Considerations and suggested practices for psychological assessment and intervention when working with older adults with disabilities.

Abstract

Given the aging of the population in the United States, older adults (ages 65+ years) will increasingly be referred to psychologists for evaluation and treatment. The potential for onset of a primary or secondary disability (e.g., physical, sensory, cognitive, or emotional) significantly increases during older adulthood and may or may not be the reason for referral to a psychologist. The overarching aims of this article are to discuss the more common ethical and professional considerations for psychologists working with older adults with disabilities and offer suggested practices to optimize these interactions. This discussion focuses on a collaborative model in which the psychologist partners with the older adult to learn of their specific preferences and needs with the goal of providing equitable, appropriate, and accessible assessment services and therapeutic support. Service provision during the novel coronavirus disease 2019 (COVID-19) pandemic and the related use of telepsychology are also examined as part of this position. Public Significance StatementThis article reviews the common disabilities experienced by older adults (ages 65+ years) and offers practical suggestions for psychologists who provide services to this population. Additionally, it underscores the importance of psychologists collaborating with older adults with disabilities to best meet their needs in the provision of equitable and accessible behavioral health care.