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Treating depression in disabled, low-income elderly: a conceptual model and recommendations for care
- Authors:
- AREAN Patricia A., et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 25(8), August 2010, pp.765-769.
- Publisher:
- Wiley
Ten percent of older people in the United States live at or below the poverty line, and the treatment of depression within this group is complicated by several factors, where poor access to resources, disability, and mild cognitive impairment are the main factors that moderate treatment effects. Interventions that not only address the depressive syndrome but also manage social adversity are needed to help this patient population recover from depression. This paper presents a literature review of correlates of depression in late life. In the review the authors propose a treatment model that combines case management to address social adversity with problem solving treatment to address the depressive syndrome. The case of a male patient is outlined – living in poverty, depressed, and physically disabled. The authors’ illustrate how the combination of case management and problem solving treatment can work together to ameliorate depression. In conclusion, the paper suggests that the combination of age, disability, and social adversity complicates the management and treatment of depression. Case management and problem solving treatment are interventions that work synergistically to overcome depression and manage social problems.
Valuing older people: positive psychological practice
- Author:
- STIRLING Elspeth
- Publisher:
- Wiley-Blackwell
- Publication year:
- 2010
- Pagination:
- 213p., bibliog.
- Place of publication:
- Chichester
A global guide to positive psychological practice when dealing with older and very old people. The author, previously a clinical psychologist, champions social role valorisation (SRV) in relation to older people and ageing. SRV theory is based on opposing society’s tendency to devalue particular groups of people because they are ‘different. The author applies it, not only to counteract stereotyped attitudes that older people are valueless, but to promote beneficial effects of having our elders active in society and observing and learning from, for example, their coping behaviour. Chapters cover: the psychology and ecology of ageing; preventive psychology in later life; assessment in the new paradigm; new paradigm principles for intervention; older people and cognitive disabilities; new paradigm principles of service design; and psychological therapies with older people.