarjana, 4(1), 1-13.

Tan, M. P., Kamaruzzaman, S., & Abdul Rahman, N. (2021). Mental health service availability and access among older adults in Southeast Asia. Journal of Geriatric Mental Health, 8(1), 15–22. https://doi.org/10.4103/jgmh.jgmh_10_20

Teo, K., Churchill, R., Riadi, I., Kervin, L., Wister, A. V., & Cosco, T. D. (2022). Help-seeking behaviors among older adults: a scoping review. Journal of Applied Gerontology, 41(4), 1005–1020. https://doi.org/10.1177/07334648211067710

Thornicroft, G., Sunkel, C., Aliev, A. A., Baker, S., Brohan, E., El Chammay, R., et al. (2022). The Lancet commission on ending stigma and discrimination in mental health. The Lancet, 400(10361), 1438-1480.

Vidyasagaran, A. L., McDaid, D., Faisal, M. R., Nasir, M., Muliyala, K. P., Thekkumkara, S., Wright, J., Huque, R., Benkalkar, S., & Siddiqi, N. (2023). Prevalence of mental disorders in South Asia: A systematic review of reviews. Global mental health (Cambridge, England), 10, e78. https://doi.org/10.1017/gmh.2023.72

World Health Organization. (2017). Mental health of older adults. https://www.who.int/news-room/fact-sheets/detail/mental-health-of-older-adults

Downloads

Published

2025-07-31

How to Cite

Salwana, E., Ajit, K. ., Zaidi, Z. I. ., Zahren, M. I. S. ., Ismail, A. ., & Zulkifli, Z. . (2025). Prevalence of geriatric psychiatric cases in Malaysia and their association with clinical mental health workforce availability. IIUM Journal of Orofacial and Health Sciences, 6(2), 163–173. https://doi.org/10.31436/ijohs.v6i2.342