Search results for ‘Subject term:"older people"’ Sort:
Results 21 - 30 of 1399
Executive cognitive function of older people with HIV/AIDS
- Authors:
- KIM Suk-Hee, et al
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 18(1), 2008, pp.48-63.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Executive cognitive function is concerned with the planning, initiation, sequencing and monitoring of complex goal-directed behaviour, and can be directly measured using instruments such as the Executive Clock Drawing Task (CLOX) which comprises CLOX 1 (drawing a clock face set to a specified time) and CLOX 2 (copying a clock face set to the same time). This study analyses CLOX results from a purposive sample of 275 people, including 91 receiving primary medical care for HIV AIDS at eight clinics in a US metropolitan area, with the aim of identifying whether there was a significant difference in scores between those with and without HIV AIDS. This was not the case. The most significant factors associated with executive cognitive impairment were age (over 50) and gender (male).
Electroshocking the elderly: another psychiatric abuse
- Author:
- WEITZ Don
- Journal article citation:
- Journal of Critical Psychology Counselling and Psychotherapy, 8(4), Winter 2008, pp.241-248.
Women and older people, particularly old women, remain the chief targets of electro-convulsive therapy (ECT). The author looks at the use of ECT in the United States and Canada and calls for a ban of the procedure.
Purchasing power: getting the best for older people
- Authors:
- MANTHORPE Jill, ILIFFE Steve
- Journal article citation:
- Mental Health Today, November 2008, pp.26-29.
- Publisher:
- Pavilion
- Place of publication:
- Hove
The authors discuss some of the challenges facing commissioners who are purchasing mental health services for older people. They briefly highlight some of the main complexities which include: the complexity of older people's identities; the make up of workforces; the difficult nature of work with older people; and the multiple agencies involved in working with older people. It is argued that consistent application of a long-term strategy, which allows the accumulation of small changes across agencies and disciplines, is likely to be the key to success. It sets out the issues that need to be addressed, the pitfalls to avoid, and examines a series of objectives for commissioners.
Predicting longitudinal patterns of psychological distress in older husband caregivers: further analysis of existing data
- Authors:
- LEVESQUE Louise, et al
- Journal article citation:
- Aging and Mental Health, 12(3), May 2008, pp.333-342.
- Publisher:
- Taylor and Francis
Further analysis of existing data from a previous longitudinal Canadian study of older husband caregivers sought to determine whether primary objective and subjective stressors drawn from Pearlin's model of caregiving could predict three patterns of psychological distress observed in the sample over 1 year: (a) stable high (n = 115), (b) stable low (n = 44), and (c) rising (n = 46). Results of discriminant function analyses show that subjective stressors (level of role overload, role captivity and relational deprivation) at baseline, distinguish the stable low group of husbands from the stable-high. The results suggest that there is considerable stability over time. Many husband caregivers report high-psychological distress and need help, whereas there is a need of preventive interventions to keep psychological distress low. Implications for singular interventions.
A semi-structured interview to assess visual hallucinations in older people
- Authors:
- MOSIMANN Urs Peter, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 23(7), July 2008, pp.712-718.
- Publisher:
- Wiley
Visual hallucinations are under-reported by patients and are often undiscovered by health professionals. There is no gold standard available to assess hallucinations. The authors' objective was to develop a reliable, valid semi-structured interview for identifying and assessing visual hallucinations in older people with eye disease and cognitive impairment. They piloted the North-East Visual Hallucinations Interview (NEVHI) in 80 older people with visual and/or cognitive impairment (patient group) and 34 older people without known risks of hallucinations (control group). The informants of 11 patients were interviewed separately. They established face validity, content validity, criterion validity, inter-rater agreement and the internal consistency of the NEVHI and assessed the factor structure for questions evaluating emotions, cognitions, and behaviours associated with hallucinations. Recurrent visual hallucinations were common in the patient group (68.8%) and absent in controls (0%). The criterion, face and content validities were good and the internal consistency of screening questions for hallucinations was high (Cronbach alpha: 0.71). The inter-rater agreements for simple and complex hallucinations were good (Kappa 0.72 and 0.83, respectively). Four factors associated with experiencing hallucinations (perceived control, pleasantness, distress and awareness) were identified and explained a total variance of 73%. Informants gave more don't know answers than patients throughout the interview, especially to questions evaluating cognitions and emotions associated with hallucinations. It was concluded that NEVHI is a comprehensive assessment tool, helpful to identify the presence of visual hallucinations and to quantify cognitions, emotions and behaviours associated with hallucinations.
Does mental illness affect consumer direction of community-based care? Lessons from the Arkansas cash and counseling program
- Authors:
- SHEN C., et al
- Journal article citation:
- Gerontologist, 48(1), February 2008, pp.93-104.
- Publisher:
- Oxford University Press
Some argue that consumer-directed care may not be appropriate for consumers with intellectual disabilities or mental health diagnoses. This study examined how Cash and Counseling - a new option allowing consumers to manage an individualized budget equivalent to what agencies would have spent on their care - changes the way consumers with mental health diagnoses meet their personal care needs and how that affects their well-being. Using the Arkansas CCDE baseline and the 9-month follow-up data for individuals in the treatment and control groups, the study compared and contrasted the experience of elderly consumers with and without mental health diagnoses utilizing logit regression. After examining several outcome measures, including satisfaction with care arrangements and the paid caregiver's reliability and schedule, unmet needs, and satisfaction with the relationship with paid caregivers, this study found evidence that, from the perspective of consumers, the Cash and Counseling program works well for participants with mental health diagnoses.
Mental health in later life, a neglected area of policy and research allocation: summary of the UK Inquiry into Mental Health in Later Life
- Authors:
- HURST Philip, MINTER Jane
- Journal article citation:
- Housing Care and Support, 10(3), December 2007, pp.17-20.
- Publisher:
- Emerald
This article summarises the issues identified in the UK Inquiry report on Mental Health in Later Life. It looks at how the Inquiry undertook its work, how older people with mental health problems are often overlooked and what their views and experiences are of accessing services, what actions are proposed for the housing, health and care sectors, and key issues and recommendations.
Mental health problems in old age
- Author:
- PETCH Alison
- Journal article citation:
- Community Care, 27.09.07, 2007, pp.36-37.
- Publisher:
- Reed Business Information
The author examines the findings of an inquiry into older people's mental health problems and the available support and services. The report 'Improving services and support for older people with mental health problems' is the second report from the UK Inquiry co-ordinated by Age Concern into Mental Health and Well-Being in Later Life.
Assessing the mental health needs of older people
- Author:
- -
- Journal article citation:
- Community Care, 20.09.07, 2007, pp.32-33.
- Publisher:
- Reed Business Information
This article analyses research findings behind the social work practice of assessing the mental health needs of older people.
Improving mental health services for older people
- Author:
- HARION Nerys
- Journal article citation:
- Nursing Times, 21.08.07, 2007, pp.21-22.
- Publisher:
- Nursing Times
The UK Inquiry into Mental Health and Well-Being in later life has revealed that the care of older people with mental health problems is inadequate. The author outlines the some of the recommendations of the report and the five main priority areas for action.