Geropsychological Interventions in Long-Term Care

Cover......Page 1
TOC Contents......Page 8
Contributors......Page 12
Preface......Page 16
Introduction......Page 20
Part I: Overview......Page 28
CH 1 Perspective on Long-Term Care: Necessary and Unnecessary Practices......Page 30
Quality of Life in Long-Term Care......Page 32
Models of Care......Page 36
Integrating Medical and Psychosocial Clinical Interventions......Page 42
Training and Quality of Life......Page 45
The Potential of SOC for Clinical Intervention in LTC......Page 47
Adjustment to Aging in LTC......Page 50
Conclusions......Page 52
Acknowledgment......Page 54
CH 2 Evolving Trends in Long-Term Care: The Ecology of Selective Optimization with Compensation......Page 64
The Hierarchical Nature of Disability and Long-Term Care......Page 66
Individual Aspects and Individual Differences......Page 68
The Environmental Ecology of Long-Term Care......Page 74
Conclusions......Page 85
Part II: Basic Care......Page 90
CH 3 Blending Mental Health Services into the Geriatric Medical Care of Long-Term Care Facility Residents......Page 92
Health Care Issues in Long-Term Care: The Big Picture......Page 93
Typology of Long-Term Care Facility Residents......Page 99
Models for Proactive Geriatric Medical Mental
Health Delivery......Page 107
Conclusions......Page 109
CH 4 Psychiatric Intervention in Long-Term Care......Page 112
The Scope of the Problem......Page 113
Optimizing Mental Health in Long-Term Care......Page 115
Assessment of the Resident: General Principles......Page 116
Assessment of Depression......Page 117
Assessment of Dementia-Associated Behavioral Symptoms......Page 120
Treatment of Mental Illness: General Principles and Issues......Page 121
Pharmacological Treatment of Depression in the
Long-Term Care Setting......Page 123
Pharmacologic Treatment of Dementia-Associated
Behavioral Symptoms......Page 126
Conclusions......Page 130
CH 5 Treating Depression in Nursing Homes: Beyond the Medical Model......Page 136
Limitations of Psychopharmacology......Page 137
Emerging Treatment Emphases......Page 151
Conclusions......Page 154
Part III: “There is Still a Person in There”......Page 164
CH 6 SOC, Personality, and Long-Term Care......Page 166
Personality and the SOC Model—Theoretical
Considerations......Page 167
Research on Personality and the SOC Model......Page 168
Personality, SOC, and LTC......Page 169
Practical Implications......Page 172
Case Vignette......Page 173
Research Directions......Page 178
Conclusions......Page 179
CH 7 Utilization of Self-Identity Roles in Individualized Activities Designed to Enhance Well-Being in Persons with Dementia......Page 184
Self-Identity......Page 185
Our Methodology......Page 187
Discussion......Page 206
CH 8 The Influence of Changing Emotional Goals on the Psychological Well-Being of Nursing Home Residents......Page 212
Emotion, Affect, and Age......Page 213
The Regulation of Emotion......Page 216
Emotion Management in the Nursing Home......Page 220
Summary and Conclusions......Page 228
CH 9 Application of SOC Model to Care for Residents with Advanced Dementia......Page 234
Selection......Page 236
Optimization......Page 239
Compensation......Page 240
Conclusions......Page 244
Part IV: Training......Page 246
CH 10 A Paradigm for Qualitative Research in Long-Term Care......Page 248
Background/Relevant Context......Page 249
Step One: Entry or “Laying the Foundation”......Page 250
Step Two: Data Collection......Page 252
Step Three: Data Analysis......Page 260
Step Four: Feedback and Recommendations......Page 267
Summary......Page 269
CH 11 Meeting the Needs of Nursing Home Residents and Staff: The Informed Teams Model of Staff Development......Page 272
Competence and Environmental Press in
Nursing Homes......Page 273
Concluding Remarks......Page 285
Part V: Interventions......Page 290
CH 12 Cognitive-Behavioral Therapy for Long-Term Care Patients with Dementia......Page 292
CBT Basic Tenets......Page 293
What Is Dementia?......Page 294
Why CBT for Persons with Dementia......Page 295
SOC Model for Modifying CBT for Use
with Persons with Dementia......Page 298
Putting It All Together......Page 310
Acknowledgment......Page 314
CH 13 Montessori-Based Dementia Programming™ in Long-Term Care: A Case Study of Disseminating and Intervention for Persons with Dementia......Page 322
Managing Problematic Behaviors in Persons
with Dementia......Page 324
Developmentally Based Activities for Persons
with Dementia......Page 328
Montessori-Based Dementia Programming™......Page 329
Use of Montessori-Based Activities for Persons
with Dementia......Page 330
Dissemination of Montessori-Based Dementia
Programming™......Page 332
Acknowledgments......Page 337
IDX Index......Page 342