Download or read book Effective Programs to Treat Depression in Older Adults written by and published by . This book was released on 2008 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Mental Health and Substance Use Workforce for Older Adults written by Institute of Medicine and published by National Academies Press. This book was released on 2012-10-26 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: At least 5.6 million to 8 million-nearly one in five-older adults in America have one or more mental health and substance use conditions, which present unique challenges for their care. With the number of adults age 65 and older projected to soar from 40.3 million in 2010 to 72.1 million by 2030, the aging of America holds profound consequences for the nation. For decades, policymakers have been warned that the nation's health care workforce is ill-equipped to care for a rapidly growing and increasingly diverse population. In the specific disciplines of mental health and substance use, there have been similar warnings about serious workforce shortages, insufficient workforce diversity, and lack of basic competence and core knowledge in key areas. Following its 2008 report highlighting the urgency of expanding and strengthening the geriatric health care workforce, the IOM was asked by the Department of Health and Human Services to undertake a complementary study on the geriatric mental health and substance use workforce. The Mental Health and Substance Use Workforce for Older Adults: In Whose Hands? assesses the needs of this population and the workforce that serves it. The breadth and magnitude of inadequate workforce training and personnel shortages have grown to such proportions, says the committee, that no single approach, nor a few isolated changes in disparate federal agencies or programs, can adequately address the issue. Overcoming these challenges will require focused and coordinated action by all.
Download or read book Social Isolation and Loneliness in Older Adults written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-05-14 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.
Download or read book Community Programs for the Depressed Elderly written by Ellen D Taira and published by Routledge. This book was released on 2014-03-18 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt: International experts offer insights into rehabilitative work with the depressed elderly, including examples of successful treatment models, assessment and prevention techniques, as well as other helpful methods of alleviating depression in the institutionalized elderly.
Download or read book Psychotherapy for Depression in Older Adults written by Sara Honn Qualls and published by John Wiley & Sons. This book was released on 2007-04-10 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first book in the new Wiley Series on Geropsychology, Psychotherapy for Depression in Older Adults is a practical resource created by a team of international luminaries in the field. Developed in conjunction with the Gerontology Center of the University of Colorado, this expert guide provides evidence-based treatment approaches for alleviating depression in older adults.
Download or read book Screening for Depression in Adults and Older Adults in Primary Care written by and published by . This book was released on 2009 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND: Depression causes significant suffering and is commonly seen in primary care. Because primary care providers sometimes fail to identify patients as depressed, systematic screening programs in primary care may be of use in improving outcomes in depressed patients. Depression screening is predicated on the notion that identification will allow effective treatments to be delivered and that the benefits of treatment will outweigh the harms. Treatment efficacy of antidepressants and psychotherapy in general adult populations was established in a previous United States Preventive Services Task Force (USPSTF) review on depression screening, but treatment in older adults was not examined specifically. Additionally, harms of screening and treatment were not previously examined in detail. PURPOSE: This evidence report updates the evidence for the benefits and harms of screening primary care patients for depression in order to initiate or modify treatment aimed at providing relief from depression. DATA SOURCES: We developed an analytic framework and five key questions to represent the logical evidence connecting primary care screening to improved health outcomes, including remission from depression. We searched Medline, Cochrane Central Registry of Controlled Trials, and PsycINFO from 1998 to December 2007, and Cochrane Database of Systematic Reviews from 1998-October 2006 (with updates through December 2007). Separate literature search strategies were developed for harms of screening and harms of treatment. We also considered all trials included in the previous systematic review for the USPSTF and a recent Cochrane review on depression screening in primary care, contacted experts, and checked bibliographies from non-systematic reviews and other studies. We examined 4088 abstracts and 412 full-text articles. STUDY SELECTION: For all key questions, we considered evidence from studies published in English that were conducted in the United States or other similarly developed countries and met design-specific USPSTF quality standards. We included fair-to-good quality randomized clinical trials (RCTs) or controlled clinical trials (CCTs) that evaluated screening for depression in primary care settings if the screening and related interventions involved general adult primary care populations and if the control group was either unscreened or the results of the screening were not used in the care of the patient. We found no trials or studies addressing harms of screening. We included good-quality meta-analyses that examined depression treatment efficacy in older adults. We included fair-to-good quality systematic reviews, meta-analyses, and large observational studies of serious adverse events and early discontinuation due to adverse effects in adult and older adults. DATA EXTRACTION: One reviewer abstracted relevant information from each included article into standardized evidence tables, and a second reviewer checked all elements. Two reviewers graded the quality of each article using USPSTF criteria. Excluded articles are listed in tables, along with the primary reason(s) for exclusion. DATA SYNTHESIS: Programs that include depression screening and staff that assist the primary care clinician by providing some direct depression care (such as care support or coordination, case management, or mental health treatment) can increase depression response and remission over usual care. However, it is unclear whether screening is a necessary component of these programs. Depression screening programs that do not provide depression care supports other than those targeted at improving the effectiveness of the primary care provider's depression treatment (without additional staff involvement) are unlikely to be effective. Antidepressants and psychotherapy are effective in treating depression in older adults, with odds of remission about twice those seen in placebo or other non-active control conditions. The most current evidence on risk of completed suicide deaths does not demonstrate a clear and uniform effect of second-generation antidepressants compared with placebo; rather, data are consistent with no effect, mild protection or some increased risk. Some meta-analyses suggest an increase in suicidal behaviors in young adults (aged 18-29 years) on antidepressants, particularly those with major depressive disorder and those taking paroxetine. In contrast, older adults have a reduced risk of suicidal behaviors during antidepressant treatment. CONCLUSIONS: Screening programs without staff-assisted depression care supports are unlikely to improve depression outcomes, although depression treatment can be effective in adults of all ages. Close monitoring of all adult patients initiating antidepressant treatment, particularly those under age 30, is important both for safety reasons and to ensure optimal treatment response.
Download or read book Treating Later Life Depression written by Ann M. Steffen and published by Oxford University Press. This book was released on 2021-09-17 with total page 383 pages. Available in PDF, EPUB and Kindle. Book excerpt: Depression is a leading mental health concern in aging individuals. Written to be used in collaboration with a qualified mental health professional, Treating Later-Life Depression: Workbook is designed to address and alleviate depression and related concerns (chronic pain, sleep problems, anxiety, brain health, family caregiving and grief) in middle-aged and older adults. This practical Workbook, along with its companion Clinician Guide, reflects the latest scientific and clinical advances in cognitive-behavioral therapy for age-related problems, in individual, group, and telehealth formats. Along with learning how to re-engage in a meaningful daily life, individuals will build skills using personalized change strategies such as problem solving, relaxation training, self-compassion, reframing unhelpful thoughts and effective communication practices, among others. The Workbook closes with resources to support middle-aged and older adults' ongoing efforts at achieving and maintaining a greater sense of wellbeing.
Download or read book Guiding Autobiography Groups for Older Adults written by James E. Birren and published by JHU Press. This book was released on 1991-06 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mary McInerney Clergy Support NOTIFY.
Download or read book Interpersonal Psychotherapy for Depressed Older Adults written by Gregory A. Hinrichsen and published by American Psychological Association (APA). This book was released on 2006 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: The authors discuss how to conduct Interpersonal Psychotherapy (IPT) with persons aged 65+. They review late life depression's presentation, health consequences, prevalence, interpersonal dynamics, clinical assessment, and treatment. It is useful for mental health professionals working with older adults.
Download or read book Depressed Older Adults written by Jacquelin Berman, PhD, MSW and published by Springer Publishing Company. This book was released on 2010-08-20 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designated a Doody's Core Title! "This volume is one of the best practice-oriented books on mental health and aging that I have read. I hope that the coming years will see substantive developments in outreach to depressed older adults. This book lays a solid and credible foundation for these efforts." --PsycCRITIQUES Late life depression has become increasingly prevalent among older adults. This book presents guidelines to help enable aging and social service programs to establish a mental health education and screening program focused on late-life depression. This 2-time award-winning model presented in this book offers a practical and culturally-sensitiveapproach to mental health education which can be adapted by service programs seeking to identify clinical depression among their older adult clientele. Additionally, this program offers professionals serving older adults an opportunity to increase their knowledge about clinical depression among older adults; develop the skills necessary to identify the signs of clinical depression and suicidal ideation; and create long-standing, collaborative relationships across the professional disciplines of aging, social services, medical and mental health services. Older adults who participate in this program are able to: increase their awareness of the role of mental health in their overall quality of life identify both long-standing and newly emergent symptoms of clinical depression, a serious mental health condition connect to treatment providers within their own communities
Download or read book Treating Late Life Depression written by Dolores Gallagher-Thompson and published by Oxford University Press. This book was released on 2009-09-04 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Depression is a common problem for individuals in their senior years. Conservative estimates suggest that more than five million seniors over 65 are suffering from severe depression. How can you help your older clients manage depressed mood? This Therapist Guide outlines a three-phase program based on the principles of cognitive-behavioral therapy. Designed specifically for use with older adults, this treatment generally is delivered over the course of 16 - 20 sessions. In Phase 1 of the intervention, clients are introduced to the program and are encouraged to develop goals for therapy. The focus of Phase 2 is on helping the client acquire the cognitive and behavioral skills needed to meet the therapy goals. It is during this phase that clients learn the benefits of participating in pleasant activities, how to challenge negative thinking, how to manage feelings of anger and frustration through relaxation, and how to improve communication skills. Phase 3 deals with termination and how to maintain the gains obtained in therapy. Step-by-step instructions for administering therapy are provided in a user-friendly format, along with information on screening and assessment. A separate chapter on age-related issues that may affect treatment guides you through potentially difficult clinical situations. Complete with sample dialogues, at-home assignments, and lists of materials needed, this comprehensive guide includes all the tools necessary for facilitating effective treatment. TreatmentsThatWork TM represents the gold standard of behavioral healthcare interventions! · All programs have been rigorously tested in clinical trials and are backed by years of research · A prestigious scientific advisory board, led by series Editor-In-Chief David H. Barlow, reviews and evaluates each intervention to ensure that it meets the highest standard of evidence so you can be confident that you are using the most effective treatment available to date · Our books are reliable and effective and make it easy for you to provide your clients with the best care available · Our corresponding workbooks contain psychoeducational information, forms and worksheets, and homework assignments to keep clients engaged and motivated · A companion website (www.oup.com/us/ttw) offers downloadable clinical tools and helpful resources · Continuing Education (CE) Credits are now available on select titles in collaboration with PsychoEducational Resources, Inc. (PER)
Download or read book Families Caring for an Aging America written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-11-08 with total page 367 pages. Available in PDF, EPUB and Kindle. Book excerpt: Family caregiving affects millions of Americans every day, in all walks of life. At least 17.7 million individuals in the United States are caregivers of an older adult with a health or functional limitation. The nation's family caregivers provide the lion's share of long-term care for our older adult population. They are also central to older adults' access to and receipt of health care and community-based social services. Yet the need to recognize and support caregivers is among the least appreciated challenges facing the aging U.S. population. Families Caring for an Aging America examines the prevalence and nature of family caregiving of older adults and the available evidence on the effectiveness of programs, supports, and other interventions designed to support family caregivers. This report also assesses and recommends policies to address the needs of family caregivers and to minimize the barriers that they encounter in trying to meet the needs of older adults.
Download or read book The Guide to Interpersonal Psychotherapy written by Myrna M. Weissman and published by Oxford University Press. This book was released on 2017-08-10 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: New to this Edition, Updated with new research and clinical controversies in IPT, Defines the elements that are unique to IPT and that are needed to make adaptations authentically IPT, Significantly expanded, including more discussion on international use and collaboration with the World Health Organization, Reorganized to follow DSM-5 diagnoses Book jacket.
Download or read book Depression in Late Life written by Dan German Blazer (II) and published by Springer Publishing Company. This book was released on 2002 with total page 504 pages. Available in PDF, EPUB and Kindle. Book excerpt: The author demarcates the current body of knowledge relevant to the clinical care of elders experiencing depression.
Download or read book Treatment Resistant Depression written by University of Michigan Comprehensive Depression Center and published by American Psychiatric Pub. This book was released on 2011-03-28 with total page 366 pages. Available in PDF, EPUB and Kindle. Book excerpt: As many as 35-40% of patients afflicted with Major Depressive Disorder (MDD) are treatment resistant, a situation that places a massive emotional and financial burden on society and challenges the mental health profession to develop new treatment paradigms and practices. Even the most astute clinicians can be frustrated when treatment options fail to be effective or work for only a brief time, leaving them to wonder what course to pursue next. Treatment Resistant Depression: A Roadmap for Effective Care gives clinicians and their patients what they need most desperately: a sequence of steps that reflect state-of-the-art diagnostic procedures and integrates all evidence-based treatment modalities -- in short, a roadmap to wellness and recovery. Based primarily on the experiences of the authors, all of whom are leading researchers and/or clinicians in Treatment Resistant Depression and affiliated with the University of Michigan Comprehensive Depression Center, the book also draws upon the clinical research advances and treatment innovations of programs around the world. Although the book's step-by-step organization is clear and easy to follow, its coverage, scope, and level of sophistication are anything but simplified. This book Is comprehensive, addressing treatment options, including psychopharmacotherapy, psychotherapy, neuromodulation (ECT, transcranial magnetic stimulation, deep brain stimulation, vagus nerve stimulation), exercise, nutrition, self-management approaches to enhance adherence, behavioral sleep programs, and others Addresses treatment resistant depression across the lifespan, reflecting the diverse demographics of depression, which knows no age, gender, or socioeconomic status Emphasizes the authors' commitment to early intervention and provides techniques for identifying young people who are at risk for developing depression or already expressing symptoms of the disease Recognizes the chronicity of depression, rather than focusing on only the acute stage, and in this way allows for more effective treatment over the patient's lifetime Introduces self-management as playing a critical role in the patient's prognosis, engagement, adherence to clinical steps that help maintain recovery, and self-esteem Promotes the development of new, personalized, and predictive biomarkers to target treatment more effectively. Designed to be useful across disciplines and treatment modalities, the book includes a multitude of tables, graphs, and learning aids that will benefit students, instructors, and clinicians. At the same time, the book promises to be a valuable resource for patients and their families, since Treatment Resistant Depression is both difficult to live with and little understood. No other book offers so much practical guidance, sound research and hope.
Download or read book Late Life Mood Disorders written by Helen Lavretsky and published by Oxford University Press. This book was released on 2013-04-04 with total page 795 pages. Available in PDF, EPUB and Kindle. Book excerpt: Late-life Mood Disorders provides a comprehensive review of the current research advances in neurobiology and psychosocial origins of geriatric mood disorders. The review of the latest developments and "gold standards" of care is provided by an international group of leading experts.
Download or read book Geriatric Depression written by Gary J. Kennedy and published by Guilford Publications. This book was released on 2015-03-10 with total page 249 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written for a broad range of mental health professionals, this book explains why depression can be challenging to treat in older adults and describes the most effective interventions. Noted geriatric psychiatrist Gary J. Kennedy draws on extensive clinical experience and research to present current best practices in pharmacotherapy, psychotherapy, other psychosocial and lifestyle interventions, and electroconvulsive therapy. Depressive disorders complicated by psychosis, mania, dementia, and bereavement are addressed in detail, as is suicide prevention. Kennedy emphasizes the importance of integrating care across service settings and building strong partnerships with patients and their families. Quick-reference tables throughout the book distill critical elements of intervention. See also the author's award-winning "Geriatric Mental Health Care: A Treatment Guide for Health Professionals," which provides a framework for treating the most frequently encountered psychiatric problems in this population.
