Full Description
This book is a practical resource that will support the delivery of holistic mental health interventions in the primary and community care setting for older people. Primary care delivery is discussed in relation to both functional mental health problems, such as anxiety, depression, and psychotic and personality disorders, and acquired organic mental disorders of old age, such as dementia, cognitive impairments, and delirium. Careful consideration is paid to the complex relationship between mental and somatic health problems, as well as the impacts of multimorbidity and polypharmacy. Further topics include, for example, epidemiology, wider determinants of health, different care models, history taking, neurocognitive and capacity assessment, and pharmacological, psychological, and physical interventions.
The wider goals of the book are to support the development of community resilience and self-care in older people; to promote universal access and equity for older people in order to enable them to achieve or recover the highest attainable standard of health, regardless of age, gender, or social position; and to promote pathways to care for older people with mental health problems respecting their autonomy, independence, human rights, and the importance of the life-course approach. This book will be an invaluable resource for all professionals who work with older adults with mental health problems and those training in these fields including physicians, psychiatrists, family doctors, geriatricians, general practitioners, nurses, psychologists, neurologists, occupational therapists, social workers, support workers and community health and social care workers.
Contents
Part I: Aims and Concept.- Epidemiology and the scale of the problem.- Wider determinants of health.- Part II: Health promotion and self-care.- Frailty.- Stepped care, integrated care, collaborative care and skill mix.- Part III: History taking and assessment.- Neurocognitive assessment.- Capacity assessment.- Making the formulation.- Ethics of care in older adults (to include advance directives and end of life care).- Part IV: Pharmacological interventions in older adults.- Psychological interventions in older adults.- Physical interventions in older adults.- Part V: Social Interventions in Older adults.- Part VI: Anxiety disorder in older adults.- Bereavement in older adults.- Bodily distress syndrome in older adults.- Depressive disorders in older adults.- Suicide in older adults.- Psychosis in older adults.- Substance misuse in older adults.- Sexual disorder in older adults.- Part VII: Delirium in older adults.- Neurocognitive disorders in older adults: Alzheimer's disease.- Vascular dementia.- Lewy body dementia.- Frontal lobe disorder.- Prion diseases.- Dementia secondary to infective disorder.- Part VIII: Comorbidity and multimorbidity including stepped care & skill mix.- Psychosocial rehabilitation and the importance of a multidisciplinary approach.- Part IX: End of life care in older adults.- Case studies in system redesign: High-income country.- Medium-income country.- Low-income country.
