Geriatric Mental Health Care: A Treatment Guide for Health ProfessionalsGuilford Press, 2001 M11 2 - 347 pages This essential guide is designed for mental health practitioners and p rimary care providers without advanced training in geriatric psychiatr y. Gary J. Kennedy sets forth a clear framework for understanding the interplay of medical, psychological, and social factors in frequently encountered problems among older adults. Clear guidelines are delineat ed for assessing and treating such conditions as depression and anxiet y, dementia, psychosis and mania, sleep disturbances, personality and somatoform disorders, substance abuse, and suicidality. Throughout, th e book focuses on ways to sustain seniors' independence and overall qu ality of life while enhancing their adaptive capacities. |
Contents
Introduction to the Geriatric Imperative | 1 |
CORE CONCEPTS FROM SOCIOLOGY AND CLINICAL SCIENCES | 2 |
BURDENS AND BENEFITS | 10 |
ATTRIBUTES OF SUCCESSFUL GERIATRIC PRACTICE | 15 |
REFERENCES | 16 |
Depression and Anxiety | 19 |
SYMPTOM IDENTIFICATION SCREENING FOR THE DISORDERS | 20 |
GERIATRIC SYNDROMES DEPRESSION AND ANXIETY | 21 |
THE GENESIS OF LATELIFE SEXUAL DYSFUNCTION | 179 |
EVALUATION | 181 |
MANAGEMENT OF SEXUAL DYSFUNCTION | 182 |
SEX IN THE NURSING HOME | 188 |
SUGGESTED READING FOR PATIENTS | 189 |
Elder Abuse Neglect and SelfInjurious Behaviors | 192 |
PROBLEMS WITH REPORTS OF ELDER MISTREATMENT | 193 |
DETECTION | 197 |
COMORBIDITY OF MENTAL AND PHYSICAL DISORDERS | 22 |
ANXIETY DISORDERS | 23 |
SUICIDE | 25 |
REFERENCES | 38 |
The Dementias | 44 |
EPIDEMIOLOGY | 45 |
DIAGNOSTIC CRITERIA AND PROCEDURES | 46 |
DIFFERENTIAL DIAGNOSIS | 47 |
COGNITIVE ASSESSMENT | 52 |
ASSESSMENT OF FUNCTIONAL IMPAIRMENT | 55 |
GENERAL TREATMENT CONSIDERATIONS | 56 |
MEDICATIONS TO PALLIATE COGNITIVE IMPAIRMENT | 57 |
ENVIRONMENTAL MODIFICATIONS | 62 |
MANAGEMENT OF BEHAVIORAL AND PSYCHOLOGICAL SIGNS AND SYMPTOMS | 63 |
SPECIFIC PROBLEM BEHAVIORS AND SYMPTOMS | 64 |
MEDICATIONS TO LESSEN BEHAVIORAL AND PSYCHOLOGICAL DISTURBANCES | 71 |
CAREGIVER BURDEN AND DYSFUNCTIONAL FAMILY DYNAMICS | 73 |
PRACTITIONER AS DE FACTO GUARDIAN AND OTHER MEDICALLEGAL ISSUES | 74 |
MANAGEMENT OF FINANCIAL RESOURCES | 75 |
PREPARATIONS FOR ENDOFLIFE CARE | 76 |
REFERENCES | 77 |
Psychosis and Mania | 84 |
THE SCHIZOPHRENIAS | 89 |
DELUSIONAL DISORDER | 91 |
ANTIPSYCHOTICS AND THE AVOIDANCE OF MOVEMENT DISORDERS | 94 |
ELECTROCONVULSIVE THERAPY FOR MANIA OR PSYCHOSIS | 99 |
REFERENCES | 100 |
Sleep Disturbances | 103 |
TREATMENT | 107 |
SUMMARY | 112 |
Personality Somatoform and Pain Disorders | 114 |
SOMATOFORM AND PAIN DISORDERS | 121 |
REFERENCES | 125 |
Individual Psychotherapies for Older Adults | 127 |
ASSESSMENT FOR PSYCHOTHERAPY | 130 |
BRIEF PSYCHODYNAMIC VERSUS SUPPORTIVE THERAPY | 131 |
GENERAL PRINCIPLES OF COGNITIVEBEHAVIORAL THERAPY | 133 |
INTERPERSONAL THERAPY FOR LATELIFE DEPRESSION | 141 |
LIFE REVIEW OR REMINISCENCE THERAPY | 143 |
PROBLEMSOLVING THERAPY | 144 |
BEREAVEMENT THERAPY | 148 |
SUMMARY | 151 |
Adapting Principles of Marital Group and Family Therapy to the Needs of Older Patients | 155 |
MODELS | 157 |
GENERAL CONSIDERATIONS | 160 |
FAMILY WORK | 165 |
WORK WITH ETHNIC ELDERS ÉMIGRÉS AND RELIGIOUS MINORITIES | 168 |
PREPARING FOR GENETIC COUNSELING | 169 |
SUMMARY | 170 |
Sexuality | 175 |
REALITIES | 176 |
INTERVENTION | 200 |
SUMMARY | 201 |
APPENDIX | 202 |
REFERENCES | 205 |
Alcohol and Substance Abuse | 208 |
PREVALENCE OF NONALCOHOL SUBSTANCE ABUSE IN LATE LIFE | 209 |
PHARMACODYNAMICS OF ALCOHOL IN THE AGED | 210 |
UNCERTAIN DIAGNOSTIC CRITERIA | 211 |
SYMPTOM PRESENTATION OF ALCOHOL ABUSE IN OLD AGE | 212 |
DETECTION AND SCREENING | 213 |
ASSESSMENT | 217 |
TREATMENT | 218 |
PRESENTATION OF A CASE | 222 |
SUMMARY | 225 |
Recognition and Reduction of Suicide Risk | 229 |
TRENDS IN THE PREVALENCE OF LATELIFE SUICIDE | 230 |
GENDER RACE AND SOCIAL FACTORS | 231 |
HISTORICAL AND GENERATIONAL EFFECTS | 232 |
PHYSICAL ILLNESS | 233 |
EXCESSES OF MODERN MEDICINE | 234 |
THE NEUROBIOLOGY OF SUICIDALITY | 235 |
PERSONALITY AND NEUROPSYCHOLOGY | 236 |
MANAGEMENT OF ACUTE SUICIDAL RISK | 238 |
MANAGEMENT OF CHRONIC SUICIDAL RISK | 240 |
PUBLIC POLICY AND PREVENTION | 241 |
SUMMARY | 243 |
Mental Health Consultation in the General Hospital Home or Nursing Facility | 248 |
MODELS AND METHODS | 249 |
MENTAL HEALTH CARE IN NURSING HOMES | 262 |
HOW TO MAKE A HOUSE CALL | 267 |
SUMMARY | 276 |
REFERENCES | 277 |
Legal and Ethical Issues | 282 |
AUTONOMY ABANDONMENT AND THE SANCTITY OF LIFE | 283 |
COMPETENCE OR CAPACITY? | 286 |
OTHER BIOETHICAL ISSUES OF CONCERN | 299 |
WHO DECIDES WHO DEFINES? | 302 |
PHYSICIANASSISTED SUICIDE | 304 |
HOW TO CONDUCT A BIOETHICS CONSULTATION | 307 |
SUMMARY | 310 |
REFERENCES | 315 |
Advice on Exercise and Nutrition | 318 |
DIETARY INTERVENTION | 319 |
GAINING WEIGHT | 322 |
TREATMENT OF OVERWEIGHT AND OBESITY | 323 |
CONSTIPATION | 324 |
SUMMARY | 328 |
| 329 | |
| 333 | |
Other editions - View all
Geriatric Mental Health Care: A Treatment Guide for Health Professionals Gary J. Kennedy Limited preview - 2001 |
Geriatric Mental Health Care: A Treatment Guide for Health Professionals Gary J. Kennedy Limited preview - 2012 |
Geriatric Mental Health Care: A Treatment Guide for Health Professionals Gary J. Kennedy No preview available - 2000 |
Common terms and phrases
activity alcohol Alzheimer's disease American Journal antidepressant antipsychotic anxiety disorder approach assessment associated behavior benzodiazepines capacity caregiver chronic Clinical clinician cognitive impairment comorbid consultant daily decision demented dementia depression diagnosis disability dose drug interactions dysfunction elder abuse elderly England Journal estrogen exercise family members function Geriatric Psychiatry goals haloperidol health care proxy home health hospital increase individual insomnia interpersonal intervention Journal of Geriatric Journal of Medicine Journal of Psychiatry late-life suicide less lorazepam Low Low mania marital ment mental health mental illness Mirtazapine Nefazodone nursing home olanzapine older adults older patients older persons onset panic disorder Paroxetine personality disorder physical physician practitioner present prevalence primary problem procedures psychosis psychotherapy psychotic reduce referral require risk risperidone Sadavoy sedative sertraline sexual sleep disturbance social SSRI staff substance abuse symptoms therapeutic therapist therapy thioridazine tients tion trazodone treatment typical antipsychotic Zarit