Asserts that, if long-term care is to progress from custodial model to therapeutic model of rehabilitation, role of nursing assistants must be redesigned. Reviews current methods of institutional staff training and management and proposes model for geriatric, long-term care facilities. Discusses organizational resistance and offers suggestions for…

The language of geriatrics and gerontology reflects the generally held belief that potential for growth and development disappears when the elderly are severely disabled. To counter this mystique, the right to flourish must be advocated through policy, behavior, and attitude change. (SK)

Evaluated medical residents and discovered that although they considered detection and treatment of comorbid depression to be important, they knew few of the diagnostic criteria and etiological factors, rarely screened patients for depression and viewed current treatments as only marginally efficacious. Discusses implications for graduate…

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.…

This annotated bibliography lists organizations and publications in the following categories: general information on aging, career guidance, curriculum materials, education and training, family services, health care, intergenerational programs, nutrition, opportunities for older adults, program development, and research. (SK)

Reviewed 273 medical records and interviewed 42 referring physicians to examine effectiveness of geriatric day hospital (GDH). Found that GDH provided intensive outpatient care, geriatric assessment, rehabilitation, and alternative to hospitalization: 21 percent of physician-referred patients would have been hospitalized without GDH, 7 percent…

The authors describe a four-year baccalaureate nursing program that promotes positive student attitudes about and behaviors toward the elderly patient. Components of the curriculum include (1) community care, (2) acute care experience, and (3) experience in extended care facilities. (CH)

Notes that low Medicare reimbursement rates are already causing some mental health professionals to turn away elderly patients. Considers baby boomer cohort who, unlike elders today, have high rates of psychiatric illness and are more likely to seek mental health services. Projects increasing gap over next 25 years between need and availability of…

This study compared the research productivity of 97 senior staff members of geriatrics education centers and 91 faculty enrollees in a professional development program. Findings indicated that more senior educators (75 percent) than enrollees (40 percent) had published in the previous three years. (DB)

Evaluated prognostic validity of clinical and psychometric variables in psychogeriatric inpatients. Divided elderly patients into three outcome groups: nondischarged (n=29), discharged-readmitted (n=38), and discharged-nonreadmitted (n=67). Discriminant analysis of data yielded two predictive functions, which appeared to represent physical status…

Project Safety Net identifies low-income urban frail elderly and provides comprehensive geriatric assessment and referral. During 8-month period, 814 older persons were screened including high proportions who were widowed (51%) and who lived alone (66%). Effectiveness of program remains to be determined in randomized clinical trials. (Author/NB)

In response to aging patient demographics and a call for increased formal geriatric training in medical schools, a community volunteer geriatric mentor program, Bridging Generations, was developed to shape attitudes of medical students caring for the elderly. The geriatric mentor experience provided students with unique insight into the challenges…

The John A. Hartford Foundation, in collaboration with the Gerontological Society of America, has developed new models to create geriatric faculty capacity within social work. The Faculty Scholars Program is building faculty leadership in academic geriatric social work through a strategic approach that includes long-distance national and…

This study addresses issues related to mandatory versus optional service-learning assignments and presents findings from a study of an option-based service-learning program. Using qualitative data collected from students over two semesters, this study examines one of the biggest barriers students cite to successful participation in…

The rapid growth of the older population has increased the need for care professionals with training in gerontology or geriatrics. This study analyzes the perceived importance and adequacy of practice competencies for entry-level care professionals in aging-related fields in Hong Kong. The administrators of non-governmental organizations that…