Search results for ‘Subject term:"older people"’ Sort:
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Thinking about dolls
- Authors:
- MacKENZIE Lorna, WOOD-MITCHELL Amy, JAMES Ian
- Journal article citation:
- Journal of Dementia Care, 14(2), March 2006, pp.16-17.
- Publisher:
- Hawker
The authors, who have spent 18 months carrying out experimental research in the area, provide a summary of some of the empirical findings about the use of dolls in dementia care. They do so in response to an article by Jane Verity in an earlier edition of the Journal of Dementia Care.
The effects of at-risk drinking on the treatment of late life major depression a pilot study to establish effects
- Author:
- OSLIN David W.
- Journal article citation:
- Journal of Dual Diagnosis, 2(3), 2006, pp.47-56.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Depression is one of the leading causes of morbidity and mortality worldwide. Comorbidity with alcohol dependence is a significant cause of poor response to treatment for depression and prolonged disability. However, epidemiological evidence demonstrates that at-risk alcohol use (drinking more than one drink/day and not meeting criteria for alcohol dependence) is more common than alcohol dependence among patients with major depression and that this is especially true in mid and late life. In this American study patients with a depressive disorder were enrolled in one of two clinical trials and received standard depression care. Outcomes were compared amongst those patients who drank at or above recommended drinking limits to those who were non-drinkers. Patients from both studies who consumed alcohol at levels considered “at-risk” have had lower rates of remission from standard depression care. While these results were not statistically significant, they provide a framework for conceptualizing a more definitive trial. Conclusion: These data suggest that at-risk drinking may reduce the effectiveness of standard depression care. Therefore, assessment of alcohol use and intervention at lower levels of drinking may be of value in increasing the impact of depression care. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Psychological treatment of late-life depression: a meta-analysis of randomized controlled trials
- Authors:
- CUIJPERS Pim, VAN STRATEN Annemieke, SMIT Filip
- Journal article citation:
- International Journal of Geriatric Psychiatry, 21(12), December 2006, pp.1139-1149.
- Publisher:
- Wiley
Older meta-analyses of the effects of psychological treatments for depression in older adults have found that these treatments have large effects. However, these earlier meta-analyses also included non-randomized studies, and did not include newer high-quality randomized controlled trials. The authors conducted a meta-analysis of randomized studies on psychological treatments for depression in older adults. Twenty-five studies were included, of which 17 compared a psychological intervention to a control condition (mainly waiting list and care-as-usual control groups). The quality of the included studies varied. Psychological treatments have moderate to large effects on depression in older adults (standardized mean effect size d = 0.72). Heterogeneity was very low. No differences were found between individual, group or bibliotherapy format, or between cognitive behavioural therapy and other types of psychological treatment. The effects were comparable in studies where depression was defined according to diagnostic criteria, and those in which depression was measured with self rating questionnaires. Although the quality of many studies was not optimal, the results of this meta-analysis support.
Commissioner for Older People in Wales draft regulations
- Author:
- WALES. Welsh Assembly Government
- Publisher:
- Wales. Welsh Assembly Government
- Publication year:
- 2006
- Pagination:
- 2p.
- Place of publication:
- Cardiff
Following its successful passage through Parliament the Commissioner for Older People (Wales) Act 2006 received Royal Assent on 25th July. The Act empowers the Assembly to establish an independent Commissioner with a wide range of powers to help ensure that the interests of older people in Wales, who are aged 60 or over, are safeguarded and promoted and that services are improved to meet their needs. The Commissioner will be able to act as a source of information, advocacy and support for older people, to encourage best practice in their treatment and to examine individual cases (where wider issues of principle are involved.) He or she will also be able to review the effect on older people in Wales of the discharge of, proposed discharge, or failure to discharge, functions by certain public bodies. These bodies will include the Welsh Assembly Government, local authorities, fire and rescue authorities, Local Health Boards, NHS Trusts, and further and higher education corporations. The overall aim is to ensure that the work of public bodies has a positive impact on, and takes account of, the needs of older people.
Raising the standard: specialist services for older people with mental illness
- Author:
- ROYAL COLLEGE OF PSYCHIATRISTS. Faculty of Old Age Psychiatry
- Publisher:
- Royal College of Psychiatrists
- Publication year:
- 2006
- Pagination:
- 46p., bibliog.
- Place of publication:
- London
A new report from the Faculty of Old Age Psychiatry, reviews the components of a specialist service for older people with mental illness, including community mental health teams for older people, community/outpatient clinics, provision of psychological therapies and end of life care. Endorsed by Age Concern, The Alzheimer's Society, The British Geriatrics Society, National Older People's Mental Health Programme Care Services Improvement Partnership and The Royal College of Nursing, the report makes two key recommendations in the report relate to ageism and discrimination on the basis of mental illness. They include: . ageist neglect of older people with mental illness must stop. Service expansion in specialist general and community psychiatry services should be matched by a similar funding increase for older people . discrimination against people on the basis of mental illness should not occur. Examples include the exclusion of older people with mental illness from intermediate care services, chronic disease management and choice initiatives.
Survey of the provision of psychological therapies for older people
- Authors:
- EVANS Ceri, REYNOLDS Paul
- Journal article citation:
- Psychiatric Bulletin, 30(1), January 2006, pp.10-13.
- Publisher:
- Royal College of Psychiatrists
The aim of the present study was to assess the current state of provision of psychological therapies for older people in Wales. A postal questionnaire was sent to all consultant old age psychiatrists in Wales, requesting information regarding the consultant’s community mental health team (CMHT) and access to psychological therapies. A response rate of 85% was achieved: 45% of CMHTs had team members providing psychological therapy; 31% of CMHTs had access to psychological therapy via the team and also generic services. The estimated average wait for generic services was 29 weeks. There was no access to psychological therapies for 17% of CMHTs. In some areas of Wales there is limited or no access to psychological therapies via mental health services for older people. This may represent an important unmet need. Long-term strategies, taking into account recruitment and retention, training and new ways of working, need to be implemented.
Alcohol abuse treatment for older adults: a review of recent empirical research
- Authors:
- CUMMINGS Sherry M., BRIDE Brian, RAWLINS-SHAW Ann M.
- Journal article citation:
- Journal of Evidence-Based Social Work, 3(1), 2006, pp.79-99.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The purpose of this article is to enhance social work practitioners and researchers' understanding of the nature of elder alcohol abuse, the needs of elders with alcohol abuse disorders, and the availability of effective treatment strategies by reviewing the epidemiological and outcomes research literatures related to alcohol abuse and the elderly. The few empirical studies that examine outcomes associated with the treatment of elderly substance abusers reveal positive outcomes, especially when “age-specific,” cognitive-behavioural, and less confrontational treatment approaches are employed. The authors highlight the need for further research concerning the nature of alcohol abuse among the elderly and the impact of specific alcohol treatment strategies on older adults. Such research should consider the needs and experiences of specific sub-populations of elders such as women, minorities, and those with late onset disorders. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Dementia and memory: a handbook for students and professionals
- Author:
- THOMPSON Simon B.N.
- Publisher:
- Ashgate
- Publication year:
- 2006
- Pagination:
- 235p., bibliog.
- Place of publication:
- Aldershot
Intended for students and trained healthcare and medical professionals, this book focuses on treatment of people suffering from dementia and memory problems. It looks at ageing and ageism, definition of dementia, different types of dementia, memory disorders, learning disability and dementia, and coping with memory problems and dementia. It includes information about how to treat memory problems, advanced memory strategies, assessing dementia, treating and managing dementia, and future directions for people with dementia. Case studies on memory, dementia, and dementia and learning disability, and a memory test are included.
Inpatient treatment of drug and alcohol misusers in the National Health Service
- Author:
- SPECIALIST CLINICAL ADDICTION NETWORK
- Publisher:
- Specialist Clinical Addiction Network
- Publication year:
- 2006
- Pagination:
- 71p.
- Place of publication:
- London
This project considered NHS inpatient services for adults. It identifies services that a good inpatient unit can provide (including stabilisation, assisted withdrawal, psychological interventions, harm reduction issues and relapse prevention) and delivery issues (including links with other parts of the treatment system and specialist services for black and minority ethnic groups, young people, older adults pregnant women, and dual diagnosis of mental illness and substance misuse).
Dual diagnosis among older adults co-occurring substance abuse and psychiatric illness
- Authors:
- BARTELS Stephen J., et al
- Journal article citation:
- Journal of Dual Diagnosis, 2(3), 2006, pp.9-30.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The goal of this article is to provide a comprehensive critical review of studies reporting the prevalence, characteristics, outcomes, and service utilization associated with comorbid substance abuse and mental illness in older age. The study searched the Medline and PsycINFO databases using combinations of the keywords 'Dual diagnosis,' 'Elderly,' and 'Older.' English-language reports presenting quantitative data on the prevalence and/or any descriptive information about older adults with dual diagnosis were included. The prevalence of older adults with comorbid substance abuse and mental disorders varies by population, and ranges from 7% to 38% of those with psychiatric illness and from 21% to 66% of those with substance abuse. Depression and alcohol use are the most commonly cited co-occurring disorders in older adults. Dual diagnosis in older adults is associated with increased suicidality and greater inpatient and outpatient service utilization. Data on treatment are limited. However, recommendations have been adapted from evidence-based treatment of younger adults with dual diagnosis, older adults with substance abuse, and older adults with mental health problems. The authors concluded that dual diagnosis among older adults is a growing public health problem. Well-designed prevention, early intervention, and treatment studies are needed that specifically address co-occurring disorders in older adult populations.