Evidence-Based Counseling and Psychotherapy for an Aging Population

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Author :
Publisher : Academic Press
ISBN 13 : 0080958532
Total Pages : 423 pages
Book Rating : 4.0/5 (89 download)

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Book Synopsis Evidence-Based Counseling and Psychotherapy for an Aging Population by : Morley D. Glicken

Download or read book Evidence-Based Counseling and Psychotherapy for an Aging Population written by Morley D. Glicken and published by Academic Press. This book was released on 2009-08-01 with total page 423 pages. Available in PDF, EPUB and Kindle. Book excerpt: At a time when the mental health difficulties/disorders of the elderly are coming to the fore of many practitioners' patient rosters, naming and treating those problems is still too often handled as an art as much as a science. Inconsistent practices based on clinical experience and intuition rather than hard scientific evidence of efficacy have for too long been the basis of much treatment. Evidence-based practices help to alleviate some of the confusion, allowing the practitioner to develop quality practice guidelines that can be applied to the client, identify appropriate literature that can be shared with the client, communicate with other professionals from a knowledge-guided frame of reference, and continue a process of self-learning that results in the best possible treatment for clients. The proposed volume will provide practitioners with a state-of-the-art compilation of evidence-based practices in the assessment and treatment of elderly clients. As such it will be more clinically useful than anything currently on the market and will better enable practitioners to meet the demands faced in private and institutional practice. Focusing on the most current research and best evidence regarding assessment, diagnosis, and treatment, the volume covers difficulties including, but not limited to: social isolation/loneliness, elder abuse/neglect, depression and suicidal inclinations, anxiety disorders, substance abuse, dementias, prolonged bereavement, patients with terminal illnesses. Because concrete research evidence is so often not used as the basis for practice, this book provides a timely guide for clinicians, social workers, and advanced students to a research-oriented approach to serving the mental health needs of elderly adults. Fully covers assessment, diagnosis & treatment of the elderly, focusing on evidence-based practicesConsolidates broadly distributed literature into single source and specifically relates evidence-based tools to practical treatment, saving clinicians time in obtaining and translating information and improving the level of care they can provide Detailed how-to explanation of practical evidence-based treatment techniques Gives reader firm grasp of how to more effectively treat patients Chapters directly address the range of conditions and disorders most common for this patient population - i.e. social isolation, elder abuse/neglect, depression, anxiety disorders, terminal illnesses/disabilites, bereavement, substance abuse, and dementias Prepares readers for the conditions they will encounter in real world treamtent of an elderly patient population Cites numerous case studies and provides integrative questions at the end of each chapter Exposes reader to real-world application of each treatment discussed Offers reader easy base for further study of subject, saving clinicians time

Evidence-Based Treatment with Older Adults

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Author :
Publisher : Oxford University Press
ISBN 13 : 0190214635
Total Pages : 291 pages
Book Rating : 4.1/5 (92 download)

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Book Synopsis Evidence-Based Treatment with Older Adults by : Nancy Kropf

Download or read book Evidence-Based Treatment with Older Adults written by Nancy Kropf and published by Oxford University Press. This book was released on 2017-04-21 with total page 291 pages. Available in PDF, EPUB and Kindle. Book excerpt: Evidence Based Treatment with Older Adults: Theory, Practice, and Research provides a detailed examination of five research-supported psychosocial interventions for use with older adults: cognitive behavioral therapy, motivational interviewing, life review/reminiscence, problem solving therapy, and psychoeducational/social support approaches. These interventions address the diversity of mental health conditions and late-life challenges that older adults and their family members experience. Detailed explanations of the approaches, skills, and strategies employed in each intervention are provided, as are adaptions for use of the interventions with older adults. Vignettes are also used to demonstrate the use of specific practice skills and techniques with older clients. The theory undergirding each approach and the historical development of the interventions is explained, and provides the reader with a rich understanding of background and context of each therapy. In addition, the distinct issues such as depression, anxiety, substance abuse/misuse for which evidence exists are highlighted. Research support for application of the interventions in community-based, acute care, and long-term care settings and in individual and group formats is also discussed. Finally, implementation issues encountered in therapeutic work with older adults are described as are accommodations to enhance treatment efficacy. In sum, this book provides a comprehensive overview of evidence based psychosocial interventions for older adults; it is ideal for students and mental health professionals interested in clinical work with older adults and their families.

Making Evidence-based Psychological Treatments Work with Older Adults

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Author :
Publisher : American Psychological Association (APA)
ISBN 13 : 9781433811579
Total Pages : 0 pages
Book Rating : 4.8/5 (115 download)

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Book Synopsis Making Evidence-based Psychological Treatments Work with Older Adults by : Forrest Ray Scogin

Download or read book Making Evidence-based Psychological Treatments Work with Older Adults written by Forrest Ray Scogin and published by American Psychological Association (APA). This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this edited volume, researchers and clinicians come together to discuss the prevalent psychological disorders that afflict older adults. Each chapter focuses on one of the major presenting problems--anxiety, insomnia, depression, memory function, behavioral disturbances, and the consequent psychological symptoms of family caregivers--with researchers identifying successful evidence-based treatments (EBTs) for the disorders, and clinicians discussing how they tailored the EBT to the special needs and conditions of their older clients.

Improving the Effectiveness of the Helping Professions

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Author :
Publisher : SAGE
ISBN 13 : 0761930256
Total Pages : 353 pages
Book Rating : 4.7/5 (619 download)

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Book Synopsis Improving the Effectiveness of the Helping Professions by : Morley D. Glicken

Download or read book Improving the Effectiveness of the Helping Professions written by Morley D. Glicken and published by SAGE. This book was released on 2005 with total page 353 pages. Available in PDF, EPUB and Kindle. Book excerpt: The current practice of counselling, psychotherapy, and most helping professions often relies on clinical wisdom with little evidence of what actually works. Clinical wisdom is often a justification for beliefs and values that bond people together as professionals but often fails to serve clients since many of those beliefs and values may be comforting, but they may also be inherently incorrect. Improving the Effectiveness of the Helping Professions: An Evidence-Based Approach to Practice covers the use of research and critical thinking to assist helping professionals make the most effective choices in treating clients with social and emotional problems. The use of evidence-based practice (EBP) comes at a time when managed care and concerns over health care costs coincide with growing concerns that psychotherapy, case management, and counseling may not be sufficiently effective ways of helping people in social and emotional difficulty.

Making Evidence-Based Psychological Treatments Work with Older Adults

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Author :
Publisher :
ISBN 13 : 9781433811586
Total Pages : 307 pages
Book Rating : 4.8/5 (115 download)

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Book Synopsis Making Evidence-Based Psychological Treatments Work with Older Adults by : Forrest Ray Scogin

Download or read book Making Evidence-Based Psychological Treatments Work with Older Adults written by Forrest Ray Scogin and published by . This book was released on 2015-05-14 with total page 307 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this new release by geropsychology scholars Forrest Scogin and Avani Shah, researchers and clinicians come together in each chapter to discuss the prevalent psychological disorders that afflict this burgeoning population. Each chapter focuses on one of the major presenting problems -- anxiety, insomnia, depression, memory function, and behavioral disturbances -- with researchers identifying successful evidence- based treatments (EBTs), and clinicians discussing how their specific expertise and flexibility maximized EBT fidelity while tailoring the EBT to the special needs and conditions of their older clients. Written for clinicians who specialize in psychotherapy and counseling with older adults, this timely book will also appeal to practitioners who work with elders in assisted-living facilities or in home settings. The final chapter of the book is devoted to family caregivers who also experience psychological symptoms in caring for an older parent or other relative.

Psychotherapy for Depression in Older Adults

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 0470054484
Total Pages : 290 pages
Book Rating : 4.4/5 (7 download)

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Book Synopsis Psychotherapy for Depression in Older Adults by : Sara Honn Qualls

Download or read book Psychotherapy for Depression in Older Adults written by Sara Honn Qualls and published by John Wiley & Sons. This book was released on 2007-04-10 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: The first book in the new Wiley Series on Geropsychology, Psychotherapy for Depression in Older Adults is a practical resource created by a team of international luminaries in the field. Developed in conjunction with the Gerontology Center of the University of Colorado, this expert guide provides evidence-based treatment approaches for alleviating depression in older adults.

Handbook of Psychosocial Interventions with Older Adults

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Author :
Publisher : Routledge
ISBN 13 : 1317990307
Total Pages : 365 pages
Book Rating : 4.3/5 (179 download)

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Book Synopsis Handbook of Psychosocial Interventions with Older Adults by : Sherry M. Cummings

Download or read book Handbook of Psychosocial Interventions with Older Adults written by Sherry M. Cummings and published by Routledge. This book was released on 2013-09-13 with total page 365 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the past decade, evidence based practice (EBP) has emerged as one of the most important movements to improve the effectiveness of clinical care. As the number of older adults continues to grow, it is essential that practitioners have knowledge of effective strategies to improve both the medical and the psychosocial aspects of older persons' lives. The purpose of this work is to present systematic reviews of research-based psychosocial interventions for older adults and their caregivers. The interventions presented focus on a variety of critical issues facing older adults today including medical illnesses (cardiac disease, diabetes, arthritis/pain, cancer, and HIV/AIDS), mental health/cognitive disorders (depression/anxiety, dementia, substance abuse), and social functioning (developmental disabilities, end-of-life, dementia caregivers, grandparent caregivers). For each of these areas the prevalence of the problem, the demographics of those affected, and the nature and consequences of the problem are discussed. The empirical literature is then reviewed. A treatment summary highlights the type and nature of research supporting the interventions reviewed and is followed by a conclusion section that summarizes the status of intervention research for the specified issue. A Treatment Resource Appendix for each area is included. These appendices highlight manuals, books, articles and web resources that detail the treatment approaches and methodologies discussed. This book was previously published as a special issue of the Journal of Gerontological Social Work.

Psychotherapy with Older Adults

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Author :
Publisher : SAGE
ISBN 13 : 1452238189
Total Pages : 305 pages
Book Rating : 4.4/5 (522 download)

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Book Synopsis Psychotherapy with Older Adults by : Bob G. Knight

Download or read book Psychotherapy with Older Adults written by Bob G. Knight and published by SAGE. This book was released on 2004-02-20 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Third Edition of the bestselling Psychotherapy with Older Adults continues to offer students and professionals a thorough overview of psychotherapy with older adults. Using the contextual, cohort-based, maturity, specific challenge (CCMSC) model, it draws upon findings from scientific gerontology and life-span developmental psychology to describe how psychotherapy needs to be adapted for work with older adults, as well as when it is similar to therapeutic work with younger adults. Sensitively linking both research and experience, author Bob G. Knight provides a practical account of the knowledge, technique, and skills necessary to work with older adults in a therapeutic relationship. This volume considers the essentials of gerontology as well as the nature of therapy in depth, focusing on special content areas and common themes. Psychotherapy with Older Adults includes a comprehensive discussion of assessment and options for intervention. Numerous case examples illustrate the dynamics of the therapeutic task and issues covered in therapy and stress the human element in working with older adults. A concluding chapter considers ethical questions and the future of psychotherapy with older adults. The author has updated the Third Edition to reflect new research findings and has written two entirely new chapters covering psychotherapy with persons with dementia and psychotherapy with caregivers of frail older adults. Since its initial publication in 1986, the book has been used as a course text and a professional reference around the world, including translations into French, Dutch, Chinese, and Japanese. It is a vital resource for practicing therapists and counselors who work with older adults and is also ideally suited as a text for advanced students in psychology, social work, gerontology, and nursing. Praise for Previous Editions: "Bob G. Knight′s largest contribution is his excellent discussion of therapy. The book is clearly written, with a good use of summaries and case examples to clarify the major points. By linking research findings to practice experience, Knight has provided a pragmatic introduction which should be helpful to psychiatrists, psychologists, social workers, and psychiatric nurses working with older adults." —JOURNAL OF APPLIED GERONTOLOGY "I recommend this book to anyone interested in working with the elderly, partly because of the content and partly because the author presents the case for doing psychotherapy with the elderly with realism and enthusiasm." —BEHAVIOR RESEARCH & THERAPY

Cognitive Behavior Therapy with Older Adults

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Author :
Publisher : Springer Publishing Company
ISBN 13 : 082610620X
Total Pages : 498 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Cognitive Behavior Therapy with Older Adults by : Kristen H. Sorocco, PhD

Download or read book Cognitive Behavior Therapy with Older Adults written by Kristen H. Sorocco, PhD and published by Springer Publishing Company. This book was released on 2011-03-21 with total page 498 pages. Available in PDF, EPUB and Kindle. Book excerpt: A one-stop resource for core discipline practitioners who provide mental health services to the geriatric population, Cognitive Behavior Therapy with Older Adults presents strategies for integrating cognitive behavioral therapy (CBT) skills and therapies into various healthcare settings for aging patients. Cognitive Behavior Therapy with Older Adults is divided into key two parts: CBT for common mental health problems for older adults and innovations across settings in which older adults are present. Evidence-based and provider-friendly, it emphasizes adapting CBT specifically for the aging population and its specific needs. Key features: A general introduction on aging that dispels myths and highlights the need to address mental health problems among this age group Chapters that overview epidemiology data, diagnostic criteria, assessment, and CBT approaches to treatment Case examples, including those that depict a composite of a successfully aging older adult A comprehensive resource section including handouts, note templates, and other useful tips and worksheets for practice A listing of supplemental texts, patient resources, and summary charts

Therapy Over 50

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Publisher : Oxford University Press
ISBN 13 : 0190205695
Total Pages : 257 pages
Book Rating : 4.1/5 (92 download)

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Book Synopsis Therapy Over 50 by : Jeffrey Kottler

Download or read book Therapy Over 50 written by Jeffrey Kottler and published by Oxford University Press. This book was released on 2016-05-19 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: Traditional training in counseling and psychotherapy makes minimal distinctions on the ages of the client and therapist in the treatment process. Therapy Over 50: Aging Issues in Psychotherapy and the Therapist's Life highlights how therapy is frequently a very different process for the older client and therapist. Specifically, this book explores: a) how therapists over 50 (or approaching that life transition) experience, struggle, and enjoy doing therapy in ways that are different from when they were younger (this includes their special challenges, adaptations, fears, and joys); and b) the landscape related to working clinically with aging clients, and those approaches and strategies that work best with this population. The text also includes both current research and classic literature on the subject of aging issues in therapy, as well as current excerpts from interviews the authors will conduct with some of the most notable aging figures in the fields of counseling, social work, marriage and family therapy, and clinical psychology. Therapy Over 50 ultimately deals with the inevitable and unrelenting changes that take place along with corresponding lost and reconfigured dreams as well as the approaches and strategies that are most effective for working with this population. With an optimistic tone, Kottler and Carlson promote a philosophy of positive aging and development for the therapist and client, thereby offering hope and inspiration for both parties

Handbook of Counseling and Psychotherapy with Older Adults

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Author :
Publisher : John Wiley & Sons
ISBN 13 :
Total Pages : 754 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Handbook of Counseling and Psychotherapy with Older Adults by : Michael Duffy

Download or read book Handbook of Counseling and Psychotherapy with Older Adults written by Michael Duffy and published by John Wiley & Sons. This book was released on 1999-07-15 with total page 754 pages. Available in PDF, EPUB and Kindle. Book excerpt: With the graying of society, therapists are seeing more and more older clients. In this book, editor Michael Duffy brings together leading experts to explain the unique problems of older adults and describe effective treatment techniques.

Social Isolation and Loneliness in Older Adults

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Author :
Publisher : National Academies Press
ISBN 13 : 0309671035
Total Pages : 317 pages
Book Rating : 4.3/5 (96 download)

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Book Synopsis Social Isolation and Loneliness in Older Adults by : National Academies of Sciences, Engineering, and Medicine

Download or read book Social Isolation and Loneliness in Older Adults written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-05-14 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.

Learning from Resilient People

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Publisher : SAGE
ISBN 13 : 1412904846
Total Pages : 293 pages
Book Rating : 4.4/5 (129 download)

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Book Synopsis Learning from Resilient People by : Morley D. Glicken

Download or read book Learning from Resilient People written by Morley D. Glicken and published by SAGE. This book was released on 2006-05-03 with total page 293 pages. Available in PDF, EPUB and Kindle. Book excerpt: Resilience is a human trait that is key to understanding how people successfully cope with crisis and trauma. This book explains the inner self-healing processes of resilient people and helps people training in the helping professions to learn to use these processes in working with their clients.

Helping Relationships With Older Adults

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Author :
Publisher : SAGE Publications
ISBN 13 : 150634724X
Total Pages : 563 pages
Book Rating : 4.5/5 (63 download)

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Book Synopsis Helping Relationships With Older Adults by : Adelle M. Williams

Download or read book Helping Relationships With Older Adults written by Adelle M. Williams and published by SAGE Publications. This book was released on 2016-06-29 with total page 563 pages. Available in PDF, EPUB and Kindle. Book excerpt: "A definite read for students in counseling programs for improving the lives of older adults!" –Amy Gray-Graves, Webster University Helping Relationships with Older Adults: From Theory to Practice examines the fundamental theoretical perspectives of the aging process with an emphasis on the healthy aspects of aging. Taking a comprehensive approach, the text addresses various therapeutic methods as it highlights the strengths and resiliency of the older population. Exercises and case studies demonstrate key concepts and promote skill development by allowing students to experience the various challenges in the lives of older clients. Helping Relationships with Older Adults: From Theory to Practice is part of the Counseling and Professional Identity Series.

The Older Adult Psychotherapy Treatment Planner, with DSM-5 Updates, 2nd Edition

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Author :
Publisher : John Wiley & Sons
ISBN 13 : 1119063116
Total Pages : 288 pages
Book Rating : 4.1/5 (19 download)

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Book Synopsis The Older Adult Psychotherapy Treatment Planner, with DSM-5 Updates, 2nd Edition by : Deborah W. Frazer

Download or read book The Older Adult Psychotherapy Treatment Planner, with DSM-5 Updates, 2nd Edition written by Deborah W. Frazer and published by John Wiley & Sons. This book was released on 2014-12-15 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: This timesaving resource features: Treatment plan components for 30 behaviorally based presenting problems Over 1,000 prewritten treatment goals, objectives, and interventions plus space to record your own treatment plan options A step-by-step guide to writing treatment plans that meet the requirements of most accrediting bodies, insurance companies, and third-party payors Includes new Evidence-Based Practice Interventions as required by many public funding sources and private insurers PracticePlanners® THE BESTSELLING TREATMENT PLANNING SYSTEM FOR MENTAL HEALTH PROFESSIONALS The Older Adult Psychotherapy Treatment Planner, Second Edition provides all the elements necessary to quickly and easily develop formal treatment plans that satisfy the demands of HMOs, managed care companies, third-party payors, and state and federal agencies New edition features empirically supported, evidence-based treatment interventions Organized around 30 behaviorally based presenting problems including depression, unresolved grief, life role transition, and substance abuse Over 1,000 prewritten treatment goals, objectives, and interventions plus space to record your own treatment plan options Easy-to-use reference format helps locate treatment plan components by behavioral problem Includes a sample treatment plan that conforms to the requirements of most third-party payors and accrediting agencies including CARF, The Joint Commission (TJC), COA, and the NCQA Additional resources in the PracticePlanners® series: Documentation Sourcebooks provide the forms and records that mental health??professionals need to??efficiently run their practice. Homework Planners feature behaviorally based, ready-to-use assignments to speed treatment and keep clients engaged between sessions. For more information on our PracticePlanners®, including our full line of Treatment Planners, visit us on the Web at: www.wiley.com/practiceplanners

The Praeger Handbook of Mental Health and the Aging Community

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Author :
Publisher : Bloomsbury Publishing USA
ISBN 13 : 1440853355
Total Pages : 297 pages
Book Rating : 4.4/5 (48 download)

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Book Synopsis The Praeger Handbook of Mental Health and the Aging Community by : Doreen Maller

Download or read book The Praeger Handbook of Mental Health and the Aging Community written by Doreen Maller and published by Bloomsbury Publishing USA. This book was released on 2017-11-27 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive book written by experienced practitioners, this single-volume work describes clinical competencies, specific challenges, and applications in providing services to the elderly and their caregivers. More people are living past age 65 than ever before in the United States, largely due to medical care advances and increased attention to preventive care. The number of people aged 65 and older has increased from 35 million in 2000 to 40 million in 2010, and the elderly population is expected to reach 72 million by 2030. Additionally, the American Psychological Association estimates at least 20 percent of all people aged 65 and older have a diagnosable mental disorder. There is a clear need to provide additional training support to those in the field of elder care as well as those who are friends or family members of older adults. Written by a team of experts each specializing in an aspect of elder care, The Praeger Handbook of Mental Health and the Aging Community is a single-volume text that addresses the training needs of mental health care providers serving the aging population. It offers holistic and integrated models of care after presenting an in-depth explanation of the brain, body, social, and emotional changes across aging that can trigger psychological disorders. The chapters pay attention to issues of diversity and culture in America's aging population; present an integrated care model to serve all of the needs of mentally ill elders; include numerous case studies to demonstrate how approaches can be utilized; and discuss topics such as disability, poverty, and the legal and ethical ramifications of elder care.

Handbook of Mental Health and Aging

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Author :
Publisher : Academic Press
ISBN 13 : 0128004932
Total Pages : 513 pages
Book Rating : 4.1/5 (28 download)

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Book Synopsis Handbook of Mental Health and Aging by : Nathan Hantke

Download or read book Handbook of Mental Health and Aging written by Nathan Hantke and published by Academic Press. This book was released on 2020-04-11 with total page 513 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Handbook of Mental Health and Aging, Third Edition provides a foundational background for practitioners and researchers to understand mental health care in older adults as presented by leading experts in the field. Wherever possible, chapters integrate research into clinical practice. The book opens with conceptual factors, such as the epidemiology of mental health disorders in aging and cultural factors that impact mental health. The book transitions into neurobiological-based topics such as biomarkers, age-related structural changes in the brain, and current models of accelerated aging in mental health. Clinical topics include dementia, neuropsychology, psychotherapy, psychopharmacology, mood disorders, anxiety, schizophrenia, sleep disorders, and substance abuse. The book closes with current and future trends in geriatric mental health, including the brain functional connectome, repetitive transcranial magnetic stimulation (rTMS), technology-based interventions, and treatment innovations. Identifies factors influencing mental health in older adults Includes biological, sociological, and psychological factors Reviews epidemiology of different mental health disorders Supplies separate chapters on grief, schizophrenia, mood, anxiety, and sleep disorders Discusses biomarkers and genetics of mental health and aging Provides assessment and treatment approaches