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.
Donna Cohen, Ph.D., is a professor in the Department of Aging and Mental Health Disparities at the Louis de la Parte Florida Mental Health Institute, University of South Florida. Carl Eisdorfer, M.D., Ph.D., is Knight Professor and chairman emeritus of the Department of Psychiatry and Behavioral Sciences and director of the Center on Aging at the University of Miami, where he is also a professor of psychology and of family and community medicine. They are coauthors of a number of books and numerous scientific articles, including The Loss of Self: A Family Resource for the Care of Alzheimer's Disease and Related Disorders and Seven Steps to Effective Parent Care: A Planning and Action Guide for Adult Children with Aging Parents.
PrefacePart I: Conceptual Foundations1. Geriatric Mental Health Care in the Twenty-first Century2. Concepts Underlying Geriatric Mental Health CarePart II: A Clinical Guide3. Comprehensive Geriatric Assessment4. Interviewing and Developing an Alliance5. Age-Related Changes in Cognition in Later Life6. Cognitive Impairment in Older Persons7. Alzheimer Disease8. Other Dementias9. Managing the Behavioral and Psychological Symptoms of Dementia10. Mood Disorders11. Anxiety Disorder12. Schizophrenia in Later Life13. Alcohol Abuse, Substance Abuse, and Medication Mismanagement14. Other Psychiatric Disorders and Behavioral Conditions15. Family CaregivingPart III: Special Clinical Issues16. Assessing the Capacity of Older Persons17. Elder Abuse18. Violent Deaths19. Disasters and Terrorism20. End-of-Life Care21. Geriatric Mental Health PoliciesReferencesIndex