Search results for ‘Subject term:"older people"’ Sort:
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Circles of the mind
- Author:
- JERROME Dorothy
- Journal article citation:
- Journal of Dementia Care, 7(3), May 1999, pp.20-24.
- Publisher:
- Hawker
Looks at circle dancing for people with dementia and explains how it can provide a way of communicating and also improve balance, motor and social skills.
Cost comparison of out-patient and home-based geriatric psychiatry consultations in one service
- Author:
- SHAH A.
- Journal article citation:
- Aging and Mental Health, 1(4), November 1997, pp.372-376.
- Publisher:
- Taylor and Francis
Describes a study comparing the costs of home-based and hospital-based out-patient clinic consultations in an established geriatric psychiatry service. The cost of home-based and out-patient-based consultations were similar for both new and follow-up patients. Although home-based consultations have many advantages over hospital-based out-patient consultations, a prospective randomised study with cost-effectiveness analysis, involving several centres, is proposed.
A meta-analysis of third wave mindfulness-based cognitive behavioral therapies for older people
- Authors:
- KISHITA Naoko, TAKEI Yuko, STEWART Ian
- Journal article citation:
- International Journal of Geriatric Psychiatry, 32(12), 2017, pp.1352-1361.
- Publisher:
- Wiley
Objectives: The aim of this study is to review the effectiveness of third wave mindfulness-based cognitive behavioural therapies (CBTs) for depressive or anxiety symptomatology in older adults across a wide range of physical and psychological conditions. Methods: Electronic literature databases were searched for articles, and random-effects meta-analysis was conducted. Results: Ten studies met the inclusion criteria, of which nine reported the efficacy of interventions on depressive symptoms and seven on anxiety symptoms. Effect-size estimates suggested that mindfulness-based CBT is moderately effective on depressive symptoms in older adults (g = 0.55). The results demonstrated a similar level of overall effect size for anxiety symptoms (g = 0.58). However, there was a large heterogeneity, and publication bias was evident in studies reporting outcomes on anxiety symptoms, and thus, this observed efficacy for late-life anxiety may not be robust. The quality of the included studies varied. Only one study used an active psychological control condition. There were a limited number of studies that used an intent-to-treat (last observation carried forward method) analysis and reported appropriate methods for clinical trials (e.g., treatment-integrity reporting). Conclusions: Third wave mindfulness-based CBT may be robust in particular for depressive symptoms in older adults. The authors recommend that future studies (i) conduct randomised controlled trials with intent-to-treat to compare mindfulness-based CBT with other types of psychotherapy in older people and (ii) improve study quality by using appropriate methods for checking treatment adherence, randomisation, and blinding of assessors. (Edited publisher abstract)
From despair to integrity: using narrative therapy for older individuals in Erikson’s last stage of identity development
- Authors:
- GOODCASE Eric T., LOVE Heather A.
- Journal article citation:
- Clinical Social Work Journal, 45(4), 2017, pp.354-363.
- Publisher:
- Springer
- Place of publication:
- New York
Adults aged 65 and over are a growing population in the United States today. This population is underrepresented in the mental health literature despite the high rates of depression and suicide. Additionally, the newest generation of older individuals is more likely to seek therapy than past generations, furthering the need for mental health professionals to be prepared for treating older individuals. Erikson in Childhood and society, Norton, New York, (1950) describes this time period as being critical in terms of the final identity crisis, integrity versus despair. Integrity is marked by a positive evaluation of the individual’s entire life, less anxiety about death, and a feeling of gaining wisdom. Individuals who do not resolve this crisis can manifest despair in a number of ways, including depression, anger, and regret. This model proposes utilising Narrative therapy (White in Maps of narrative practice, Norton, New York, 2007) to understand how elderly individuals evaluate their lives in reference to their environment. The model utilises externalisation, unique outcomes, and re-membering conversations to unlock subjugated stories and promote integrity. (Publisher abstract)
The effects of group work with institutionalized elderly persons
- Authors:
- DUYAN Veli, et al
- Journal article citation:
- Research on Social Work Practice, 27(3), 2017, pp.366-374.
- Publisher:
- Sage
Objectives: This research article aims to measure the effects of group therapy on institutionalised elderly in terms of reducing depression and improving psychosocial functioning. Methods: Thirty elderly nursing home residents were recruited, and 16 of them elected to receive group treatment for depression and 14 declined treatment. The Multidimensional Observation Scale for Elderly Subjects and the Geriatric Depression Scale were given to both groups when group work began and again when it ended. Results: Clients who received group treatment experienced reductions in depression and their psychosocial functioning improved. Conclusion: Group work intervention was followed by reductions in the depression levels and improvements in their psychosocial functions among institutionalised elderly clients. (Edited publisher abstract)
Museum object handling groups in older adult mental health inpatient care
- Authors:
- SOLWAY Rob, et al
- Journal article citation:
- International Journal of Mental Health Promotion, 17(4), 2015, pp.201-214.
- Publisher:
- Taylor and Francis
Emerging evidence indicates that museum object handling sessions offer short-term benefits to healthcare participants. This study aimed to further understand psychological and social aspects of object handling in mental health inpatients. Older adults (N = 42) from a psychiatric inpatient ward with diagnoses of depression or anxiety took part in a series of object handling group sessions with 5–12 participants per group. Session audio recordings were subjected to thematic analysis. Five main themes were identified: ‘responding to object focused questions’, ‘learning about objects and from each other’, ‘enjoyment, enrichment through touch and privilege’, ‘memories, personal associations and identity’ and ‘imagination and storytelling’. The first four were congruent with literature associated with positive wellbeing and engagement outcomes but the fifth was a new finding for group contexts. Limitations include the relatively small sample and variable week-to-week group attendance. Audio recordings did not provide information on non-verbal communication and how objects were handled. Future studies should control for attendance and examine effects of multiple sessions over time, ideally with video recording. This study offers preliminary support for museum object handling as a group intervention in mental health care with potential to develop therapeutic aspects of the sessions. Findings indicate that object handling is a novel yet effective intervention with potential for conferring additional advantages by conducting sessions in group settings. (Publisher abstract)
Addressing risk factors of cognitive impairment in adults aging with HIV: a social work model
- Authors:
- VANCE David E., STRUZICK Thomas C.
- Journal article citation:
- Journal of Gerontological Social Work, 49(4), 2007, pp.51-77.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
As medical treatments improve, the number of older adults with HIV is increasing, and the synergistic effects of ageing and HIV may place many at risk of cognitive impairment. However, cognitive reserve and neuroplasticity can be maintained, and in some cases improved, by addressing the biopsychosocial aspects of cognition through strategies such as: reducing alcohol and other substance use; improving nutrition; reducing the effects of comorbid conditions; increasing social contact; reducing depression and stress levels; engaging in cognitively stimulating activities; applying cognitive remediation therapies; and incorporating psychopharmacological interventions. Social workers are in a good position to recognise signs of cognitive decline, and a model for identifying and monitoring affected clients is discussed. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
The role of hope in psychotherapy with older adults
- Authors:
- BERGIN L., WALSH S.
- Journal article citation:
- Aging and Mental Health, 9(1), January 2005, pp.7-15.
- Publisher:
- Taylor and Francis
The positive impact of psychotherapy upon the mental health problems of older people is increasingly accepted. However little attention has been paid to the role of hope in working therapeutically with older adults. Three relevant bodies of literature, namely adult psychotherapy, hope in older adulthood, and coping with chronic and terminal illness, provide a starting point for examining the therapeutic uses of hope. However, it is argued that these literatures cannot provide a sufficiently comprehensive conceptualisation of hope in psychotherapy with elders. Firstly, it is considered that hope in therapy is directly affected by key experiences of ageing, namely: facing physical and/or cognitive deterioration and facing death. Also, these three bodies of literature have tended to dichotomise hope as either beneficial and adaptive or dysfunctional and maladaptive. A developmental perspective is used to critique this dichotomy and a clinical framework is provided which examines the role and utility of hope in older adult psychotherapy from a more integrated viewpoint embedded in the client's life history. The framework is comprised of three types of 'hope work': 'facilitating realistic hope,' 'the work of despair' and 'surviving not thriving'. Suggestions are made about how this work may be carried out and with whom.
A survey of the provision of psychological treatments to older adults in the NHS
- Author:
- EVANS Sandra
- Journal article citation:
- Psychiatric Bulletin, 28(11), November 2004, pp.411-414.
- Publisher:
- Royal College of Psychiatrists
A questionnaire was sent to old age psychiatrists to ascertain their experience, views and clinical practice regarding psychological therapies in their services. The provision of psychological treatments of all modalities to older people is widely varied in Britain. The main difficulty seems to be a lack of resources, but it would appear that inexperience with psychological therapies applied to older adults is also a factor. Most mental health teams (95%) provide anxiety management therapy, and cognitive–behavioural therapy is widely available (76% of teams), but areas such as training and staff supervision appear to be poorly provided. Suggestions are made to increase provision and quality of service within existing resources; improving services to the standards of the National Service Framework would be a bigger challenge.
A counseling intervention for caregivers: effect on neuropsychiatric symptoms
- Authors:
- SENANARONG Vorapun, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 19(8), August 2004, pp.781-788.
- Publisher:
- Wiley
In Thailand, family caregivers have an important role in delivering care to patients with dementia. Most patients with dementia in Thailand and also in Western societies live in the community. Training caregivers may improve care of dementia patients. The authors performed a treatment study of a six-month caregiver intervention with group counseling and support with provision of techniques to cope with non-cognitive symptoms of patients with dementia. They hypothesized that this caregiver intervention with group counseling and support would reduce behavioral and neuropsychiatric symptoms in the demented patients. They conducted a parallel group intervention study. A manual for group counseling and support was developed focusing on education regarding dementia, behavioral analysis and intervention, and environmental adaptation. Fifty nonprofessional caregivers - 25 from the control group and 25 from the study group - of patients with dementia from the memory clinic at Siriraj Hospital were alternately assigned to each group as they presented to the clinic if they met the inclusion criteria and agreed to participate. The Thai Mental State Examination (TMSE) was used to assess dementia severity. Forty-five minute counseling sessions were conducted every 6-8 weeks for 6 months and assessments were conducted at 3 months and 6 months. The primary outcome measure was the Neuropsychiatric Inventory (NPI). A paired samples analysis of the NPI scores demonstrated a significant change of the total NPI scores at the end of six month from baseline in the intervention group (P = 0.045). Change from baseline of the comparison group was not significant. There was a trend towards improvement of the TMSE scores between the two groups at month six (p = 0.061). The result favored the treatment group. This study provided evidence of the utility of a non-pharmacologic intervention using group counseling in an out-patient setting for caregivers of patients with dementia.