E-Book, Englisch, 264 Seiten
E-Book, Englisch, 264 Seiten
ISBN: 978-1-61676-571-2
Verlag: Hogrefe Publishing
Format: PDF
Kopierschutz: 1 - PDF Watermark
Expert guidance through the key topics
Highlights the best assessment and treatment practices
Addresses diversity, ethical, and health system issues
Full of real-life case examples
Resources in the appendix to test your knowledge
More about the book
Mental health practitioners are encountering an ever-growing number of older adults and so an up-to-date and comprehensive text addressing the special considerations that arise in the psychological assessment and treatment of this population is vital. This accessible handbook does just that by introducing the key topics that psychologists and other health professionals face when working with older adults. Each area is introduced and then the special considerations for older adults are explored, including specific ethical and healthcare system issues. The use of case examples brings the topics further to life.
An important feature of the book is the interweaving of diversity issues (culture, race, sexuality, etc.) within the text to lend an inclusive, contemporary insight into these important practice components. The Pikes Peak Geropsychology Knowledge and Skill Assessment Tool is included in an appendix so readers can test their knowledge, which will be helpful for those aiming for board certification in geropsychology (ABGERO).
This an ideal text for mental health professionals transitioning to work with older clients, for those wanting to improve their knowledge for their regular practice, and for trainees or young clinicians just starting out.
Zielgruppe
Clinical psychologists, psychiatrists, psychotherapists, counselors, as well as students.
Autoren/Hrsg.
Fachgebiete
- Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Klinische und Innere Medizin Geriatrie, Gerontologie
- Sozialwissenschaften Psychologie Psychotherapie / Klinische Psychologie
- Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizinische Fachgebiete Psychiatrie, Sozialpsychiatrie, Suchttherapie
- Sozialwissenschaften Psychologie Allgemeine Psychologie Entwicklungspsychologie Gerontopsychologie
Weitere Infos & Material
1;Acknowledgments, Contributors, Preface, Table of Contents;6
2;Chapter 1: Introduction to Working With Older Adults;16
3;Chapter 2: Assessment Approaches for Psychiatric and Cognitive Syndromes;28
4;Chapter 3: Theoretical Support and Practical Strategies for CBT With Depressed Older Adults;58
5;Chapter 4: Case-Based Approaches With Older Adults: ACT, IPT, and DBT;84
6;Chapter 5: Therapeutic Approaches for Anxiety and PTSD in Late Life;112
7;Chapter 6: Working Successfully With Older Persons on the Dementia Continuum, and Their Informal Caregivers;134
8;Chapter 7: Working With Older Adults in Long-Term Care Settings;152
9;Chapter 8: Determining Decisional Capacity Across Settings and Clinical Presentations: A Systematic Approach;170
10;Chapter 9: Elder Abuse: Navigating Ethical and Legal Responsibilities;186
11;Chapter 10: Psychological Interventions Developed Specifically for Use in Palliative Care: A Lifespan Developmental Perspective;202
12;Chapter 11: Psychological Palliative Care and Bereavement Interventions: Psychopathology and Family Contexts;224
13;Appendix;250
13.1;Appendix 1: Pikes Peak Geropsychology Competencies:Attitude, Knowledge, and Skill Competencies forPractice in Professional Geropsychology;251
13.2;Appendix 2: Pikes Peak Geropsychology Knowledge and SkillAssessment Tool;256
14;Peer Commentaries;278
Chapter 2 Assessment Approaches for Psychiatric and Cognitive Syndromes
Viktoriya Samarina,
Madhuvanthi Suresh,
Matthew Picchiello,
Julie Lutz,
Brian D. Carpenter,
Sherry A. Beaudreau
Introduction
Competent assessment is an essential functional skill for working with older adults. The following chapter describes basic principles for assessing an older population and serves as a primer for students or clinicians with limited experience in assessing older adults. Moreover, experienced geropsychology specialists may find this chapter useful when reviewing cases and working with patients.
One of the most important considerations in assessing late-life mental health is the ubiquity of co-occurring psychiatric and cognitive syndromes. On the one hand, older adults with psychiatric disorders often show signs of cognitive impairment, particularly executive dysfunction or memory deficits (Beaudreau & O’Hara, 2009; O’Hara, 2012). On the other hand, many older adults with cognitive syndromes have psychiatric symptoms or disorders, often termed “neuropsychiatric symptoms” based on the assumption that the mental health syndrome is part of a larger neurocognitive process (Taragano et al., 2008). Determining whether symptoms warrant a psychiatric diagnosis, cognitive diagnosis, or both is a common question for geropsychological assessment, as illustrated in the following case example referral:
Mr. J. is a 75-year-old African-American man, recently widowed from his wife of 55 years, Jean, who died 9 months ago of cancer. Mr. J.’s oldest daughter, Janelle, lives in the nearby town and has been worried about her father’s health over the last couple months due to his difficulty with activities of daily living, managing his chronic medical issues (e.g., type 2 diabetes mellitus), memory problems, motivational issues, and his recent comments about death while denying any plan to harm himself. His family have been thinking about moving Mr. J. to an assisted living facility, but he refuses. Mr. J.’s primary care physician recommended further testing by a geropsychologist to assess for possible depression and dementia, and to advise the patient and his family’s in their decisions about his need for support services.
This referral includes several complex assessment issues regarding possible psychiatric and cognitive difficulties, interacting psychosocial and medical etiologies, and concerns about functional impairment and safety. Such complex issues are frequently encountered in assessing older adults.
The overarching goals of a competent geropsychology assessment are to conduct clinical assessment leading to DSM diagnoses and other clinically relevant problems, formulation of treatment plans and, specifically, differential diagnosis (common problems and issues include but are not limited to depression, anxiety, grief, delirium, dementia; and medication and physical disorders and their effects on functioning). (American Board of Geropsychology [ABGERO], 2017, p. 32)
Also, clinicians need to demonstrate an ability to select and administer evidence-based measures and appropriate techniques for the evaluation of psychiatric, cognitive, decisionmaking, functional ability, and safety and risk issues in older adults (ABGERO, 2017). This chapter surveys information about basic geropsychological assessment methods as outlined in the Pikes Peak functional competencies for trainees and psychologists (Appendix 1; Knight et al., 2009). These competencies include knowledge of the theory and current conceptualizations that inform geropsychology assessment and the psychometric properties of tests used with older adults. Additionally, the Pikes Peak model requires familiarity with the importance of using a multimethod and interdisciplinary approach, and appropriate integration of collateral information from family, friends, or caregivers during the assessment. After reviewing these general assessment issues, we review available evidence-based assessment measures, including how best to assess mental health and cognition in older adults with varying levels of cognitive functioning, from no impairment to dementia.
Throughout the chapter, we also discuss diversity issues and how they may impact the overall assessment process. It is important to recognize that aging is a diversity variable and that many older adults also have unique backgrounds and identities that intersect with their status as an older adult. These intersecting identities include, but are not limited to, disability status, culture, race, ethnicity, sexual minority status and gender identity, religious background, native language, immigration status, and veteran status.
