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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 l...
In this issue of Psychiatric Clinics, guest editors Drs. Louis J. Marino, Jr. and George Zubenko bring their considerable expertise to the topic of Geriatric Psychiatry. Top experts in the field cover key topics such as insomnia and sleep disorders in older adults; substance use disorders in the elderly; comorbidity and management of concurrent psychiatric and medical disorders; mood disorders in the elderly; cognitive impairment in the elderly; and more. - Contains 13 relevant, practice-oriented topics including psychopharmacology in the elderly: why does age matter?; the impact of SARS-CoV-2 infection and pandemic on mental health and brain function in the elderly; COVID-19: brain effects; epidemiology of psychiatric illness in the elderly; and more. - Provides in-depth clinical reviews on current topics in geriatric psychiatry, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
"This new edition retains the multidisciplinary and developmental perspectives of its predecessors, drawing on the knowledge not only of psychiatrists but also of relevant biomedical and behavioral experts in order to present the most comprehensive approach to patient care. It has been extensively updated to reflect the latest scientific advances and clinical developments in the field. Not only will readers find the most up-to-date information on phenomenology, diagnosis, and assessment of late-life mental disorders, they will also access the latest research on psychotherapeutic, psychopharmacological, and other somatic treatments. A dedicated chapter delves into the role of technology-inclu...
This book provides a fully updated in-depth overview of Cognitive Behavioral Therapy (CBT), which is the most widely-disseminated evidence-based psychotherapy utilized today. The Massachusetts General Hospital Handbook of Cognitive Behavioral Therapy, 2nd edition displays the constantly evolving nature of CBT due to the continuous research trials conducted by clinicians. This second edition presents updated information and literature to reflect the current clinical guidelines based on research studies that have been published in the past few years. Chapters cover applying CBT to common disorders such as depression, obsessive-compulsive disorder, and anxiety disorders, as well as more special...
This textbook, one of the first, provides a comprehensive review of the relationship between psychiatry and legal medicine in the older population. Sections reviewing evaluation, civil and criminal topics, and numerous other areas such as risk management, will help physicians, attorneys, and other professionals in their work with the elderly.
This handbook examines current mental health research, challenges in patient care, and advances in clinical psychiatry with the aim of improving approaches toward the screening of at-risk individuals, facilitating access to care, and supervising rehabilitation. Combining evidence-based research with clinical case studies, international experts provide detailed, holistic insights into our understanding of mental disorders through biological, social, interpersonal, and economical lenses. Models of intervention, prevention, and treatment are provided, along with methods for continued care and patient advocacy. Finally, experts analyze the future of psychiatric research and mental health care. Readers will gain greater understanding of the finer nuances of handling psychiatric cases and a holistic perspective of optimizing patient care within this field. This innovative book contributes to the development of community management of various psychiatric disorders and will be of interest to case managers, mental health workers, doctors, nurses, and many more.
Rural counties make up about 80 percent of the land area of the United States, but they contain less than 20 percent of the U.S. population. The relative sparseness of the population in rural areas is one of many factors that influence the health and well-being of rural Americans. Rural areas have histories, economies, and cultures that differ from those of cities and from one rural area to another. Understanding these differences is critical to taking steps to improve health and well-being in rural areas and to reduce health disparities among rural populations. To explore the impacts of economic, demographic, and social issues in rural communities and to learn about asset-based approaches to addressing the associated challenges, the National Academies of Sciences, Engineering, and Medicine held a workshop on June 13, 2017. This publication summarizes the presentations and discussions from the workshop.
This issue of Physician Assistant Clinics, guest edited by Drs. Vincent Morelli, Roger Zoorob, and Joel J. Heidelbaugh, is devoted to Primary Care of the Medically Underserved. Articles in this issue include Primary Care Issues in Rural Populations; Primary Care Issues in Inner City America and Internationally; Medical Care for Undocumented Immigrants: National and International Issues; Pediatric and Adolescent Issues in Underserved Populations; Women’s Select Health Issues in Underserved Populations; Medical Care of the Homeless: An American and International Issue; Occupational Health and Sleep Issues in Underserved Populations; Infectious Disease Issues in Underserved Populations; Psych...
This issue of Primary Care: Clinics in Office Practice, guest edited by Drs. Vincent Morelli, Roger Zoorob, and Joel J. Heidelbaugh, is devoted to Primary Care of the Medically Underserved. This outstanding issue includes the following articles: Primary Care Issues in Rural Populations; Primary Care Issues in Inner City America and Internationally; Medical Care for Undocumented Immigrants: National and International Issues; Pediatric and Adolescent Issues in Underserved Populations; Women's Health issues in Underserved Populations; Geriatric Care Issues: American and International Perspectives; Medical Care of the Homeless: An American and International Issue; Cardiovascular Issues in the Un...
Written for a broad range of mental health professionals, this book explains why depression can be challenging to treat in older adults and describes the most effective interventions. Noted geriatric psychiatrist Gary J. Kennedy draws on extensive clinical experience and research to present current best practices in pharmacotherapy, psychotherapy, other psychosocial and lifestyle interventions, and electroconvulsive therapy. Depressive disorders complicated by psychosis, mania, dementia, and bereavement are addressed in detail, as is suicide prevention. Kennedy emphasizes the importance of integrating care across service settings and building strong partnerships with patients and their families. Quick-reference tables throughout the book distill critical elements of intervention. See also the author's award-winning "Geriatric Mental Health Care: A Treatment Guide for Health Professionals," which provides a framework for treating the most frequently encountered psychiatric problems in this population.