Making Evidence Based Psychological Treatments Work With Older Adults

In this new release by geropsychology scholars Forrest Scogin and Avani Shah, researchers and clinicians come together in each chapter to discuss the prevalent psychological disorders that afflict this burgeoning population. Each chapter focuses on one of the major presenting problems -- anxiety, insomnia, depression, memory function, and behavioral disturbances -- with researchers identifying successful evidence- based treatments (EBTs), and clinicians discussing how their specific expertise and flexibility maximized EBT fidelity while tailoring the EBT to the special needs and conditions of their older clients. Written for clinicians who specialize in psychotherapy and counseling with older adults, this timely book will also appeal to practitioners who work with elders in assisted-living facilities or in home settings. The final chapter of the book is devoted to family caregivers who also experience psychological symptoms in caring for an older parent or other relative.

In this edited volume, researchers and clinicians come together to discuss the prevalent psychological disorders that afflict older adults. Each chapter focuses on one of the major presenting problems--anxiety, insomnia, depression, memory function, behavioral disturbances, and the consequent psychological symptoms of family caregivers--with researchers identifying successful evidence-based treatments (EBTs) for the disorders, and clinicians discussing how they tailored the EBT to the special needs and conditions of their older clients.

This book consolidates current knowledge in the field and discusses psychiatric disorders among the elderly, while bridging the gap between clinical practice and the socio-cultural contexts. The book is particularly important in the face of rapidly changing conditions globally and challenges such as migration, war and violence, diminishing physical health due to ageing and their impact on the mental health of elderly. Longevity is a great gift of medical sciences and modern health care and since the benefit of longevity comes with specific mental health issues of the elderly, this book responds to the heightened need to understand and address the mental health challenges of the elderly.

Evidence Based Treatment with Older Adults: Theory, Practice, and Research provides a detailed examination of five research-supported psychosocial interventions for use with older adults: cognitive behavioral therapy, motivational interviewing, life review/reminiscence, problem solving therapy, and psychoeducational/social support approaches. These interventions address the diversity of mental health conditions and late-life challenges that older adults and their family members experience. Detailed explanations of the approaches, skills, and strategies employed in each intervention are provided, as are adaptions for use of the interventions with older adults. Vignettes are also used to demonstrate the use of specific practice skills and techniques with older clients. The theory undergirding each approach and the historical development of the interventions is explained, and provides the reader with a rich understanding of background and context of each therapy. In addition, the distinct issues such as depression, anxiety, substance abuse/misuse for which evidence exists are highlighted. Research support for application of the interventions in community-based, acute care, and long-term care settings and in individual and group formats is also discussed. Finally, implementation issues encountered in therapeutic work with older adults are described as are accommodations to enhance treatment efficacy. In sum, this book provides a comprehensive overview of evidence based psychosocial interventions for older adults; it is ideal for students and mental health professionals interested in clinical work with older adults and their families.

This Third Edition of the bestselling Psychotherapy with Older Adults continues to offer students and professionals a thorough overview of psychotherapy with older adults. Using the contextual, cohort-based, maturity, specific challenge (CCMSC) model, it draws upon findings from scientific gerontology and life-span developmental psychology to describe how psychotherapy needs to be adapted for work with older adults, as well as when it is similar to therapeutic work with younger adults. Sensitively linking both research and experience, author Bob G. Knight provides a practical account of the knowledge, technique, and skills necessary to work with older adults in a therapeutic relationship. This volume considers the essentials of gerontology as well as the nature of therapy in depth, focusing on special content areas and common themes. Psychotherapy with Older Adults includes a comprehensive discussion of assessment and options for intervention. Numerous case examples illustrate the dynamics of the therapeutic task and issues covered in therapy and stress the human element in working with older adults. A concluding chapter considers ethical questions and the future of psychotherapy with older adults. The author has updated the Third Edition to reflect new research findings and has written two entirely new chapters covering psychotherapy with persons with dementia and psychotherapy with caregivers of frail older adults. Since its initial publication in 1986, the book has been used as a course text and a professional reference around the world, including translations into French, Dutch, Chinese, and Japanese. It is a vital resource for practicing therapists and counselors who work with older adults and is also ideally suited as a text for advanced students in psychology, social work, gerontology, and nursing. Praise for Previous Editions: "Bob G. Knight′s largest contribution is his excellent discussion of therapy. The book is clearly written, with a good use of summaries and case examples to clarify the major points. By linking research findings to practice experience, Knight has provided a pragmatic introduction which should be helpful to psychiatrists, psychologists, social workers, and psychiatric nurses working with older adults." —JOURNAL OF APPLIED GERONTOLOGY "I recommend this book to anyone interested in working with the elderly, partly because of the content and partly because the author presents the case for doing psychotherapy with the elderly with realism and enthusiasm." —BEHAVIOR RESEARCH & THERAPY

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"The Oxford Handbook of Geropsychology provides students and experienced clinicians and clinical researchers alike with a comprehensive and contemporary overview of developments in the field of geropsychology. Informed by an international perspective, the introductory section covers demographics, meta-analyses in geropsychology, social capital and gender, cognitive development, and ageing. Sections on assessment and formulation include chapters on interviewing older people, psychological assessment strategies, capacity and suicidal ideation, and understanding long term care environments. Psychological distress and their causes are reviewed with chapters focusing upon late-life depression and anxiety, psychosis, and personality disorders. In this section, neuropsychiatric approaches to working with older people and risk factors relating to cognitive health are reviewed. Intervention strategies covered include cognitive-behavioural therapy (CBT), interpersonal psychotherapy (IPT), acceptance and commitment therapy (ACT), and family therapy. Interprofessional teamwork and aspects of work with persons with dementia (PwD), caregivers, and care staff, are also covered. Chapters on interventions address specific populations such as lesbian, gay, bisexual and transgender older persons, people with physical and psychological comorbidities, and those experiencing grief and bereavement. Finally, this Handbook explores new horizons, including positive ageing, exercise and health promotion, and the use of new media such as online and virtual reality interactive technologies in clinical research and practice with older adults." -- From the Amazon

This open access book provides a comprehensive perspective on the concept of ageism, its origins, the manifestation and consequences of ageism, as well as ways to respond to and research ageism. The book represents a collaborative effort of researchers from over 20 countries and a variety of disciplines, including, psychology, sociology, gerontology, geriatrics, pharmacology, law, geography, design, engineering, policy and media studies. The contributors have collaborated to produce a truly stimulating and educating book on ageism which brings a clear overview of the state of the art in the field. The book serves as a catalyst to generate research, policy and public interest in the field of ageism and to reconstruct the image of old age and will be of interest to researchers and students in gerontology and geriatrics.

Sigmund Freud believed that psychoanalysis (and other forms of therapy) was not suitable for people over 50 years of age. In Psychological Therapies with Older People, the authors demonstrate the value of a range of psychological interventions with older people, showing that it is 'not too late' to help. With an emphasis on practical application, and using a wide range of clinical examples, the authors describe the therapies most likely to be useful in a mental health service for older people, and consider the implications for service provision. Therapies covered include: * interpersonal therapy (IPT) * cognitive behavioural therapy (CBT) * psychodynamic and systemic therapy * cognitive analytical therapy (CAT). For each treatment, the historical background and basic theoretical model is summarised before giving a description of the therapy in practice. The authors also discuss the theory of the use of evidence of efficacy and effectiveness in choosing therapeutic interventions, summarising currently available data. Psychological Therapies with Older People will be an invaluable resource for psychiatrists and psychologists working with older people, as well as to GPs, nurses and occupational therapists.

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.