Handbook of Behavioral and Cognitive Therapies with Older Adults

Gallagher‐Thompson, Dolores; Steffen, Ann M.; Thompson, Larry W.

doi:10.1007/978-0-387-72007-4

Cited by 32 publications

(3 citation statements)

References 34 publications

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“…Cognitive therapy (CT) is effective for a wide variety of psychological problems in older adults, especially depression, anxiety, and substance abuse (Gallagher-Thompson et al, 2008; Pary et al, 2019; Thoma et al, 2015). Cognitive bibiotherapy, or CT delivered through a book, includes psychoeducational components such as reading and doing homework assignments and has been shown to be an EBT for depression in older adults (Shah et al, 2012).…”

Section: Theory Research and Practice Of Intervention With Older Adultsmentioning

confidence: 99%

Intervention, consultation, and other service provision: A foundational geropsychology knowledge competency.

Lind¹,

Poon²,

Birdsall³

2022

Clinical Psychology: Science and Practice

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To address the shortage in geriatric behavioral health professionals, it is crucial for more psychologists to become competent in working with older adults. This article will provide an overview of foundational geropsychology knowledge regarding intervention, consultation, and related services. We will begin by reviewing general and specialized psychological interventions with older adults, as well as adaptations based on aging-related changes and diverse care settings. Next, we will review health and medical factors that can impact service delivery. We will highlight characteristics of different treatment settings and interdisciplinary collaboration in providing consultation services, as well as services such as health promotion and illness prevention. We will summarize administrative best practices when psychologists work with older clients, including documentation of medical necessity for psychological services, billing, and reimbursement procedures compliant with state and federal laws and regulations. Finally, we will end with a discussion of ethical and legal considerations such as informed consent, confidentiality, substitute or end-of-life decision-making and potential conflicts of interest, diminished capacities, and elder abuse and neglect. Public Health Significance StatementGiven the growing population of older adults aged 65 and older, there is a need for psychologists who are competent to provide psychological services to older adults. Psychologists who find themselves working with older adults are encouraged to enhance their knowledge and competencies specific to diverse older adult populations and treatment settings to ensure high quality care of older clients. The authors hope that information provided within this article will serve as a guide to providing foundational knowledge competencies related to providing interventions and consultation services with older adult clients.

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Section: Theory Research and Practice Of Intervention With Older Adultsmentioning

confidence: 99%

Intervention, consultation, and other service provision: A foundational geropsychology knowledge competency.

Lind¹,

Poon²,

Birdsall³

2022

Clinical Psychology: Science and Practice

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“…Research consistently indicates that psychotherapy is effective in the treatment of older adults (Gatz et al, 1998; Raue, McGovern, Kiosses, & Sirey, 2017; Scogin & Shah, 2012; Tavares & Barbosa, 2018). Cognitive behavior therapy is effective for a wide variety of psychological problems in older adults, especially depression, anxiety, and substance abuse (Gallagher-Thompson, Steffen, & Thompson, 2008; Pary, Sarai, Micchelli, & Lippmann, 2019; Thoma, Pilecki, & McKay, 2015). For the LTC population, the Behavioral Activities Intervention (BE-ACTIV; Meeks, Looney, Van Haitsma, & Teri, 2008) and structured reminiscence interventions reduce depression in nursing home residents (Chiang et al, 2010; Haight, Michel, & Hendrix, 2000).…”

Section: Need For Guidelinesmentioning

confidence: 99%

Psychologists in Long-Term Care (PLTC) Guidelines for Psychological and Behavioral Health Services in Long-Term Care Settings.

Molinari¹,

Edelstein²,

Gibson³

et al. 2021

Professional Psychology: Research and Practice

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To address concerns about limited training of psychologists working in long-term care (LTC) facilities, the Psychologists in Long-Term Care (PLTC) organization published Standards for Psychological Services in Long-Term Care Facilities (Lichtenberg et al., 1998). The expanding evidence base for knowledge and skills, the increasing diversity of LTC residents, and the complexity of presenting problems have compounded the guidance psychologists need when providing services in this setting. In this article, the PLTC Guidelines Revision Task Force presents PLTC guidelines based on the original prescriptive PLTC Standards. The content of the PLTC Standards was updated and the format changed from prescriptive standards to aspirational guidelines. We begin with general guidelines regarding knowledge and skills in LTC (education and training. understanding of LTC systems. end-of-life care), followed by specific guidelines covering the basic psychological service activities in LTC (referral, assessment, treatment, ethical issues, and advocacy). The PLTC Guidelines are designed to provide direction for psychologists who work, or plan to work, in LTC and to guide continuing education pursuits. Public Significance StatementIt has been 25 years since the publication of the PLTC Standards of Practice for Psychologists in Long-Term Care. The composition of the long-term care (LTC) population has changed, and the need for aspirational guidelines for psychologists to enter the LTC field has grown in increasing importance. The authors hope that these guidelines will serve as a guide to training needs and optimal mental health practice in LTC settings.

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“…There are a plethora of treatment approaches where such information would be applicable, including virtually any intervention for depression or suicidality. For example, in traditional cognitive-behavioral therapy for late-life depression (e.g., Gallagher-Thompson, Steffen, & Thompson, 2008), recording a memoir could represent a mastery or pleasant event in behavioral activation. Further, thoughts such as "no one will remember me when I'm gone" (HILL item 12) may be recognized as targets for cognitive restructuring.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Hopelessness in Older Adults: The Development and Initial Validation of the Hopelessness Inventory for Later Life (HILL)

Gregg¹

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Assessment of Hopelessness in Older Adults: The Development and Initial Validation of the Hopelessness Inventory for Later Life (HILL) Jeffrey J. GreggHopelessness has been shown to be a strong, independent risk factor for physical illness, suicidal behavior, and mortality. It is an especially important construct for assessment in later life, as older adults are at an elevated risk of suicide worldwide. Studies have generally supported the use of the Beck Hopelessness Scale (BHS;Beck et al, 1974) with older adults; though, it was not designed with this population in mind. On the other hand, the Geriatric Hopelessness Scale (GHS; Fry, 1984) was constructed specifically for use with older adults, but has demonstrated unstable psychometric properties. In addition, many items on the GHS lack face validity or may be too culturally specific. Both the BHS and the GHS contain items that may be conflated with realistic appraisals of remaining time or physical illness. Based on these characteristics, the creation of a new measure for geriatric hopelessness is warranted. The current study sought to construct and validate a self-report scale for late-life hopelessness that contains future-oriented thematic content relevant to older adults (e.g., legacy, social support, pain) and excludes items that may be inherently biased against older adults or individuals with life-limiting illnesses. Items were drafted based on a literature review and sent to experts in the field of geriatric depression/suicide for revision and to establish content validity. After review, the preliminary version of the Hopelessness Inventory for Later Life (HILL) contained 30 items and utilized a 4point Likert-type response format. A sample of 265 older adults completed a survey battery containing the preliminary HILL, as well as other relevant measures in order to further revise the item content and examine its psychometric properties. The sample included older adults recruited in-person (i.e., from senior centers, a family medicine clinic, churches), through a mailing list, and online via Amazon mTurk (M age=71.1 SD=6.7). An examination of itemresponse characteristics (e.g., skewness) revealed one item as a candidate for deletion. An unrotated principal components analysis was then used to examine unidimensionality and to identify additional items for deletion. Based on these analyses, two viable versions of the scale, the HILL and the HILL-Shortened (HILL-S) were proposed. Both exhibited strong itemresponse characteristics, as well as preliminary evidence of unidimensionality, internal consistency (α=.96 and α=.89, respectively), and construct validity. Regarding construct validity, the HILL and the HILL-S were strongly associated with measures of hopelessness (BHS), geriatric depression, perceived burdensomeness, and social support. Moderate correlations were found with suicide risk, anxiety, self-rated health, physical health, and pain interference. The HILL and the HILL-S demonstrated small associations with social desirability and pain frequency. ...

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Handbook of Behavioral and Cognitive Therapies with Older Adults

Cited by 32 publications

References 34 publications

Intervention, consultation, and other service provision: A foundational geropsychology knowledge competency.

Intervention, consultation, and other service provision: A foundational geropsychology knowledge competency.

Psychologists in Long-Term Care (PLTC) Guidelines for Psychological and Behavioral Health Services in Long-Term Care Settings.

Assessment of Hopelessness in Older Adults: The Development and Initial Validation of the Hopelessness Inventory for Later Life (HILL)

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