Adapting Cognitive Behavioral Therapy for the Frail Elderly

Grant, Robert W.; Casey, David

doi:10.1017/s1041610295002298

Cited by 44 publications

(24 citation statements)

References 15 publications

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“…Building upon the work of Grant and Casey (1995) and Rybarczyk as well as colleagues (1992), we suggest the following when working with frail, disabled, or physically ill older adults:…”

Section: Tailoring Homework For Late-life Physical Challengesmentioning

confidence: 88%

Encouraging homework completion among older adults in therapy

Coon

Gallagher‐Thompson

2002

J Clin Psychol

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A growing body of research suggests that homework assignments facilitate positive outcomes in psychotherapy. We describe a cognitive behavioral outpatient therapy that stresses the important role homework plays in psychotherapy outcomes and that is found to be successful for treating emotional distress in both older adults and family caregivers. Just as a number of barriers can make it difficult for older clients to commit to regular therapy appointments, a variety of factors can also influence their completion of homework. We also address key issues frequently encountered when fostering homework compliance among older adults and utilize case vignettes to illustrate successful approaches to address these barriers. We present basic tenets for effective homework completion regardless of age group as well as several methods to address homework challenges that we find to be particularly pertinent for therapists treating today's older adults.

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“…Building upon the work of Grant and Casey (1995) and Rybarczyk as well as colleagues (1992), we suggest the following when working with frail, disabled, or physically ill older adults:…”

Section: Tailoring Homework For Late-life Physical Challengesmentioning

confidence: 88%

Encouraging homework completion among older adults in therapy

Coon

Gallagher‐Thompson

2002

J Clin Psychol

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“…The literature indicates that reminiscence therapy, cognitive-behavioral therapy, validation therapy, and other approaches utilizing a group modality have been helpful in reducing symptoms including depression, agitation, and cognition loss. However, literature also indicates that group participants with acute symptoms of dementia, more severe cognitive loss, and severe sensory limitations (e.g., hearing or language) would likely benefit less from groups (Grant & Casey, 1995;Yalom, 1995). It may be that clinicians have directed veterans to individual treatment for reasons such as these, but further research would be helpful in understanding this result.…”

Section: Discussionmentioning

confidence: 99%

Psychotherapy in mental health clinics of the Department of Veterans Affairs

Hunt

Rosenheck

2011

J. Clin. Psychol.

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In this study, Department of Veterans Affairs Fiscal Year 2006 national workload data are analyzed to determine use and intensity of outpatient individual and group psychotherapy and, using multivariate analysis, to identify sociodemographic and diagnostic correlates. Results show that among veterans receiving specialty mental health services (n=934,832), average visits numbered 7.9, 64.7% received at least one psychotherapy visit, 94% received individual therapy, and 24.1% received group. Veterans with the most mental health specialty visits of any kind were most likely to receive psychotherapy. Veterans with affective disorders and post‐traumatic stress disorder diagnosis were more likely to receive psychotherapy than others. Veterans who are older, male, Black, or psychiatrically hospitalized were less likely to receive psychotherapy. Correlates of receipt of group therapy (i.e., older, Black, male, substance abuse diagnosis, urban residence) tend to be inversely related to receiving individual therapy. We conclude that psychotherapy is widely available at modest levels of intensity in Veterans Affairs. © 2011 Wiley Periodicals, Inc. J Clin Psychol 67:1–13, 2011.

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“…Storytelling was considered a useful medium to prompt shifts in perceptions of self, others, and the future. Given that clients presented with varying levels of neurocognitive and physical impairment, the students modified treatments to accommodate client frailty (Grant & Casey, 1995) and cognitive deficits (Paukert et al, 2013). For clients who were physically frail, treatments involved solving logistical problems (e.g., assisting a client organise transportation to attend church, advocating for a hearing aid).…”

Section: Treatment Methodsmentioning

confidence: 99%

Counselling Older Adults Living in Residential Aged Care Settings: Four Illustrative Case Studies

Bhar

Silver

Campbell

et al. 2015

Australian Psychologist

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The role of psychologists and other mental health professionals in long-term care settings is undefined in Australia. Graduate psychology students receive little training in clinical geropsychology, and residential aged care providers do not routinely employ psychologists within such settings. Further, despite high rates of depression, neurocognitive problems, and other mental health problems, residents are rarely referred for evidence-based psychological treatment. This article presents four case studies showing how psychology services may be employed in such settings within the context of a postgraduate psychology placement programme. These case studies emphasise the importance of engagement, the use of flexible and individualised treatment approaches, and the involvement of family and professional carers in the provision of psychological services. Psychology services in residential settings can have a positive impact on the care of older adults and their families.

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Adapting Cognitive Behavioral Therapy for the Frail Elderly

Cited by 44 publications

References 15 publications

Encouraging homework completion among older adults in therapy

Encouraging homework completion among older adults in therapy

Psychotherapy in mental health clinics of the Department of Veterans Affairs

Counselling Older Adults Living in Residential Aged Care Settings: Four Illustrative Case Studies

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