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Attitudes towards psychotherapy with older people among trainee clinical psychologists
- Authors:
- LEE K. M., VOLANS P. J., GREGORY N.
- Journal article citation:
- Aging and Mental Health, 7(2), March 2003, pp.133-141.
- Publisher:
- Taylor and Francis
Therapists have been described as reluctant to work with older people. A legacy of pessimism towards psychotherapy with this group has been traced back to Freud's assertions that older people are no longer educable. It remains unclear to what extent these views continue to influence today's therapists. This study explores the attitudes of trainee clinical psychologists towards psychotherapy with this age group. A cross-sectional postal survey design was used and the data were analyzed using content analysis. Three hundred and seventy-one trainees responded, representing 38% of the total population of trainees in the UK. The majority of the trainees thought that work with older people provided the opportunity to apply psychological knowledge and skills, although therapists needed to respond differently when working with an older person. Factors to take into account included cognitive decline and physical health problems. The trainees described a number of rewards and challenges associated with working with older people. The responses suggest that although a significant minority of trainees continue to hold some negative stereotypes about therapeutic work with older people, positive attitudes are also clearly evident. Further research to explore the attitudes of other healthcare professionals is recommended and the implications for training and supervision are examined.
One last pleasure?: alcohol use among elderly people in nursing homes
- Authors:
- WALDO Klein.C., JESS Carol
- Journal article citation:
- Health and Social Work, 27(3), August 2002, pp.193-203.
- Publisher:
- Oxford University Press
The study discussed in this article describes the alcohol-related policies, practices, and problems experienced by a sample of 111 intermediate care facilities and homes for elderly people in the United States. Despite the problems reported, screening for alcohol problems among residents, treatment of identified problems and training of staff were not found to be widespread. Ambiguity about the role of alcohol as a social beverage or as a psychoactive substance to be managed was identified.
Dealing with and understanding challenging behaviours
- Author:
- PARKER Jonathan
- Journal article citation:
- Elders the Journal of Care and Practice, 4(3), August 1995, pp.5-16.
Presents some of the content of workshops which were run by the author to prepare staff to deal with challenging and difficult behaviours.
A cooperative communication intervention for nursing home staff and family members of residents
- Authors:
- PILLEMER Karl, et al
- Journal article citation:
- Gerontologist, 43(Special Issue II), April 2003, pp.96-106.
- Publisher:
- Oxford University Press
This article reports on a randomised, controlled study of Partners in Caregiving, an intervention designed to increase cooperation and effective communication between family members and nursing home staff. Participants included 932 relatives and 655 staff members recruited from 20 nursing homes, randomly assigned to treatment and control conditions. Parallel training sessions on communication and conflict resolution techniques were conducted with the family and staff in the treatment group, followed by a joint meeting with facility administrators. Positive outcomes were found for both family and staff members in the treatment group. Both groups showed improved attitudes toward each other, families of residents with dementia reported less conflict with staff, and staff reported a lower likelihood of quitting. Multiple studies report significant interpersonal stress between family members of nursing home residents and facility staff members. Partners in Caregiving appears to be an effective way to improve family-staff relationships in nursing homes.
Grief and intellectual disability: a systemic approach
- Author:
- BLACKMAN Noelle J.
- Journal article citation:
- Journal of Gerontological Social Work, 38(1/2), 2002, pp.253-263.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
People with intellectual disabilities are living longer, which in turn leads to a higher probability that they will experience significant loss due to the death of someone they know. This paper describes a systemic therapeutic model, ROC, which combines bereavement therapy with training and support for staff. On reporting the effects of the ROC model, it is noted that changes over time in the type and nature of referrals has shown the therapeutic value of the program. The author makes a case that the best way to detect and possibly prevent serious emotional problems in this population is to provide training and support in dealing with death and related issues for the service network surrounding these individuals.
Confidence of primary care physicians in assessing the suicidality of geriatric patients
- Authors:
- KAPLAN Mark S., ADAMEK Margaret E., MARTIN Jennifer L.
- Journal article citation:
- International Journal of Geriatric Psychiatry, 16(7), July 2001, pp.728-734.
- Publisher:
- Wiley
This study examined the confidence levels of physicians in the USA in assessing the risk of suicide among older adults in clinical settings. Several categorical items inquired about specific assessment and treatment approaches, referral resources used, barriers to meeting the mental health needs of older patients, and sources of training in suicide risk assessment. All the training items (suicide assessment in medical school, residency, and CME courses; rating of medical school training; and insufficient training in geriatric mental health) were significantly associated with confidence in assessing suicidality. Finds that more effective mental health care will require specific preparation in treating geriatric patients through the full spectrum of medical training, including medical school, residency, and CME courses. Improved prevention of elderly suicide hinges on the enhancement of clinical skills in diagnosing and treating geriatric depression.
Recognising mental health problems in older patients
- Author:
- SAYERS Jayne
- Journal article citation:
- Nursing Times, 30.11.00, 2000, pp.41-42.
- Publisher:
- Nursing Times
Mental ill health is not an inevitable part of growing old, yet all too often the needs of older people are overlooked. Describes how one trust is tackling this problem.
Need for a framework confirmed
- Author:
- WINCHESTER Ruth
- Journal article citation:
- Community Care, 14.10.99, 1999, pp.10-11.
- Publisher:
- Reed Business Information
Reports on GP's groaning mental health caseload, an unexpectedly heavy use of ECT and allegations of racism in the admissions system and welcomes the long awaited framework for mental health.
Research focus: psychosocial approaches to "challenging behaviour" in care homes
- Author:
- MONIZ-COOK Esme
- Journal article citation:
- Journal of Dementia Care, 6(5), September 1998, pp.33-38.
- Publisher:
- Hawker
Reviews research in the field of challenging behaviour and psychosocial intervention in care homes, summarising its messages and highlighting implications for practice.
Modifying repetitive verbalizations of community-dwelling patients with AD
- Authors:
- BOURGEOIS Michelle S., et al
- Journal article citation:
- Gerontologist, 37(1), February 1997, pp.30-39.
- Publisher:
- Oxford University Press
Seven caregivers of a home-dwelling spouse with Alzheimer's Disease in the USA, were trained during 12 weekly home visits to implement behaviour management programmes including written cuing procedures in response to repetitive verbalizations. Data from trained caregivers and matched control caregivers who only tracked repetitive behaviour were compared. Results revealed that trained caregivers were successful at decreasing patient repetitions using written cues. Patients of control subjects showed no systematic changes in behavioural disturbances due to behaviours tracking. Trained caregivers' perceptions of their efficacy in managing difficult patient behaviour improved significantly at the 3-month follow-up assessment when programme staff were no longer visiting them weekly.