The Mental Health and Substance Use Workforce for Older Adults


Book Description

At least 5.6 million to 8 million-nearly one in five-older adults in America have one or more mental health and substance use conditions, which present unique challenges for their care. With the number of adults age 65 and older projected to soar from 40.3 million in 2010 to 72.1 million by 2030, the aging of America holds profound consequences for the nation. For decades, policymakers have been warned that the nation's health care workforce is ill-equipped to care for a rapidly growing and increasingly diverse population. In the specific disciplines of mental health and substance use, there have been similar warnings about serious workforce shortages, insufficient workforce diversity, and lack of basic competence and core knowledge in key areas. Following its 2008 report highlighting the urgency of expanding and strengthening the geriatric health care workforce, the IOM was asked by the Department of Health and Human Services to undertake a complementary study on the geriatric mental health and substance use workforce. The Mental Health and Substance Use Workforce for Older Adults: In Whose Hands? assesses the needs of this population and the workforce that serves it. The breadth and magnitude of inadequate workforce training and personnel shortages have grown to such proportions, says the committee, that no single approach, nor a few isolated changes in disparate federal agencies or programs, can adequately address the issue. Overcoming these challenges will require focused and coordinated action by all.




Asylum for the Insane


Book Description

Product Description: To establish the context within which the Kalamazoo Hospital came to be built, Decker begins the story in Europe in the previous centuries with historical antecedents, theories about mental illness and the treatment of mental disorders. These formative, primitive ideas were gradually adopted in this country where very little understanding of mental disorders existed. When the Kalamazoo State Hospital was founded, then named the Michigan Asylum for the Insane, in 1854, there were no private practitioners of psychiatry even in the largest cities. Psychiatry grew out of the exchange of information between the medical staff of these new public institutions. Dr. Decker gives readers a comprehensive view of Michigan s first psychiatric facility including the architectural style and plans, building descriptions and history, Legislative Acts regarding the operation and governance, personnel including Medical Directors, historical perspective on the causes of insanity, their treatment and services, noteworthy events and a complete bibliography and appendixes.




Retooling for an Aging America


Book Description

As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.




State Mental Hospitals and the Elderly


Book Description

"By 1987, elderly patients comprised nearly one-fifth of all residents of state and county mental hospitals. During the past three decades, the deinstitutionalization movement has profoundly altered the care of elderly patients in state and county mental hospitals. In this task force report, leaders in the fields of geriatrics and long-term care present an overview of state-run mental hospitals. This report recommends the establishment of efficient, high-quality, and appropriately targeted state mental hospital services for elderly patients that will lead to the development of a comprehensive psychogeriatric care system." "State Mental Hospitals and the Elderly presents a review of the history and current status of care of elderly patients, the barriers that exist to improving psychogeriatric services, paradigms of psychogeriatric inpatient care, the role state hospitals play in the care of mentally ill elderly patients, the responsibilities of state mental hospitals for elderly patients with Alzheimer's disease and related disorders, training opportunities at state hospitals for residents and fellows in geriatric psychiatry, and recommendations for action needed to improve geriatric care for elderly patients."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved




State Mental Hospitals and the Elderly


Book Description

"By 1987, elderly patients comprised nearly one-fifth of all residents of state and county mental hospitals. During the past three decades, the deinstitutionalization movement has profoundly altered the care of elderly patients in state and county mental hospitals. In this task force report, leaders in the fields of geriatrics and long-term care present an overview of state-run mental hospitals. This report recommends the establishment of efficient, high-quality, and appropriately targeted state mental hospital services for elderly patients that will lead to the development of a comprehensive psychogeriatric care system." "State Mental Hospitals and the Elderly presents a review of the history and current status of care of elderly patients, the barriers that exist to improving psychogeriatric services, paradigms of psychogeriatric inpatient care, the role state hospitals play in the care of mentally ill elderly patients, the responsibilities of state mental hospitals for elderly patients with Alzheimer's disease and related disorders, training opportunities at state hospitals for residents and fellows in geriatric psychiatry, and recommendations for action needed to improve geriatric care for elderly patients."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved




Multifamily Groups in the Treatment of Severe Psychiatric Disorders


Book Description

This volume presents a proven psychoeducational therapy approach for persons with severe mental illness and their families. Pioneering schizophrenia treatment developer William R. McFarlane first lays out the theoretical and empirical foundations of the multifamily model. Chapters coauthored with other leading clinician-researchers then provide detailed "how-to" instructions for forming groups; implementing educational and problem-solving interventions; managing clinical, relationship, and functional issues that may arise; and integrating psychoeducation with other forms of treatment. Also addressed are applications of the model--some described here for the first time--to a variety of disorders other than schizophrenia, including bipolar disorder, depression, obsessive-compulsive disorder, borderline personality disorder, and medical illness.







Social Isolation and Loneliness in Older Adults


Book Description

Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.