scholarly journals Perspectives on Training Needs for Geriatric Mental Health Providers: Preparing to Serve a Diverse Older Adult Population

2019 ◽  
Vol 27 (7) ◽  
pp. 728-736 ◽  
Author(s):  
Jin Hui Joo ◽  
Daniel E. Jimenez ◽  
Jiayun Xu ◽  
Mijung Park
Author(s):  
Hee Yun Lee ◽  
William Hasenbein ◽  
Priscilla Gibson

As the older adult population continues to grow at a rapid rate, with an estimated 2.1 billion older adults in 2050, social welfare researchers are determined to fill the shortage of gerontological social workers and structural lag to best serve the baby boomers who are expected to need different services than previous generations. Mental illness impacts over 20% of older adults in the world and the United States. The major mental health issues in older adults include depression, anxiety, loneliness, and social isolation. Depression is considered one of the most common mental health issues among this population; however, the prevalence could be underestimated due to older adults linking relevant symptoms to other causes, such as old age, instead of as possible depression. Like depression, anxiety symptoms are often mistaken as results of aging. It is also difficult for providers to diagnose anxiety in this population due to anxiety frequently being coupled with other illnesses and the psychological stress that comes with old age. Because the presence of loneliness or social isolation can manifest depression and anxiety symptoms in older adults, it is also difficult to separate these two issues. With the anticipated increase of the older adult population within the next few years, measurement tools have been created to assess depression and anxiety specifically for older adults. In addition to adapting assessment tools, interventions tailored to older adults are essential to ensure treatment coherence, even though medications are the go-to treatment option.


2008 ◽  
Vol 53 (12) ◽  
pp. 822-832 ◽  
Author(s):  
Michel Préville ◽  
Richard Boyer ◽  
Sébastien Grenier ◽  
Micheline Dubé ◽  
Philippe Voyer ◽  
...  

Objective: To document the prevalence of psychiatric disorders in Quebec's older adult population. Method: Data came from the Enquête sur la santé des aînés study conducted in 2005–2006 using a representative sample ( n = 2798) of community-dwelling older adults. Results: Our results indicate that 12.7% of the respondents met the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria for depression, mania, anxiety disorders, or benzodiazepine dependency. The 12-month prevalence rate of major depression was 1.1% and the prevalence of minor depression 5.7%. A total of 5.6% of the respondents reported an anxiety disorder. The most prevalent anxiety disorders were specific phobia (2.0%), obsessive–compulsive disorder (OCD) (1.5%), and generalized anxiety disorder (GAD) (1.2%). Agoraphobia without panic disorder and panic disorder were reported by 0.3% and 0.6% of the respondents, respectively. The prevalence rate of benzodiazepine dependency was 2.3%. The 12-month comorbidity prevalence rate between any psychiatric disorders was 2.2%. Among those with depressive disorder, the most frequent comorbidity was observed between minor depression and specific phobia (4.3%), GAD (4.3%), OCD (3.7%), and mania (1.3%). Further, only 39% of those having at least one active DSM-IV diagnosis reported having used health services for their psychological distress symptoms during the previous 12 months. Among those who consulted health services, 85% visited a general practitioner. Conclusions: Our results indicate that a large proportion of the elderly population in Quebec presents mental health needs. Longitudinal research focusing on the individual and social consequences of mental health problems reported by older adults is needed to avoid misinterpretation of this finding.


Author(s):  
Susan Krauss Whitbourne ◽  
Bruna Martins

The older adult population is steadily growing in number, and by 2050, over 20% of the U.S. population is expected to be over the age of 65. Ageism may affect both patients and providers and may limit access to mental health services. This chapter reviews the prevalence of major mental health conditions in older adults, empirically supported treatments for these conditions, and how best to tailor interventions for use with older patients. The authors suggest that psychoeducational training, increasing availability of specialty training programs for providers, intergenerational programs to promote empathy from as early as primary school to hospital staff training, and shifts in policy may boost interactions with older persons in health care settings and decrease avoidance of assessment and treatment for mental health conditions.


2017 ◽  
Vol 30 (7) ◽  
pp. 929-940 ◽  
Author(s):  
Ling Xu ◽  
Hsin-Yi Hsiao ◽  
Wenchen Denq ◽  
Iris Chi

ABSTRACTBackground:Acknowledging increasing demand of dementia care for patients in China, this paper aims to understand the training needs of dementia care from the perspectives of mental health providers by examining who should be the trainees, what should be the contents of training, and how to deliver the training in China.Methods:Using purposive sampling, data were gathered via four focus group discussions with 40 mental health providers in Beijing, China, in 2011. Data were transcribed by independent investigators and then translated into English. Researchers used content analysis to separately identify themes and codes. Discrepancies were discussed until final agreement achieved.Results:To improve the quality of dementia care, all participants agreed there is a significant need to train both formal or professional (physicians, nurses, hospital administrators, community workers) and informal caregivers (family, friends, or non-kin hired caregivers). For formal or professional caregivers, suggested training content included clinical knowledge of dementia (i.e. pathogenesis, approaches for preventing dementia deterioration) and clinical practice skills (i.e. diagnostic, treatment, caregiving, counseling, communicating skills). For informal caregivers, basic dementia knowledge and home-based caregiving skills such as safety, restorative, stress management, and communication were identified as key training contents. Multilevel support from the government and community centers were considered crucial factors to delivering the training and educating the public to enhance awareness of dementia.Conclusions:Culturally, sensitive education and specific trainings for formal and informal dementia caregivers are urgently needed in China. Policy and program implications are discussed.


2013 ◽  
Author(s):  
Jill Calderon ◽  
Paul E. Hagan ◽  
Jennifer A. Munch ◽  
Crystal Rofkahr ◽  
Sinead Unsworth ◽  
...  

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