Professional shortages of geriatrically trained social workers pose a barrier to mental health care for older adults. Integrating graduate social work interns into primary care settings may increase the availability of trained social workers. However, few studies provide guidance on how to develop an interprofessional healthcare placement focused…

Purpose: This study determined the psychometric properties of a variety of anxiety measures administered to older adults receiving home care services. Design and Methods: Data were collected from 66 adults aged 65 years and older who were receiving home care services. Participants completed self-report and clinician-rated measures of anxiety and…

A summary of the literature on the goals, content, and techniques of psychotherapy with the elderly client is presented, and supports the conclusion that this therapy is different from similar work with the younger adult, only in terms of a focus on different content areas. (Author)

Describes demonstration by an interdisciplinary geriatric evaluation team that a newly described syndrome of hysterical pseudodementia in elderly patients often originates in developmental phenomena rather than in basic personality disturbances. Discusses team members' observations of clinical behavior which frequently differed from results of…

Interviewed 140 elderly medical patients and found that the measured 22 percent prevalence of mental impairment was not reflected in the patients' utilization of mental health services or in their presenting complaints to their physicians. Subsequent interviews with their physicians revealed inadequate recognition, diagnosis, and treatment of…

A training curriculum on mental health and aging was developed and disseminated to 32 natural caregivers throughout a frontier state using a train-the-trainer model. Those certified as trainers included social workers, religious professionals, volunteers, long-term care employees, nurses, home health workers, and professional and informal…

Clinical interest in individual psychotherapeutic intervention with the aged mentally ill has gradually risen during the past several decades. However, a broad review of the literature suggests that published descriptions of such interventions have generally been global and vague. (Author)

Multidisciplinary team identified hysterical behavior, rather than depression, as one form of pseudodementia in many cases of cognitive impairment observed in geriatric patients. Seven cases required thorough medical and neuropsychological assessment and careful functional analysis of patients' behavior patterns to determine the adaptive utility…

The authors tested the discriminative effectiveness of two psychiatric screening instruments for a gerontological population. Results show that while one scale was more correct in identifying the impaired group, the second was more correct in identifying the unimpaired subjects. (SE)

Presents Project Adapt, a psychogeriatric rehabilitation service developed to integrate assessment, behavior and medication management, and outcome evaluation to meet needs of mentally ill in nursing homes. Notes that mental health staff perceived significantly more improvement among participating nursing home residents than among those not…

Found no significant differences in burden for relatives of demented and depressed patients admitted to geriatric psychiatry inpatient unit. Although at follow-up depressed patients were more improved than demented patients, their caregivers did not experience any greater decrease in burden. Families of depressed patients may require as much…

Describes sub-acute diagnostic and treatment nursing home program for difficult to manage older adults with medical and psychiatric illness. Notes that assessment and discharge can be completed within seven months, and that among sample population studied, almost equal percentages were discharged to state institutions, remained in the study home,…

Describes the Potteries Elderly Support Group, a small-scale, locally based initiative in England, which relieves relatives, one day a week, of some of the pressures associated with caring for an elderly mentally infirm person. Details the rationale for the group and describes how it has been funded, staffed, and operated. (JAC)

Evaluated 150 geriatric medical inpatients for psychological dysfunction. Found 27.3 percent of subjects had at least one psychological disorder and 15.3 percent of total sample had a depressive disorder. Comorbid depression was associated with greatest level of psychological distress and dysfunction, and with poorest physical health status.…