Geropsychology and Long Term Care

Abstract

except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights.Printed on acid-free paper springer.com Preface ix along with some of the challenges that come with these varied referral types. In Chap. 3, multidimensional and multi-and interdisciplinary nature of assessment with older adults. Included is a review of relevant psychological instruments, as well as the many issues important to consider when conducting "responsible assessments" with frail older adults living in long-term care settings.Chapter 4, written by Dr. Frazer, focuses on treatment plans, their intrinsic qualities, and how they are developed. In Chap. 5, Dr. Duffy explores several facets of treatment, including specific treatment approaches having demonstrated effectiveness with older adults. There is a discussion of the importance of integrating mental and behavioral health services with multiple disciplines and people who are also responsible for providing services. Dr. Duffy also points out that, when warranted and appropriate, discontinuing mental health services is an important element in the treatment process, worthy of special consideration. A new chapter in this edition, Chap. 6 by Drs. Hyer and Shah, introduces an important element in the training of and services delivered by geropsychologists, namely the integration of psychiatric medication understanding with consultation and psychological services.In Chap. 7, the authors Drs. Arnold, Colletti, and Stilwell, draw contrasts among the multiple disciplines providing services, including mental health services, in long-term care settings. To work effectively on an interdisciplinary team and to provide the highest quality of services, it is important to know about the roles and responsibilities of others providing health care services in long-term care settings. The discussion includes how the mental health disciplines differ from each other with respect to levels of training required of those proficient in geropsychology. There is an important focus on the topic of documentation from the perspectives of the Medicare carriers, privacy concerns, and outcomes measurement.Lastly, in Chap. 8, Dr. Karel takes up the topic of ethical issues, including consent to treatment, the right to privacy and confidentiality. Dr. Karel offers an important framework for ethical decision-making in long-term care. Concluding ThoughtsThis new publication, we believe, represents some of the best thinking in the field. We anticipate that this text will be a useful guide and educational resource to psychologists and other mental health practitioners working in, or endeavor...

Guidelines for Psychological Practice with Older Adults.

“…For example, it may be difficult to find a place to meet that is private. In addition, in such settings it is important to establish clear boundaries about what will and will not be shared with residence staff, both verbally and in written records (Karel, 2009; Knapp & Slattery, 2004; Lichtenberg et al, 1998).…”

Actualizing culture change: The Promoting Excellent Alternatives in Kansas Nursing Homes (PEAK 2.0) program.

“…However, in many homes, especially those in rural areas, it may be a challenge for nursing homes to identify psychologists who are either interested in or prepared to do clinical work and PCC in nursing home settings due to the shortage of geropsychologists in the workforce. Across nursing homes in the United States, psychologists can and do play a central role in culture change through clinical practices that promote PCC (Carney & Norris, 2016;Norris, Molinari, & Ogland-Hand, 2003;Rosowsky, Casciani, & Arnold, 2009), as well as through program development, evaluation, and other research initiatives.…”

Supervision in professional geropsychology training: Perspectives of supervisors and supervisees.

“…Furthermore, some special issues for geropsychology supervision relate to the care settings in which geropsychology practice and training are likely to take place. Many study respondents reported doing training in traditional outpatient mental health settings, and many also reported doing training in nursing home or assisted living (Karel & Moye, 2005; Rosowsky, Casciani, & Arnold, 2009), primary care (Hunter, Goodie, Oordt, & Dobmeyer, 2009; Zweig, Siegel, & Snyder, 2006), and home-based settings (Hicken & Plowhead, 2010), all of which require development of setting-related competencies (Knight et al, 2009). Psychologists providing supervision in these settings need to be familiar with the ethical, clinical, interdisciplinary, and systemic issues particular to these settings and the populations served.…”