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Addressing the psychological impact of elder mistreatment: community-based training partnerships and telehealth-delivered interventions
- Authors:
- HERNANDEZ-TEJADA Melba A., et al
- Journal article citation:
- Journal of Elder Abuse and Neglect, 33(1), 2021, pp.96-106.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This manuscript describes a two-pronged approach to addressing elder abuse in community-residing older adults. Part 1 of the program involves briefly training community healthcare providers to screen for elder abuse and refer for services; Part 2 is an intervention program that addresses mental health impacts of elder abuse in a non-stigmatizing, non-threatening manner, and leverages telehealth for greater reach. (Edited publisher abstract)
Lay‐delivered behavioral activation for depressed senior center clients: pilot RCT
- Authors:
- RAUE Patrick J., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 34(11), 2019, pp.1715-1723.
- Publisher:
- Wiley
Objective: This research describes the development of a lay‐delivered behavioural intervention (“Do More, Feel Better”) for depressed senior centre clients, and presents preliminary data from a pilot randomised controlled trial (RCT) on (a) the feasibility of training lay volunteers to fidelity and (b) the acceptability, impact, and safety of the intervention. Methods: The researchers trained 11 volunteers at two ageing service settings in “Do More, Feel Better” and randomised 18 depressed clients to receive the intervention or referral to mental health services. Results: Pilot data indicated that it was possible to successfully train and certify 64% of older volunteers and that depressed clients receiving the intervention reported high levels of session attendance and satisfaction. While there were no significant differences in 12‐week reduction in Hamilton Depression Rating Scale scores between groups, intervention clients showed an 8‐point reduction in comparison with a 0‐point reduction among referral clients. Conclusions: “Do More, Feel Better” has the potential of transferring evidence‐based behavioural interventions to the hands of supervised lay volunteers and can address the insufficient workforce providing geriatric mental health services. (Edited publisher abstract)
Mental health first aid for the elderly: a pilot study of a training program adapted for helping elderly people
- Authors:
- SVENSSON Bengt, HANSSON Lars
- Journal article citation:
- Aging and Mental Health, 21(6), 2017, pp.595-601.
- Publisher:
- Taylor and Francis
Objectives: Epidemiological studies have shown a high prevalence of mental illness among the elderly. Clinical data however indicate both insufficient detection and treatment of illnesses. Suggested barriers to treatment include conceptions that mental health symptoms belong to normal ageing and lack of competence among staff in elderly care in detecting mental illness. A Mental Health First Aid (MHFA) training programme for the elderly was developed and provided to staff in elderly care. The aim of this study was to investigate changes in knowledge in mental illness, confidence in helping a person, readiness to give help and attitudes towards persons with mental illness. Method: Single group pre-test–post-test design. Results: The study group included staff in elderly care from different places in Sweden (n = 139). Significant improvements in knowledge, confidence in helping an elderly person with mental illness and attitudes towards persons with mental illness are shown. Skills acquired during the course have been practiced during the follow-up. Conclusions: The adaption of MHFA training for staff working in elderly care gives promising results. Improvements in self-reported confidence in giving help, attitudes towards persons with mental illness and actual help given to persons with mental illness are shown. However, the study design allows no firm conclusions and a randomised controlled trail is needed to investigate the effectiveness of the programme. Outcomes should include if the detection and treatment of mental illness among the elderly actually improved. (Edited publisher abstract)
A review of factors which potentially influence decisions in adult safeguarding investigations
- Author:
- TRAINOR Patricia
- Journal article citation:
- Journal of Adult Protection, 17(1), 2015, pp.51-61.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to look at safeguarding documentation in relation to 50 adult safeguarding files for the period April 2010 to March 2011. This was followed up with semi-structured interviews with a small number of Designated Officers whose role it is to screen referrals and coordinate investigations. Findings from the research were used to redesign regional adult safeguarding documentation to ensure Designated Officers have access to the information necessary to assist them in reaching decisions. Designated and Investigating Officer training was also updated to reflect learning from the research thereby reducing the potential for variation in practice. Design/methodology/approach: A file tool was developed which examined the recorded information in safeguarding documentation contained within 50 service user files. The review tool looked at the personal characteristics of the vulnerable adult, the nature of the alleged abuse and the decisions/outcomes reached by staff acting as safeguarding Designated Officers. A semi-structured interview schedule asked Designated Offices to comment on the training and understanding of the process as well as the factors they believed were central to the decision making process. Their responses were compared to data obtained from the file review. Findings: A key finding in the research was that while factors such as type of abuse, the vulnerable adults’ consent to cooperate with proceedings, identity of the referrer, etc. did influence decisions taken there was a lack of clarity on the part of Designated Officers in relation to their roles and responsibilities and of the process to be followed. Research limitations/implications: The research was limited to one Health & Social Care Trust area and had a small sample size (n=50). Practical implications: The findings of the research led to a revamping of existing safeguarding documentation which had failed to keep pace with developments and was no longer fit for purpose. Adult safeguarding training courses within the Trust were redesigned to bring greater focus to the role and responsibilities of designated and Investigating Officers and the stages in the safeguarding process. Adult Safeguarding leads were established within programmes of care and professional support mechanisms put in place for staff engaged in this area of work. Social implications: Better trained and supported staff alongside more efficient safeguarding systems should lead to better outcomes in the protection of vulnerable people from abuse and harm. Originality/value: The research built on existing albeit limited research into what potentially influences staff involved in critical decision-making processes within adult safeguarding. (Publisher abstract)
The care and wellbeing of older people: a textbook for healthcare students
- Authors:
- KYDD Angela, DUFFY Tim, DUFFY Raymond
- Publisher:
- Reflect Press
- Publication year:
- 2009
- Pagination:
- 440p.
- Place of publication:
- Banbury
This book is aimed at all those training and taking courses relating to the healthcare of older people, including pre- and post-registration students in universities and colleges as well as practitioners in hospitals and care homes. The book relates to UK standards and competencies relating to the care and wellbeing of Older People. The book is suitable for students in Scotland, England, Wales and Northern Ireland. Student learning is supported by case studies, activities, a glossary, references and further reading. Covering a wide range of topics in primary and secondary care, this volume provides a comprehensive exploration of the current issues and challenges involved in the care of older people. With a focus on the users experience of care and the implications for joint working, the textbook includes chapters on subjects like: Values; Communication; Advocacy and rights; interprofessional working; protecting vulnerable adults; promoting physical and mental health and wellbeing; life in care; palliative care; and social networks.
Technology and aging project: training outcomes and efficacy from a randomized field trial
- Author:
- WOODWARD Amanda T.
- Journal article citation:
- Ageing International, 36(1), March 2011, pp.46-65.
- Publisher:
- Springer
- Place of publication:
- New York
To examine whether training provided to adults age 60+ would increase the use of information and communication technologies (ICTs), such as email and the Internet, and influence participants’ social support and mental health participants were randomly assigned to an experimental (n = 45) or a control group (n = 38). The experimental group participated in a six-month training program. Data were collected before, during, and after training on outcomes related to computer use, social support, and mental health. Mixed regression models were used for multivariate analyses. Compared to the control group, the experimental group reported greater self-efficacy in executing computer-related tasks and used more ICTs, perceived greater social support from friends, and reported significantly higher quality of life. Computer self-efficacy had both a direct and indirect effect on ICT use, but not on other variables.
Black and minority ethnic older people and mental well-being: possibilities for practice
- Authors:
- MANTHORPE Jill, MORIARTY Jo, STEVENS Martin, HUSSEIN Shereen, SHARIF Nadira
- Journal article citation:
- Working with Older People, 14(4), December 2010, pp.32-37.
- Publisher:
- Emerald
Drawing on findings from a practice enquiry, the authors discuss examples of arrangements and practice approaches which focus on mental well being of black and minority ethnic (BME) older people. The practice enquiry interviews over 80 practitioners, managers, older people and carers from four parts of the UK over 2009-2010. Practice from a range of different social care settings (including voluntary and community groups, sheltered housing, day care and care management) were covered. Respondents described and reflected on the support for older people from BME backgrounds, particularly focusing on how they might promote mental well-being. Practitioners emphasised the importance of talking to BME older people to determine what they wanted and what they might choose to support their mental well-being. They generally felt training was welcome but that it needed to recognise the local context and the reality of social care practice. Practitioners often lacked confidence in working with BME older people if they were not in areas where they are regular service users. Many of the practitioners were working in isolation without access to skilled support. Implications for practice are briefly discussed.
Mental wellbeing and older people: quick reference guide
- Author:
- NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
- Publisher:
- National Institute for Health and Clinical Excellence
- Publication year:
- 2008
- Pagination:
- 5p.
- Place of publication:
- London
This quick reference guide presents the recommendations made in ‘Occupational therapy interventions and physical activity interventions to promote the mental wellbeing of older people in primary care and residential care’. It focuses on the role of occupational therapy interventions and physical activity interventions in the promotion of mental wellbeing for older people. It is for health professionals who have a role in, and responsibility for, promoting older people’s mental wellbeing and may also be relevant for carers and family members and older people themselves. The four recommendations are: occupational therapy interventions; physical activity; walking schemes; staff training.
Getting older gracefully
- Authors:
- CLARE Alison, CUTHBERT Sharon Lee
- Journal article citation:
- Mental Health Today, September 2008, pp.30-31.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Provides a brief overview of two new vocational qualifications being offered by City and Guilds and Age Concern in promoting the mental health and wellbeing of older people.
Supporting black and minority ethnic older people's mental wellbeing: accounts of social care practice
- Authors:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE, MANTHORPE Jill, et al
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2010
- Pagination:
- 82p., bibliog.
- Place of publication:
- London
The Social Care Workforce Research Unit, based at King’s College London, was commissioned to undertake a practice enquiry looking at how social care practitioners were supporting BME older people’s mental wellbeing in the four parts of the United Kingdom (UK). The report is based on interviews with over 80 participants who included practitioners (including social workers, commissioners, and workers in the voluntary and community sector), managers, volunteers, BME older people, and family carers. The report sets out some of the background to the enquiry, outlines the methods used and presents findings in seven chapters. Chapters cover: Promoting wellbeing: addressing risk and encouraging social interaction through preventive approaches; mental wellbeing in care homes; personalised approaches to promoting wellbeing and supporting people with depression; housing and housing with care solutions to maintain mental wellbeing; relationships with older people using services, their carers and practitioners; training and skills development; staff views on specialist and integrated support. At the end of each of these chapters, brief summaries and reflections are presented in the form of main messages.