This book provides practical, up-to-the-minute information and tools for clinicians working with older adults. A roster of expert authors offers the most practical clinical and research insights across the most relevant, frequently encountered diagnostic and treatment problems. Each chapter is organized in a logical, easy-to-follow structure tha

This book offers mental health guidelines for all medical professionals facing the emerging challenges presented by an aging population worldwide. The text acknowledges that as the geriatric demographic grows, limited resources and infrastructures demand quality protocols to deliver inpatient geriatric psychiatric care, and that many physicians may not be trained to address these specific needs. This text fills this gap with guidelines assessing, diagnosing, and treating aging patients as they present in the emergency room and other settings. Unlike any other text, this book focuses on how to optimize the use of the inpatient setting by recommending evaluations and treatments, and offering flow-charts and figures of key points, to guide both general workup and continued evaluation and treatment. This approach aims to minimize instances of premature release or readmissions and to improve outcomes. Chapters cover the various issues that clinicians face when working with an older patient, including legal topics, limitations to treatment, prescription-related complications, patients struggling with substance abuse, and various behavioral concerns. Written by experts in the field, the text takes a multidisciplinary approach to deliver high-quality care as needs of the aging population evolve. Inpatient Geriatric Psychiatry is a vital resource for all clinicians working with an aging population, including geriatricians, psychiatrists, neurologists, primary care providers, hospitalists, psychologists, neuropsychologists, emergency room and geriatric nurses, social workers, and trainees.

The renowned Principles and Practice of Geriatric Psychiatry, now in its third edition, addresses the social and biological concepts of geriatric mental health from an international perspective. Featuring contributions by distinguished authors from around the world, the book offers a distinctive angle on issues in this continually developing discipline. Principles and Practice of Geriatric Psychiatry provides a comprehensive review of: geriatric psychiatry spanning both psychiatric and non-psychiatric disorders scientific advances in service development specific clinical dilemmas New chapters on: genetics of aging somatoform disorders epidemiology of substance abuse somatoform disorders care of the dying patient Continuing the practice of earlier editions, the major sections of the book address aging, diagnosis and assessment and clinical conditions, incorporating an engaging discussion on substance abuse and schizophrenic disorders. Shorter sections include the presentation of mental illness in elderly people from different cultures—one of the most popular sections in previous editions. Learning and behavioural studies, as well as models of geriatric psychiatry practice, are covered extensively. This book provides a detailed overview of the entire range of mental illness in old age, presented within an accessible format. Principles and Practice of Geriatric Psychiatry is an essential read for psychiatrists, geriatricians, neurologists and psychologists. It is of particular use for instructors of general psychiatry programs and their residents.

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

"This new edition retains the multidisciplinary and developmental perspectives of its predecessors, drawing on the knowledge not only of psychiatrists but also of relevant biomedical and behavioral experts in order to present the most comprehensive approach to patient care. It has been extensively updated to reflect the latest scientific advances and clinical developments in the field. Not only will readers find the most up-to-date information on phenomenology, diagnosis, and assessment of late-life mental disorders, they will also access the latest research on psychotherapeutic, psychopharmacological, and other somatic treatments. A dedicated chapter delves into the role of technology-including digital phenotyping, wearables, digital and web-based neurocognitive testing, and more-in aiding the geriatric mental health workforce and improving both access to care and ongoing support. Throughout the book, several sections examine the impact of COVID-19, and its attendant social isolation, on older adult mental health and the evolution of treatment approaches, revealing insights learned about telepsychiatry and care in nursing homes during the pandemic. Chapters on the legal and ethical factors in the psychiatric care of older adults close out the book, the most exhaustive on the topic. Extensively researched and with key points for ease of reference, this edition will equip both the scholar and the clinician with the current state of scientific understanding as well as the practical skills and knowledge base required for dealing with mental disorders in late life"--

At least 5.6 million to 8 million-nearly one in five-older adults in America have one or more mental health and substance use conditions, which present unique challenges for their care. With the number of adults age 65 and older projected to soar from 40.3 million in 2010 to 72.1 million by 2030, the aging of America holds profound consequences for the nation. For decades, policymakers have been warned that the nation's health care workforce is ill-equipped to care for a rapidly growing and increasingly diverse population. In the specific disciplines of mental health and substance use, there have been similar warnings about serious workforce shortages, insufficient workforce diversity, and lack of basic competence and core knowledge in key areas. Following its 2008 report highlighting the urgency of expanding and strengthening the geriatric health care workforce, the IOM was asked by the Department of Health and Human Services to undertake a complementary study on the geriatric mental health and substance use workforce. The Mental Health and Substance Use Workforce for Older Adults: In Whose Hands? assesses the needs of this population and the workforce that serves it. The breadth and magnitude of inadequate workforce training and personnel shortages have grown to such proportions, says the committee, that no single approach, nor a few isolated changes in disparate federal agencies or programs, can adequately address the issue. Overcoming these challenges will require focused and coordinated action by all.

Newly revised and updated! In this second edition, Brody and Semel contend that meaningful and successful therapy can be accomplished with an aging population, debunking the belief that the elderly can not pick up or put into practice newly acquired information. Rather, the way in which therapy with aging adults is approached may affect the way in which the therapist initially experiences and reacts to the client because of stereotypes about aging. This book encompasses three major areas of work with elderly clients aged 60 years and older: Living in nursing homes Living in assisted living housing, while participating in community-oriented activities for the aged Living independently and being seen in private practice It comprises a variety of approaches, ranging from eclectic small group formats for nursing home residents, group and individual counseling in assisted living settings, and home care for the elderly, to psychoanalytic therapy techniques in private practice. Illustrative case examples used throughout the book bring to life successful strategies and interventions. New areas of focus include: Treatment of stress and mental disorders Alzheimer's disease Caregiving issues at home Expanded information on Medicare coverage issues

As the population ages, increasing numbers of older people require the attention and services of mental health professionals. Despite their prevalence, however, mental health problems in this population often go undiagnosed and therefore untreated. This textbook offers medical students and professionals the information they need to care for older people with mental disorders. Drs. Donna Cohen and Carl Eisdorfer, two internationally recognized experts in geriatric mental health, provide a comprehensive framework within which students and practitioners alike can address the salient issues of the field. These include the biopsychosocial aging processes, specific pathologies prevalent in later life, social issues common to the elderly, the delivery of care in various settings, and the economic policies affecting services for older people. The authors’ goal is not only to enhance clinical practice but also to urge physicians to develop and coordinate a more holistic care strategy that acknowledges the complex challenges of older patients. To this end, Cohen and Eisdorfer discuss essential principles of optimal care, the latest research findings, evidence- and consensus-based practice standards, resources to help professionals keep abreast of the changing mental health landscape, and ethical dilemmas of clinical practice and research. The signal strength of this book lies in its integrated approach, an approach that emphasizes the philosophy and principles of caring for older people along with clinical practices and issues. From this broader perspective, the authors describe the many factors that influence the lives, health, and well-being of older patients and their caregivers, making this an ideal text for psychiatrists, psychologists, nurses, and social workers.

Illustrated with abundant clinical material, this book provides essential knowledge and skills for effective mental health practice with older adults. It demonstrates how to evaluate and treat frequently encountered clinical problems in this population, including dementias, mood and anxiety disorders, and paranoid symptoms. Strategies are presented for implementing psychosocial interventions and integrating them with medications. The book also describes insightful approaches for supporting family caregivers and addresses the nuts and bolts of consulting in institutional settings. Combining their expertise as a researcher and an experienced clinician, the authors offer a unique perspective on the challenges facing older adults and how to help them lead more fulfilling and independent lives. Three reproducible forms can also be downloaded and printed in a convenient 8 1/2" x 11" size.

Clinical Manual of Geriatric Psychiatry provides the most current information on psychiatric diagnoses seen in older patients in a concise format. Each chapter is broken into easily understandable, increasingly focused sections, and contains an extensive array of tables, references, and suggested readings. Chapters include clinically relevant information and evidence-based treatments for a wide range of topics and disorders: The psychiatric interview of older adults, including history, family assessment, mental status examination, rating scales and standardized interviews, and effective communication techniques. Psychopharmacology, including information on antidepressants, psychostimulants, antipsychotic medications, mood stabilizers, anxiolytics and sedative-hypnotics, and cognitive enhancers. Diagnosis and treatment of delirium, dementia, mood disorders, schizophrenia, anxiety disorders, sleep disorders, and substance use disorders, including coverage of definition, epidemiology, clinical features, risk factors, diagnosis and differential diagnosis, prevention and management, and treatment guidelines. Individual and group psychotherapy strategies, including individual and group-based cognitive-behavioral therapies, interpersonal psychotherapies, relaxation training, cognitive stimulation therapy, and behavioral therapies. Clinical psychiatry in the nursing home, with a focus on cognitive disorders and behavioral disturbances, depression, treatment progress in this setting, and relevant federal regulations. Written by experts in geriatric psychiatry, this clinical manual provides a much-needed "field guide" for the care of nursing home patients and older adults. Busy clinicians, as well as researchers, residents, fellows, clinical psychologists, and social workers, will find this compact volume to be of the utmost value, as will anyone seeking to update their knowledge of geriatric psychiatry.