All chapters end with “Selected Readings” and “Endnotes.”
I. THE NATURE AND PROBLEMS OF OLD AGE.
1. Who Are the Elderly?
Who Are the Elderly?
What Age Is Considered “Older” ?
Number of Older Persons in the United States.
Physical and Mental Health.
National and Ethnic Identification.
Hispanic or Latino Older Persons.
Native-American (American Indian, Eskimo, and Aleut) Older Persons.
Asian-American and Pacific Island-American Older Persons.
Rural and Semirural Older Persons.
2. Older People and Their Families.
Family Life Cycle.
Do American Families “Abandon” Their Older Members?
Older People as Parents.
Grandparenthood, Great-Grandparenthood, and Great-Great-Grandparenthood.
Older Married Couples.
Older “Isolates” versus “Desolates.”
Inheritance and the Family.
Family Involvement in Mental Health Care of Older Persons.
3. Healthy, Successful Old Age.
Negative Stereotype of Old Age.
What Is Healthy Old Age?
Historical Factors in Adaptation.
Popular Myths about Aging.
New Interpretations of Aging from Research.
Psychosocial Theories of Aging.
Some Special Characteristics of Older People.
Middle Age and the Transition to Old Age.
The Changing Awareness of Old Age.
Common Emotional Reactions as Expressed in Old Age.
Emotional Reactions to Age-Related Life Crises.
Common Adaptive Techniques.
Other Defensive Behavior.
The Life Review.
5. Psychiatric Disorders.
Mood Disorders in the Elderly.
Schizophrenia and Paranoid Disorders.
Sexual and Gender Identity Disorders.
How Important Is Diagnostic Classification?
6. Cognitive Disorders.
Dementia, Delirium and Other Cognitive Disorders.
Changes in Nomenclature.
Possible Reversible Causes of Cognitive Impairment.
7. Special Concerns: Race and Ethnicity, Older Women and Gender Issues, Crime, Alcoholism, Deafness, Blindness, and Sexuality.
The Impact of Race and Ethnicity of Mental Health Care.
Older Women and Gender Issues.
Crimes against the Elderly.
Sexuality in Old Age.
II. EVALUATION, TREATMENT, AND PREVENTION.
8. General Treatment Principles.
Changes in Perspectives toward Mental Health Treatment of Older Persons.
Obstacles to Treatment in Old Age.
Progress toward Developing Professional Interest and Skills in Providing Mental Health Care to the Elderly.
Treatment Points to Remember.
Right to Treatment.
9. Diagnostic Evaluation: How to Do a W Purpose of Diagnostic Evaluation.
The Role of Geriatric Assessment.
How Comprehensive Should an Evaluation Be?
Conditions for a Good Evaluation.
A Basic Evaluation.
10. How to Keep People at Home.
Who Needs Home Care?
How Important Is “Home” ?
Advantages of Home Care.
The Initial Request for Mental Health Evaluation.
Factors to Consider Regarding Home Care.
Use of the Home for Screening and Evaluation.
The Role of Geriatric Assessment and Care Coordination.
Home Delivery of Services.
Multipurpose Senior Centers.
Models of Multiple Service Programs.
Corporate Sector Efforts.
The Pepper Commission.
11. Proper Institutional Care.
The Decision to Institutionalize an Older Person.
The Different Kinds of Short- and Long-Term Institutional Care.
Financing Institutional Care.
Family Reaction to Institutionalization.
Other Factors in Institutional Care.
12. Psychotherapy and Environmental Therapy.
Intergenerational Family Therapy and Couples Therapy.
13. Drug and Other Somatic Therapies.
General Principles in Drug Treatment with the Elderly.
Specific Drug Treatments.
Drug Treatments for Sleep Disorders.
Drug Treatment of Pain.
Mental Health Therapist's Involvement in Drug Therapy.
Future Directions in Drug and Somatic Therapies.
Appendix A: Sources of Gerontological Literature.
Appendix B: Organizations Pertaining to the Elderly.
Appendix C: Government Programs for the Elderly.
Appendix D: Training and Education in Gerontology and Geriatrics.
Appendix E: Staff Inservice Education Material for Work with Older People.
Appendix F: U.S. Policy on Aging: A Historical Summary.
Appendix G: Personal Mental Health Data Form for Older Persons.