Multidisciplinary Team Perspectives on Older Adult Hoarding and Mental Illness

2013 ◽  
Vol 25 (1) ◽  
pp. 56-75 ◽  
Author(s):  
Terry L. Koenig ◽  
Matthew R. Leiste ◽  
Richard Spano ◽  
Rosemary K. Chapin
2021 ◽  
Vol 1 (1) ◽  
pp. 16-19
Author(s):  
Pandu Haryo Jatmiko

Dermatitis artefacta, also known as factitial dermatitis, is a disease in which self-inflicted skin injury is utilized to fulfill a conscious or unconscious urge to playthe sick part. It is more frequent in women and individuals who have anunderlying mental illness or are under external stress. The diagnosis is one ofexclusion, and it is sometimes difficult to establish since patients seldomacknowledge to playing a part in the development of their lesions. Treatment canbe difficult, and treatment should rely on a multidisciplinary team comprised ofdermatology and psychiatrist.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 205-205
Author(s):  
Samantha Hack ◽  
Anjana Muralidharan ◽  
Amanda Peeples

Abstract The Connection Plan intervention was created as a brief intervention to assist older adults experiencing social isolation during COVID-19. Based in Cognitive Behavioral Therapy (CBT), it is designed to help older adults create a “Connection Plan” to cope with distress related to social isolation. In 1-2 sessions, interventionists work with the older adult to create a Connection Plan with three parts: Mind (ways to change negative thoughts), Body (ways to change unpleasant body sensations), and Connections (ways to increase social engagement). Through soliciting feedback from key stakeholders (Veterans and VA clinicians), the Connection Plan intervention was adapted for the VA context. This paper will present this process of creating the VA Connection Plans manual, as well as associated efforts to disseminate the intervention to 900 VA staff and deliver it to 600 older Veterans with (age 50+) and without (age 65+) serious mental illness.


2019 ◽  
Vol 31 (4-5) ◽  
pp. 307-324 ◽  
Author(s):  
Anne P. DePrince ◽  
Leslie K. Hasche ◽  
Julie M. Olomi ◽  
Naomi M. Wright ◽  
Jennifer Labus

2021 ◽  
Vol 1 (1) ◽  
pp. 16-19
Author(s):  
Pandu Haryo Jatmiko

Dermatitis artefacta, also known as factitial dermatitis, is a disease in which self-inflicted skin injury is utilized to fulfill a conscious or unconscious urge to play the sick part. It is more frequent in women and individuals who have an underlying mental illness or are under external stress. The diagnosis is one of exclusion, and it is sometimes difficult to establish since patients seldom acknowledge to playing a part in the development of their lesions. Treatment can be difficult, and treatment should rely on a multidisciplinary team comprised of dermatology and psychiatrist.


2009 ◽  
Vol 33 (5) ◽  
pp. 172-175 ◽  
Author(s):  
David Meagher ◽  
Sinead O'Brien ◽  
Ananth Pullela ◽  
Anthony Oshun ◽  
Pat Brosnan

Aims and MethodMultidisciplinary activities of community mental health teams in Ireland are understudied. We explored symptom profile and multidisciplinary team contacts in a complete sector population (n = 504).ResultsThe frequency of attendance was greater in individuals with severe mental illness (P<0.001) and correlated with total Health of the Nation Outcome Scale (HoNOS) scores (P<0.001) and with the sub-scales for social disability (P<0.001) and symptoms (P<0.01). Sixty-two per cent of individuals were receiving shared care and were more likely to have severe mental illness (P<0.001) and higher total HoNOS scores (P<0.001). Frequency of attendance correlated with total HoNOS scores and subscale scores for social impairment and symptoms.Clinical ImplicationsFrequency of service attendance and activities of multidisciplinary team members vary with symptom profile of service attenders but are focused towards individuals with more severe illness and greater problems identified by the HoNOS.


Author(s):  
Erik Berglund ◽  
Ingrid Anderzén ◽  
Åsa Andersén ◽  
Lars Carlsson ◽  
Catharina Gustavsson ◽  
...  

Background: People on long-term sick leave often have a long-lasting process back to work, where the individuals may be in multiple and recurrent states; i.e., receiving different social security benefits or working, and over time they may shift between these states. The purpose of this study was to evaluate the effects of two vocational rehabilitation programs, compared to a control, on return-to-work (RTW) or increased employability in patients on long-term sick leave due to mental illness and/or chronic pain. Methods: In this randomized controlled study, 427 women and men were allocated to either (1) multidisciplinary team management, i.e., multidisciplinary assessments and individual rehabilitation management, (2) acceptance and commitment therapy (ACT), or (3) control. A positive outcome was defined as RTW or increased employability. The outcome was considered negative if the (part-time) wage was reduced or ceased, or if there was an indication of decreased employability. The outcome was measured one year after entry in the project and analyzed using binary and multinomial logistic regressions. Results: Participants in the multidisciplinary team group reported having RTW odds ratio (OR) 3.31 (95% CI 1.39–7.87) compared to the control group in adjusted models. Participants in the ACT group reported having increased employability OR 3.22 (95% CI 1.13–9.15) compared to the control group in adjusted models. Conclusions: This study of vocational rehabilitation in mainly female patients on long-term sick leave due to mental illness and/or chronic pain suggests that multidisciplinary team assessments and individually adapted rehabilitation interventions increased RTW and employability. Solely receiving the ACT intervention also increased employability.


2018 ◽  
Vol 26 (3) ◽  
pp. 267-275 ◽  
Author(s):  
Charlotte A Woody ◽  
Amanda J Baxter ◽  
Meredith G Harris ◽  
Dan J Siskind ◽  
Harvey A Whiteford

Objectives: Multidisciplinary teams in mental health receive limited guidance, leading to inconsistent practices. We undertook a systematic review of the characteristics and practices of multidisciplinary team reviews for patients with severe mental illness or in relevant mental health service settings. Methods: Sources published since 2000 were located via academic database and web searches. Results were synthesised narratively. Results: A total of 14 sources were analysed. Important characteristics and practices identified included routine monitoring and evaluation, good communication, equality between team members, and clear documentation practices. Success factors included defined leadership and clear team goals. Four sources described considerations for patients with complex clinical needs, including allocating sufficient time for discussion, maintaining connections with community providers, and ensuring culturally sensitive practices. Conclusions: No single best practice model was found, due to variations in team caseload, casemix, and resourcing levels. However, key ingredients for success were proposed. Sources were mostly descriptive; there remains a lack of evidence-based guidance regarding multidisciplinary team review characteristics and practices.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 128-129
Author(s):  
Karen Fortuna

Abstract Middle-aged and older adults with mental health conditions have a high likelihood of experiencing comorbid physical health conditions, premature nursing home admissions, and early death compared with the general population of middle-aged and older adults. An emerging workforce of certified older adult peer support specialists aged 50 years or above is one of the fastest growing mental health workforces and may be a suitable community-based workforce to simultaneously support the mental health, physical health, and aging needs of middle-aged and older adults with a serious mental illness. Older adult peer support specialists are people with a lived experience of aging into middle age and older adulthood with a mental health condition. This presentation will present three single-arm pilot studies examining how certified older adult peer support specialists’ incorporate technology, including text messaging, ecological momentary assessments, and smartphone applications into practice and clinical outcomes among older adults with serious mental illness.


Sign in / Sign up

Export Citation Format

Share Document