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Geriatric Mental Health Care : A Treatment Guide for Health Professionals - Gary J. Kennedy

Geriatric Mental Health Care

A Treatment Guide for Health Professionals

Hardcover

Published: 8th August 2000
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This essential guide is designed for mental health practitioners and primary care providers without advanced training in geriatric psychiatry. 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 delineated for assessing and treating such conditions as depression and anxiety, dementia, psychosis and mania, sleep disturbances, personality and somatoform disorders, substance abuse, and suicidality. Throughout, the book focuses on ways to sustain seniors' independence and overall quality of life while enhancing their adaptive capacities.

Winner--American Journal of Nursing Book of the Year Award (2000

See also the author's Geriatric Depression: A Clinical Guide, which distills the best available interventions for depression in older adults in a highly accessible format.
 

'A useful reference for the student and generalist concerned with the life problems and mental health of elders. For a single author to be able to encompass this body of knowledge is remarkable, and Kennedy does it well.' - American Journal of Psychotherapy 'It is noteworthy that Dr. Kennedy gives special consideration to the complexities of providing consultation in nursing homes, on home visits, and to other health care agencies. Specific guidance on navigating this unchartered territory is both practical and valuable... Geriatric Mental Health Care is a timely endeavour written by one of the leading educators in geriatric psychiatry to guide and instruct health care professionals at every level in working with the elderly.' - Psychiatric Services 'At once focused and comprehensive, chapters provide concise overviews of the main areas of geriatric psychiatry - such as late-life depression - as well as useful reference material. Perhaps the greatest strengths of the book, however, lie in its coverage of lesser-understood topics such as elder abuse/neglect and personality disorders.' - Dan Blazer, MD, PhD, Duke University Medical Center 'This valuable text will improve the clinical care and support that generalist practitioners can offer to older people and their caregivers.' - Mathay Mezey, EdD, RN, FAAN, The Hartford Institute for Geriatric Nursing, New York University Division of Nursing 'Relevant for many types of professionals, including nonpsychiatric physicians, psychologists, nurses, social workers, administrators, and others who work with older people... The case examples are very useful for everyday practice, as are tables providing quick reviews of topics as diverse as pharmacologic treatments for depression, decision-making competence, and types of sleep disorder.' - M. Powell Lawton, PhD, Philadelphia Geriatric Center

Introduction to the Geriatric Imperativep. 1
Core Concepts from Sociology and Clinical Sciencesp. 2
The New Psychopharmacology: Burdens and Benefitsp. 10
Attributes of Successful Geriatric Practicep. 15
Referencesp. 16
Depression and Anxietyp. 19
Assessmentp. 19
Symptom Identification, Screening for the Disordersp. 20
Geriatric Syndromes, Depression, and Anxietyp. 21
Comorbidity of Mental and Physical Disordersp. 22
Anxiety Disordersp. 23
Suicidep. 25
Comprehensive Treatment of Depression and Anxiety Disordersp. 25
Referencesp. 38
The Dementiasp. 44
Dementia Definedp. 44
Epidemiologyp. 45
Genetic and Other Risk Factorsp. 45
Diagnostic Criteria and Proceduresp. 46
Differential Diagnosisp. 47
Cognitive Assessmentp. 52
Assessment of Functional Impairmentp. 55
General Treatment Considerationsp. 56
Medications to Palliate Cognitive Impairmentp. 57
Environmental Modificationsp. 62
Management of Behavioral and Psychological Signs and Symptomsp. 63
Specific Problem Behaviors and Symptomsp. 64
Medications to Lessen Behavioral and Psychological Disturbancesp. 71
Caregiver Burden and Dysfunctional Family Dynamicsp. 73
Practitioner as De Facto Guardian and Other Medical--Legal Issuesp. 74
Management of Financial Resourcesp. 75
Preparations for End-of-Life Carep. 76
Summaryp. 76
Referencesp. 77
Psychosis and Maniap. 84
Achieving and Sustaining the Alliancep. 84
The Schizophreniasp. 89
Delusional Disorderp. 91
Maniap. 91
Antipsychotics and the Avoidance of Movement Disordersp. 94
Electroconvulsive Therapy for Mania or Psychosisp. 99
Summaryp. 99
Referencesp. 100
Sleep Disturbancesp. 103
Assessmentp. 103
Treatmentp. 107
Summaryp. 112
Referencesp. 112
Personality, Somatoform, and Pain Disordersp. 114
Personality Disordersp. 114
Somatoform and Pain Disordersp. 121
Referencesp. 125
Individual Psychotherapies for Older Adultsp. 127
Arguments for Psychotherapy in Late Lifep. 127
Assessment for Psychotherapyp. 130
Brief Psychodynamic versus Supportive Therapyp. 131
General Principles of Cognitive-Behavioral Therapyp. 133
Interpersonal Therapy for Late-Life Depressionp. 141
Life Review or Reminiscence Therapyp. 143
Problem-Solving Therapyp. 144
Treatment of Caregiver Burden and Depressionp. 144
Bereavement Therapyp. 148
Summaryp. 151
Referencesp. 151
Adapting Principles of Marital, Group, and Family Therapy to the Needs of Older Patientsp. 155
Marriage or Couple Therapy with Older Adultsp. 155
Modelsp. 157
Group Therapy with Older Adults: General Considerationsp. 160
Family Workp. 165
Work with Ethnic Elders, Emigres, and Religious Minoritiesp. 168
Preparing for Genetic Counselingp. 169
Summaryp. 170
Referencesp. 170
Sexualityp. 175
Myths about Sex and Agingp. 175
Realitiesp. 176
The Genesis of Late-Life Sexual Dysfunctionp. 179
Evaluationp. 181
Management of Sexual Dysfunctionp. 182
Sex in the Nursing Homep. 188
Summaryp. 188
Suggested Reading for Patientsp. 189
Referencesp. 189
Elder Abuse, Neglect, and Self-Injurious Behaviorsp. 192
Definitionsp. 192
Problem with Reports of Elder Mistreatmentp. 193
Detectionp. 197
Interventionp. 200
Summaryp. 201
Appendixp. 202
Referencesp. 205
Alcohol and Substance Abusep. 208
Prevalence of Alcohol Problems among Older Adultsp. 208
Prevalence of Nonalcohol Substance Abuse in Late Lifep. 209
Pharmacodynamics of Alcohol in the Agedp. 210
Uncertain Diagnostic Criteriap. 211
Symptom Presentation of Alcohol Abuse in Old Agep. 212
Detection and Screeningp. 213
Assessmentp. 217
Treatmentp. 218
Presentation of a Casep. 222
Summaryp. 225
Books for Patients and Familiesp. 225
Referencesp. 225
Recognition and Reduction of Suicide Riskp. 229
Trends in the Prevalence of Late-Life Suicidep. 230
Gender, Race, and Social Factorsp. 231
Historical and Generational Effectsp. 232
Methods of Deathp. 232
Physical Illnessp. 233
Excesses of Modern Medicinep. 234
Attitudes of Older Adults Regarding Suicidep. 234
The Neurobiology of Suicidalityp. 235
Mental Disorders and Suicidep. 235
Personality and Neuropsychologyp. 236
The Clinical Assessment of Suicidal Thought and Behaviorp. 236
Management of Acute Suicidal Riskp. 238
Management of Chronic Suicidal Riskp. 240
When Prevention Failsp. 240
Public Policy and Preventionp. 241
Summaryp. 243
Referencesp. 243
Mental Health Consultation in the General Hospital, Home, or Nursing Facilityp. 248
Patterns of Mental Health Consultationp. 248
Models and Methodsp. 249
Mental Health Care in Nursing Homesp. 262
Consultation to Certified Home Health Agencies: How to Make a House Callp. 267
Summaryp. 276
Referencesp. 277
Legal and Ethical Issuesp. 282
Modern History of the Doctor--Patient Relationshipp. 282
Autonomy, Abandonment, and the Sanctity of Lifep. 283
Assessment of Decision Making: Competence or Capacity?p. 286
Other Bioethical Issues of Concernp. 299
Medical Futility: Who Decides, Who Defines?p. 302
Physician-Assisted Suicidep. 304
How to Conduct a Bioethics Consultationp. 307
Summaryp. 310
Appendixp. 310
Referencesp. 315
Advice on Exercise and Nutritionp. 318
Nutrition and Exercise as Primary and Secondary Preventionp. 318
Dietary Interventionp. 319
Gaining Weightp. 322
Treatment of Overweight and Obesityp. 323
Constipationp. 324
Healthy Exercise for Seniorsp. 324
Summaryp. 328
Books on Exercise and Nutrition for the General Readerp. 329
Referencesp. 329
Indexp. 333
Table of Contents provided by Syndetics. All Rights Reserved.

ISBN: 9781572305922
ISBN-10: 1572305924
Audience: Tertiary; University or College
Format: Hardcover
Language: English
Number Of Pages: 347
Published: 8th August 2000
Publisher: GUILFORD PUBN
Country of Publication: US
Dimensions (cm): 23.47 x 15.9  x 3.0
Weight (kg): 0.64