"This is one of the best mental health and aging books I have
ever read. It] is one that I will turn to often in my teaching of
doctoral students, and in my work with older adults. One of the
phenomenal aspects of this book is the research reviews; which are
in-depth and broad in their scope. It is clear that Lee Hyer is an
exceptional scholar-clinician and geropsychologist.."--Peter A.
Lichtenberg, PhD
Drawing from current research and clinical practice, this text
espouses a unique interdisciplinary approach to the assessment and
treatment of psychosocial impairment in older adults. This
approach, called "Watch and Wait," is grounded in a "whole person"
model of care rather than one that addresses symptoms or syndromes
in isolation. This model advocates relationship building,
prevention, psychoeducation, multipronged interventions for
comorbid problems, and communication. It does so in the context of
a multidisciplinary health care team, the patient, and family.
The model encompasses five core factors of psychosocial
impairment in older adults: depression, anxiety, cognitive
deficits, adjustment or life problems, and health issues.
Considered together, they provide an integrated understanding of
the older adult that is more likely than single-disorder models to
facilitate successful outcomes for common psychosocial difficulties
that occur in later life. The book describes in depth the unique
components and complex interactive influences of these five factors
as they apply to older adults seeking mental health treatment. A
cornerstone of the author's approach is treatment based on
stringent care-based assessment and thorough monitoring of
empirically supported interventions. Each factor is considered
individually from its empirically supported basis as well as its
interaction with the other factors. Distinct treatment modules are
isolated for each factor and assembled to provide the optimal
pathway for clinical treatment.
The text also addresses the unique difficulties of diagnosing
the aging population, the pitfalls of existing treatments, and the
need for brain-based models for care. Key Features: Advocates for
integrative, interdisciplinary care and primary care involvement
for the older adult Emphasizes core components of care: depression,
anxiety, cognition, pain/sleep/health issues, adjustment in the
community Demonstrates how a single-problem approach for older
adults with psychiatric problems is not effective or efficient care
Espouses a "Watch and Wait" paradigm of care, based on
person-centered diagnosis and careful monitoring of treatment
Translates and integrates current research findings with clarity
Covers use of SSRIs and other medications, suicide, subsyndromal
states, issues involving cost of care for the older patient, among
other topics Plentiful case examples
General
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