Search results for ‘Subject term:"older people"’ Sort:
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A unitary approach to the care of the hospitalised elderly mentally ill
- Author:
- COULSHED Veronica
- Journal article citation:
- British Journal of Social Work, 10(1), 1980, pp.19-32.
- Publisher:
- Oxford University Press
A descriptive account of social work intervention on a psychogeriatric ward over a period of five months.
Interventions to support recovery following an episode of delirium: a realist synthesis
- Authors:
- O'ROURKE Gareth, et al
- Journal article citation:
- Aging and Mental Health, 25(10), 2021, pp.1769-1785.
- Publisher:
- Taylor and Francis
Objectives: Persistent delirium is associated with poor outcomes in older adults but little is known about how to support longer-term recovery from delirium. The aim of this review was to identify and synthesise literature to understand mechanisms of recovery from delirium as a basis for designing an intervention that enables more effective recovery. Methods: A systematic search of literature relevant to the research question was conducted in two phases. Phase one focused on studies evaluating the efficacy of interventions to support recovery from delirium, and stage two used a wider search strategy to identify other relevant literature including similar patient groups and wider methodologies. Synthesis of the literature followed realist principles. Results: Phase one identified four relevant studies and stage two identified a further forty-six studies. Three interdependent recovery domains and four recovery facilitators were identified. Recovery domains were 1) support for physical recovery through structured exercise programmes; 2) support for cognitive recovery through reality orientation and cognitive stimulation; 3) support for emotional recovery through talking with skilled helpers. Recovery facilitators were 1) involvement and support of carers; 2) tailoring intervention to individual needs, preferences and abilities; 3) interpersonal connectivity and continuity in relationships and; 4) facilitating positive expressions of self. Conclusions: Multicomponent interventions with elements that address all recovery domains and facilitators may have the most promise. Future research should build on this review and explore patients’, carers’, and professionals’ tacit theories about the persistence of delirium or recovery from delirium in order to inform an effective intervention. (Edited publisher abstract)
Yoga as an intervention for older peoples mental health: a literature review
- Author:
- BELAM Georgia
- Journal article citation:
- Working with Older People, 24(3), 2020, pp.159-169.
- Publisher:
- Emerald
Purpose: Yoga practice has become increasingly popular around the world for the benefits it can bring for physical and mental health. However, little research has been done regarding the use of yoga as a therapy for elderly people with mental health problems. This literature review will therefore attempt to answer the questions: what research has been done to look into the use of yoga as therapy for elderly people with a diagnosis of mental health problems, what does this research show and what future directions may this work take in the future. Design/methodology/approach: The review describes four research studies that have been done looking at the use of yoga as an intervention in older people with diagnosed mental health problems and one upcoming larger study. Findings: Therefore, it is shown that the research in this area is so far still in its infancy, but that yoga has potential to be a useful potential treatment for older people with mental health problems. Originality/value: As with all research into treatments for mental health problems, involvement of patients and their carers will be vital to ensure that the direction of the research is one that will be valuable, and that the traditions of yoga that have been of so much benefit to so many can be used to help a group of people who are often vulnerable and who sometimes do not receive all the treatment that they deserve. (Edited publisher abstract)
How POPP pilots are proving their worth
- Author:
- NORRIS Rebecca
- Journal article citation:
- Commissioning News, 10, December 2008, pp.10-11.
- Publisher:
- CJ Wellings Ltd
Camden is one of 29 Partnerships for Older People (POPP) pilot sites which have received government money to test out 245 projects to improve care of older people. This article looks at progress in Camden, the types of projects they are running under the 'Community Interventions for Older People with Mental Health Needs' and the early findings from the national evaluation.
Social justice, respect and meaning-making: keys to working with the homeless elderly population
- Author:
- PROEHL Rebecca A.
- Journal article citation:
- Health and Social Work, 32(4), November 2007, pp.301-307.
- Publisher:
- Oxford University Press
Substance abuse programs designed for the needs of older adults are rare in the United States, and traditional mental health providers are often reluctant to work with the population, thus making it difficult for the homeless older adult to receive mental health services. This article looks at the work of the Saint Mary's Center in California which obtained funding for three years to provide services for elderly homeless people with mental health problems.
The Mental Health Act 1983 - the application of the act: admission to hospital and emergency intervention
- Authors:
- McDONALD Ann, TAYLOR Margaret
- Journal article citation:
- Elders the Journal of Care and Practice, 4(1), February 1995, pp.27-35.
The first of three articles examining the working of the Mental Health Act 1983 in relation to older people looks at the epidemiology of mental disorder in older people, and considers issues concerning admission to hospital and emergency intervention.
Efficacy and effectiveness of psychological interventions on co‐occurring mood and anxiety disorders in older adults: a systematic review and meta‐analysis
- Authors:
- WUTHRICH Viviana M., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 36(6), 2021, pp.858-872.
- Publisher:
- Wiley
Objectives: Co‐occurring mood and anxiety disorders are common in older adult populations and are associated with worse long‐term outcomes and poorer treatment response than either disorder alone. This systematic review and meta‐analysis aimed to examine the efficacy and effectiveness of psychological interventions for treating co‐occurring mood and anxiety disorders in older adults. Method: The study was registered (PROSPERO CRD4201603834), databases systematically searched (MEDLINE, PSYCINFO, PubMed and Cochrane Reviews) and articles screened according to PRISMA guidelines. Inclusion: Participants aged ≥60 years with clinically significant anxiety and depression, psychological intervention evaluated against control in randomised controlled trial, changes in both anxiety and depression reported at post‐treatment. Results: Four studies were included (total n = 255, mean age range 67–71 years). Overall, psychological interventions (cognitive behavioural therapy, mindfulness) resulted in significant benefits over control conditions (active, waitlist) for treating depression in the presence of co‐occurring anxiety (Hedges' g = −0.44), and treating anxiety in the presence of depression (Hedges' g = −0.55). However, conclusions are limited; the meta‐analysis was non‐significant, few studies were included, several were low quality and there was high heterogeneity between studies. Benefits at follow‐up were not established. Conclusion: Co‐occurring anxiety and mood disorders can probably be treated simultaneously with psychological interventions in older adults with moderate effect sizes, however, more research is needed. Given comorbidity is common and associated with worse clinical outcomes, more high‐quality clinical trials are needed that target the treatment of co‐occurring anxiety and mood disorders, and report changes in diagnostic remission for both anxiety and mood disorders independently. (Edited publisher abstract)
‘I had a sort of epiphany!’ An exploratory study of group mindfulness-based cognitive therapy for older people with depression
- Authors:
- WILLIAMS Caroline Myferi, MEETEN Frances, WHITING Susan
- Journal article citation:
- Aging and Mental Health, 22(2), 2018, pp.208-217.
- Publisher:
- Taylor and Francis
Objectives: Mindfulness-based cognitive therapy (MBCT) has been successful in reducing depressive symptoms in people with chronic-recurrent depression. However, the research evaluating the efficacy of this approach, and other innovative treatments for mood disorders, has mainly been with people under 65 years. This paper aims to help redress this imbalance by exploring older people's own reflections of their experience of MBCT. Methods: A qualitative approach was used to explore 13 participants' experiences of MBCT; participants were interviewed pre and post-intervention and again after six months. To see whether the standard course requires any adaptations for older participants, the two MBCT course facilitators were interviewed post-intervention. Results: Thematic analysis identified five overarching themes and showed that older people reported positive changes in their mental health and well-being and reported being ‘released from the past’. The facilitators reported that they needed to be aware of later life issues, such as loneliness and potential physical limitations, but otherwise only minor adaptations were needed to the standard MBCT course for older people. Conclusion: MBCT is an acceptable approach for people aged 65 years and over and further research should explore potential mechanisms of change including changes in meta-cognitive awareness and self-compassion. (Publisher abstract)
A randomised controlled study to explore the effect of life story review on depression in older Chinese in Singapore
- Authors:
- CHAN Moon F., et al
- Journal article citation:
- Health and Social Care in the Community, 21(5), 2013, p.545–553.
- Publisher:
- Wiley
There is little evidence to support the efficacy of the life storybook creation process, which incorporates the use of narratives, in mediating depression levels. The study aimed to examine the effects of the life storybook creation process on depressive symptoms among older community-dwelling Chinese adults in Singapore. A randomised controlled trial was conducted from January 2011 to March 2012. Twenty-six Chinese aged over 60 years, who were able to communicate in Chinese and/or English, and with mild to severe depression were randomly allocated to either the life storybook (intervention) group (n = 14) or the non-life storybook (control) group (n = 12). Subjects in the intervention group were interviewed on a one to one basis on five sessions over 8 weeks. Depressive symptoms were measured using the Geriatric Depression Scale. Generalised estimating equations were used to examine the effects of the intervention on the elderly peoples’ depression level. Significant reductions in depression scores were found in the intervention group from baseline (mean 7.9 [SD 3.0]) to week 8 (2.5 [1.7], χ2 = 15.25, P < 0.001). At week 8, the intervention group showed a lower level of depression than the control (χ2 = 4.33, P = 0.037). This study supports the life storybook creation process as an effective intervention for depressed older Chinese adults living in the community. The findings suggest that this intervention may enhance the quality of care provided by healthcare providers as the therapeutic relationship between provider and client is being established. (Publisher abstract)
DSM-5 research: assessing the mental health needs of older adults from diverse ethnic backgrounds
- Authors:
- ROSE Alexis Lee, CHEUNG Monit
- Journal article citation:
- Journal of Ethnic and Cultural Diversity in Social Work, 21(2), April 2012, pp.144-167.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The Diagnostic and Statistical Manual of Mental Disorders (DSM) is being updated and expanded by the American Psychiatric Association, based on scientific criteria for developing comprehensive assessments and culturally appropriate interventions to meet the psychological and behavioural needs of individuals. As a clinical manual, it identifies appropriate care through diagnoses and classifications of mental and behavioural health needs. This article analyses current trends and limitations in the design of the DSM, focusing particularly on its application to older adults from diverse ethnic backgrounds. It is based on a literature review which identified 54 articles published between 2001 and 2011 discussing DSM and its applicability to assessing ethnically diverse older adults' mental health. 5 themes emerged from qualitative analysis of the material: assessment issues related to acculturation, limitations with culture elements, health disparities, evidence-based practice with dementia, and prevalence of anxiety and depression. The article discusses incorporation of additional considerations into the DSM in the light of the literature review findings.