The mental health of the older population is a strategic priority in the current demographic context of many European nations, being essential for ensuring dignified and active ageing. Epidemiological studies highlight the negative impact of social isolation and the stigmatisation of psycho-emotional conditions on the overall well-being of seniors. These phenomena not only diminish their quality of life but also have a deleterious effect on their physical health.

European Models of Best Practice

Scientifically validated international practices offer effective models of intervention. In Sweden, for example, community programmes that have been operating for over two decades use a network of volunteers and specialists who make regular home visits, with the main objective of preventing loneliness and depression. Similarly, in Germany, networks of psycho-emotional support groups are in place, where participants openly discuss psychological challenges and receive assistance from psychologists and peers. The United Kingdom has initiated national campaigns, such as “Time to Talk“, with the aim of normalising dialogue about mental health and deconstructing the social barriers associated with stigmatisation. These examples illustrate that community interventions, while seemingly simple, have significant effects, contributing to a reduction in feelings of loneliness, an increase in positive self-esteem, and the prevention of cognitive decline.

A Community-Based Approach in the Republic of Moldova

Building on these best practices, the public association CASMED, in partnership with institutional entities and non-governmental organisations, has initiated the project “Mental Health Without Barriers“. The main objective of this initiative is to improve the emotional well-being and quality of life for people aged 55 and over, with a particular focus on rural areas where access to specialised services is limited. The project, initiated in the Edineț district, aims for a gradual expansion into several other regions of the country, including Fălești, Rîșcani, Drochia, Glodeni, Ocnița, Strășeni, Ungheni, Șoldănești, and Sîngerei.

Stemming from challenges such as social isolation, the stigmatisation of mental conditions, and limited access to psycho-emotional support services, the project adopts a community-based approach focused on solidarity, human connection, and mutual care. In six localities within the Edineț district, 18 community facilitators have been trained to organise six psycho-emotional support groups and conduct 1,500 home visits to provide assistance to vulnerable individuals. Mental health specialists will hold eight educational sessions, offering seniors relevant information on preventing cognitive decline and managing emotions.

In total, 400 seniors will benefit directly from the project’s activities, and over 3,000 people will be informed through the awareness campaign, informational materials, and online sessions. At the end of the six-month implementation period, an active network of trained facilitators, functional community structures, and sustainable inter-institutional partnerships will be consolidated in support of older people.

Project Impact and Sustainability

The “Mental Health Without Barriers” project is of particular relevance, especially in the rural context of Moldova. A simple social interaction or a focused conversation can prevent isolation and offer a sense of hope. The emotional support, home visits, and access to scientifically validated information provide seniors with the reassurance that they are not marginalised, and their life experience is valued.

A crucial aspect of this initiative is the creation of a sustainable model. By forming a network of community facilitators and strengthening inter-institutional partnerships, the project leaves behind a functional structure capable of continuing support even after the initial implementation phase has concluded. Through this approach, the Republic of Moldova has the potential to develop a community intervention model comparable to those in European countries. Solidarity and human connection become the foundations of a replicable intervention, demonstrating that mental health is not a luxury but a fundamental necessity for a dignified life at any age.

References

Mind and Rethink Mental Illness (2018). Time to Change: An Evaluation of the England Programme. [PDF]. Available at: https://www.rethink.org/media/5842/time-to-change-evaluation-of-the-england-programme-2018.pdf (Accessed: 30 August 2025).

World Health Organization (WHO) (2015). World report on ageing and health. Geneva: World Health Organization. [PDF]. Available at: https://iris.who.int/handle/10665/186463 (Accessed: 30 August 2025).

European Commission (2009). Mental health and well-being of older people in Europe: A public health perspective. [PDF]. Available at: https://ec.europa.eu/health/ph_determinants/life_style/mental/docs/consensus_older_en.pdf (Accessed: 1 September 2025).

Ministry of Labour and Social Solidarity, Romania (2019). Scientific report – Measures for the inclusion of older people. [PDF]. Available at: https://www.mmuncii.ro/j33/images/Documente/MMJS/Transparenta/2019/01022019_Raport_stiint_masuri_incluz_pers_varstnice.pdf (Accessed: 1 September 2025).

International Report (2020). Existential loneliness: good practices from health organisations and from a patient perspective. [PDF]. Available at: https://arhiva.oammr-iasi.ro/wp-content/uploads/2020/05/O1-Singuratate-existentiala-Bune-practici-din-organizatiile-din-domeniul-sanatatii-si-din-perspectiva-pacientului.-Raport-international.pdf (Accessed: 2 September 2025).