Treating Late Life Depression

2017 ◽  
Author(s):  
Dolores Gallagher-Thompson ◽  
Larry W. Thompson
Keyword(s):  
Mental Health Professionals ◽  
Health Professionals ◽  
Behavioral Therapy ◽  
The Elderly ◽  
Phase Iii ◽  
Late Life Depression ◽  
Behavioral Skills ◽  
Therapy Goals ◽  
Three Phase ◽  
User Friendly

This therapist guide is designed to give mental health professionals the necessary tools to assess and treat depression, with or without accompanying anxiety, in the elderly. Designed specifically for use with older adults, the three-phase cognitive—behavioral therapy (CBT) treatment described generally is delivered over the course of 16–20 sessions. Phase I provides an introduction to therapy, Phase II helps the client acquire the cognitive and behavioral skills needed to meet the therapy goals, and Phase III deals with termination and how to maintain the gains obtained in therapy. Step-by-step instructions for administering therapy are provided in a user-friendly format, along with information on screening and assessment. Complete with sample dialogues, at-home assignments, and lists of materials needed, this comprehensive guide includes all the tools necessary for facilitating effective treatment.

Assessing the Development of Competence During Postgraduate Cognitive-Behavioral Therapy Training

2007 ◽  
Vol 21 (2) ◽  
pp. 140-147 ◽  
Author(s):  
Tracey V. Barnfield ◽  
Fiona M. Mathieson ◽  
Graeme R. Beaumont
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Postgraduate Training ◽  
Behavioral Therapy ◽  
The Other ◽  
Cognitive Behavioral ◽  
Behaviour Therapy ◽  
Therapy Training ◽  
Long Course

This article investigates the development of competency in cognitive-behavioral therapy (CBT) as a result of a postgraduate training course in CBT in Wellington, New Zealand. Thirteen experienced mental health professionals attended the half-time 30-week-long course. Preliminary data are presented on the development of knowledge as assessed at the beginning and end of the course by a modified version of the Behaviour Therapy Scale (Freiheit & Overholser, 1997), other-rated competence as measured by the Cognitive Therapy Scale—Revised (Blackburn, Milne, & James, 1997), and supervisor and student evaluations of competence in particular skill areas. All students improved in specific CBT skills as a result of training. The extent that students improved and variations around the other outcome measures, together with the limitations of this pilot study and suggestions for improvements for future investigations, are discussed.

scholarly journals Religiousness, social support and the use of antidepressants among the elderly: a population-based study

2018 ◽  
Vol 23 (3) ◽  
pp. 963-971 ◽  
Author(s):  
Adriano Roberto Tarifa Vicente ◽  
Érico Castro-Costa ◽  
Josélia de Oliveira Araújo Firmo ◽  
Maria Fernanda Lima-Costa ◽  
Antônio Ignácio de Loyola Filho
Keyword(s):  
Social Support ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Odds Ratio ◽  
Adjusted Odds Ratio ◽  
Depressive Disorders ◽  
The Elderly ◽  
Population Based ◽  
Community Dwelling ◽  
Population Based Study

Abstract The purpose of the study was to investigate whether religiousness and social support were associated with the use of antidepressants among community-dwelling elders. The research involved 1,606 older adults who make up the cohort of Bambuí Project, a study on ageing and health. The dependent variable was the use of antidepressants in the last 90 days, and the exposures of interest were social support and religiousness. Logistic regression was used to test the associations and to estimate crude and adjusted Odds Ratio and their 95% confidence intervals. The chances of use of antidepressants were significantly lower among older people with higher level of religiosity (OR = 0.45; 95% CI: 0.29 to 0.70), but none of the descriptors social support was associated with the event. In this population, it is possible that religion occupies a prominent role in the arsenal of health problems coping strategies, especially mental. Health professionals attending this particular segment of the population (elderly people with depressive disorders) should consider religiousness of patients when the proposed guidelines and treatment in coping with their mental suffering.

scholarly journals Prescription Use of Exercise Therapy in Depression Treatment

2019 ◽  
Author(s):  
Megan Swanson ◽  
Milica McDowell ◽  
Melanie Shaw ◽  
Eileen Paniagua
Keyword(s):  
Mental Health ◽  
Exercise Therapy ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Behavioral Therapy ◽  
Antidepressant Medication ◽  
Treatment Method ◽  
Additional Information ◽  
Treatment Of Depression ◽  
Treatment Plans

Abstract Introduction: Depression has become an epidemic worldwide, with numbers of diagnosis rising each year alongside numbers of those on antidepressant medication. Exercise therapy has been long studied and tested to prove its’ efficacy in the treatment of depression, but there are no known studies to indicate how frequently it is used in practice or in what capacity it is used. Methods: A qualitative mailed interview questionnaire was completed by 21 mental health professionals to answer questions pertaining to their knowledge of exercise therapy as a treatment method. It also assessed the value they placed on exercise, personal application of exercise and exercise therapy, and their willingness to receiving training or additional education. Results: Many participants were applying exercise therapy in treatment of individuals with depression; however very few were truly prescriptive with their treatment plans. All participants of the study found value in exercise therapy. Many felt that in order to feel confident to use the method; they would need additional information and education about how to individualize and apply it. Conclusions: Despite its’ perceived and well researched value, very few mental health professionals are able to use exercise therapy in a structured or formalized way to achieve the best results. Trainings need to be created to aide in knowledge, growth and individualization of exercise therapy as well as community development. More research needs to be done to better understand what dose is most appropriate for the treatment of depression. Keywords: Exercise; Exercise therapy; Cognitive Behavioral Therapy; Pharmacotherapy

Cognitive-Behavioral Therapy for Hoarding Disorder

2017 ◽  
pp. 687-690
Author(s):  
Michael A. Tompkins
Keyword(s):  
Mental Health ◽  
Cognitive Behavioral Therapy ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Behavioral Therapy ◽  
Family Members ◽  
Psychological Problem ◽  
Cognitive Behavioral ◽  
Hoarding Disorder ◽  
Niche Area

Hoarding disorder is a fascinating psychological problem. Because it is a low-insight condition, few individuals seek treatment for the condition. The author of this chapter encourages mental health professionals who wish to develop a niche practice in the treatment of hoarding disorder to broaden their expertise to include not only cognitive-behavioral therapy but also consultations to family members and to agencies who work with people who hoard; to develop or to participate on hoarding taskforces in their communities; and to educate communities by making presentations to organizations who may serve people who hoard. Guidance is provided on the training needed to enter this practice niche, the business aspects of this type of practice, and the joys and challenges of this work. Resources are provided for those interested in pursuing this niche area of practice.

scholarly journals Psychogeriatric research comes of age in developing countries

2007 ◽  
Vol 19 (4) ◽  
pp. 615-621 ◽  
Author(s):  
K. S. JACOB ◽  
MARY GANGULI
Keyword(s):  
Mental Health ◽  
Developing Countries ◽  
Mental Disorders ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Mentally Ill ◽  
The Elderly ◽  
Health Needs ◽  
Mental Health Needs ◽  
High Quality

Psychogeriatrics and psychogeriatric research have been particularly slow to take hold in developing countries. In part this is because the elderly constitute relatively small proportions of those countries' populations, and are thus of low priority for specialized services. A recent report in Science (Miller, 2006) addresses mental health needs in developing countries worldwide but does not include old-age mental disorders other than dementia. Similarly, an article from Brazil (Garcez-Leme et al., 2005), in another international journal, provides an overview of that country's resources and needs in geriatrics, but neglects to mention mental disorders or mental health professionals. Yet, these countries are aging faster than the industrialized world and have fewer resources with which to care for their mentally ill elderly. High-quality, locally acquired information will be essential for planning appropriate mental health services.

Training occupational therapists in how to use cognitive behavioral therapy in their practice

2017 ◽  
Vol 41 (S1) ◽  
pp. S741-S741
Author(s):  
M. Slepecky ◽  
M. Huri ◽  
S. Sahin ◽  
H. Kayihan ◽  
J. Prasko ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Technical Assistance ◽  
Behavioral Therapy ◽  
Good Practice ◽  
Occupational Therapists ◽  
Psychological Problem ◽  
Rehabilitation Care

IntroductionCognitive behavior therapy (CBT), which is used by mental health professionals including occupational therapists (OT) is a time-sensitive, structured, present-oriented therapy directed toward solving current problems and teaching clients skills to modify dysfunctional thinking and behavior.ObjectivesSupporting the development of CBT theory and efficient use by mental health professionals are vital.AimTo present the results of CBT training for OTs, which was funded by “European Union technical assistance for increasing the employability of people with disabilities” project (Europe Aid/136449/IH/SER/TR).MethodsUsing a basic CBT theoretical framework the participants attended 96 hour face to face training modules with written materials including fundamental features, preconditions and methods used in CBT. A Turkish CBT book was published for course. Participants trained their skills under supervision and send the results to educators. Pre-post of training CBT knowledge and quality of training (plan-contents, educators, and environment) were evaluated by 5-Likert scale.ResultsThirty OTs (f = 23, m = 7) mostly 43.3% PhD; 20–25 (30%) and 45–50 (26.7%) years age period were included. Total mean score for quality of education was 109.4 ± 29.4 with 23.63 ± 4.34, 47.36 ± 6.41, 38.40 ± 21.61 for plan-contents, educators, and environment subscores, respectively. CBT knowledge was increased from 15.70 ± 6.08 to 45.06 ± 4.59 (P < 0.001).ConclusionTraining increased CBT awareness and practice skills of OTs. Teaching OTs CBT may increase their understanding of person-environment-occupation approach, psychological problem solving, occupational engagement and participation of individuals. Our result supports that mental health professionals should collaborate to share ideas, develop guidelines and promote good practice examples in client-centered and holistic rehabilitation care.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals La Perception des Professionnels de la Santé Mentale Quant à la Prestation Aux Personnes Âgées du Nouveau-Brunswick des Services de Consultation en Santé Mentale

1993 ◽  
Vol 12 (1) ◽  
pp. 97-110 ◽  
Author(s):  
Paul Bourque ◽  
Louis Blanchard
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
The Elderly ◽  
Santé Mentale ◽  
Mental Health Consultation ◽  
Major Barrier ◽  
Professionnels De La Santé ◽  
Consultation Services ◽  
Sante Mentale

The present survey examines the barriers associated with the delivery of mental health services to the elderly as perceived by mental health professionals. The sample consisted of 139 professionals of the New Brunswick Mental Health Commission. The results reveal that the mean percentage of elderly clients in the practice of mental health professionals is low. The percentage of elderly clients in the practice of mental health professionals was positively correlated with training in gerontology. The attitudes of the respondents toward the elderly were either positive or neutral rather than negative. In addition, the results show that the barriers perceived by the professionals to explain the low utilization rates differ in order of importance from those acknowledged by the elderly. The lack of human resources was identified as the major barrier to the development of specific consultation services to the elderly. Finally, the implications of these results for the development of mental health consultation services for the elderly are examined.

Psychological Well-Being of the Elderly through Meditation

2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Dr. Abdul Wahab Pathath
Keyword(s):  
Family Structure ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Living Arrangements ◽  
Well Being ◽  
The Elderly ◽  
Religion And Spirituality ◽  
Physical Strength ◽  
Familial Support ◽  
Set Up

Aging has been viewed differently by different people. Whereas to some it means power, authority, wisdom and respect, others consider it as a forced retirement leading to a state of dependency, loss of charm and of physical strength. To most, aging implies physiological and psychosocial changes that are reflected in their reduced income, lesser activities, and consequential loss of status, both in the family and in the society. In recent past, family was looked upon as the only institution to take care of the elderly and provide both emotional and financial support to them. But changes in the living arrangements and family structure, migration of children for jobs outside, and more prominently, radical changes in the nature of people from accommodative to an independent, self-centered, and individualistic outlook with callous concern for even very near relations, have compelled many old people to live alone. It appears that the changing family structure has affected the well-being of the elderly by depriving them of the familial support of a traditional joint family set up as well as improving upon them to adjust to the changing values and norms of the younger generation. In the present century, spirituality and religion have become welcome topics for health professionals in general and for mental health professionals in particular. There is a quest to integrate religion and spirituality with human behaviour.

scholarly journals The Cognitive Behavioral Therapy Competence Scale (CCS): initial development and validation

2021 ◽  
Vol 14 ◽  
Author(s):  
Natalie Rodriguez-Quintana ◽  
Seo Youn Choi ◽  
Emily Bilek ◽  
Elizabeth Koschmann ◽  
Jeffrey Albrecht ◽  
...  
Keyword(s):  
Mental Health ◽  
Cognitive Behavioral Therapy ◽  
Mental Health Professionals ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
List Type ◽  
Behavioral Skills ◽  
Initial Development ◽  
Competence Scale ◽  
Development And Validation

Abstract Background: Nearly one-third of youth are affected by a mental health disorder, and the majority do not receive adequate care. To improve clinical outcomes among youth, efforts have been made to train providers in evidence-based mental health practices, such as cognitive behavioral therapy (CBT). Such efforts call for valid assessment measures that can inform and evaluate training activities. Aims: This study presents the development and validation of the CBT Competence Scale (CCS), a brief self-report measure to assess provider competence for CBT delivery. Method: Participants were 387 school mental health professionals (SMHPs) working with students in Michigan, USA. Initial items (n=59) were developed to evaluate competence in delivering common elements of CBT, with competence conceptualized as covering domains of knowledge, perception, and use of CBT techniques. CCS validation proceeded in three steps: using item response theory to select the most important items for assessing knowledge, evaluating the factor structure using exploratory and then confirmatory factor analyses, and examining reliability and validity of the resultant measure. Results: The validated CCS measure consists of four dimensions of CBT competence across 33 items: Non-behavioral skills, Behavioral skills, Perceptions, and Knowledge. The CCS demonstrated excellent internal consistency and good construct-based validity. Conclusions: The CCS holds promise as a valid, informative measure of CBT competence appropriate for the school setting, with potential for application in other environments such as mental health clinics. Key learning aims (1) To provide an overview of the importance of measuring CBT competency. (2) To recognize the challenges entailed in measuring CBT competency in under-resourced settings. (3) To understand the development and validation of the CCS measure.

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