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Geriatric Mental Health Care / Edition 1

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Overview

This essential guide is designed for mental health practitioners and primary care providers without advanced training in geriatric psychiatry. Gary J. Kennedy sets forth a clear framework for understanding the interplay of medical, psychological, and social factors in frequently encountered problems among older adults. Clear guidelines are delineated for assessing and treating such conditions as depression and anxiety, dementia, psychosis and mania, sleep disturbances, personality and somatoform disorders, substance abuse, and suicidality. Throughout, the book focuses on ways to sustain seniors' independence and overall quality of life while enhancing their adaptive capacities.

The book contains no figures.

Designed for professionals without advanced training in geriatric psychiatry, this volume presents detailed guidelines for managing the emotional, behavioral, and cognitive problems that are most frequently encountered in clinical practice with older adults. Keys to establishing a strong therapeutic relationship with seniors are identified, and current practices in psychopharmacology described. Chapters address such prevalent problems as depression and anxiety, dementia, psychosis and mania, sleep disturbances, personality and somatoform disorders, substance abuse, and suicidality.

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Editorial Reviews

From the Publisher

"Gary Kennedy, one of our leading geriatric psychiatrists, brings his thoughtful scholarship and breadth of clinical experience to this endeavor. At once focused and comprehensive, chapters provide concise overviews of the main areas of geriatric psychiatry--such as late-life depression--as well as useful reference material. Perhaps the greatest strengths of the book, however, lie in its coverage of lesser-understood topics such as elder abuse/neglect and personality disorders. This volume will be a welcome addition to the bookshelf of all generalist physicians and mental health professionals working with older adults." --Dan Blazer, MD, PhD, J.P. Gibbons Professor of Psychiatry and Behavioral Sciences, Duke University Medical Center

"On any given day, people over 65 constitute the majority of patients seen by a range of practitioners. In addition to diseases and functional disorders, a substantial portion of these patients have cognitive disorders and psychopathology. Yet few nongeriatric clinicians are prepared to recognize, assess, and treat these conditions. This valuable text will improve the clinical care and support that generalist practitioners can offer to older people and their caregivers." --Mathay Mezey, EdD, RN, FAAN, Independence Foundation Professor of Nursing Education and Director, The Hartford Institute for Geriatric Nursing, New York University Division of Nursing

"This book is clearly written and concise yet addresses a wide range of practical issues that the primary care provider is likely to encounter when caring for older adults. It is evidence based and well referenced. The tables target the major differences among psychotherapeutic agents that would allow one to individualize therapy based on underlying conditions and comorbidities. I highly recommend this book to all providers of health care to older adults." --Rosanne M. Leipzig, MD, PhD, Department of Geriatrics and Adult Development, Mount Sinai Medical Center, New York, NY

"This is an extremely readable overview whose scope goes beyond psychopathology in its usual sense. Every chapter also discusses the familial and social contexts of mental distress, making the book relevant for many types of professionals, including nonpsychiatric physicians, psychologists, nurses, social workers, administrators, and others who work with older people. Kennedy pays full attention to scientific evidence and the complexity of the issues while keeping the book focused and succinct. The case examples are very useful for everyday practice, as are tables providing quick reviews of topics as diverse as pharmacologic treatments for depression, decision-making competence, and types of sleep disorders." --M. Powell Lawton, PhD, Philadelphia Geriatric Center, Philadelphia, PA

American Journal of Psychotherapy

"A useful reference for the student and generalist concerned with the life problems and mental health of elders. For a single author to be able to encompass this body of knowledge is remarkable, and Kennedy does it well."--American Journal of Psychotherapy
Psychiatric Services

"It is noteworthy that Dr. Kennedy gives special consideration to the complexities of providing consultation in nursing homes, on home visits, and to other health care agencies. Specific guidance on navigating this unchartered territory is both practical and valuable....Geriatric Mental Health Care is a timely endeavor written by one of the leading educators in geriatric psychiatry to guide and instruct health care professionals at every level in working with the elderly."--Psychiatric Services
Doody's Review Service
Reviewer: Michael Joel Schrift, D.O., M.A.(University of Illinois at Chicago College of Medicine)
Description: Written and edited by a clinician-researcher in geriatric psychiatry, this comprehensive book is an excellent guide for managing mood, psychotic, and cognitive disorders of the elderly.
Purpose: The purpose, according to the author, is to provide a concise approach to geriatric conditions for the clinician already familiar with basic diagnosis and treatment of mental illness. In addition, he hopes to instruct the reader on how to work with the elderly, their families, and the rest of the care team. The author has succeeded in these goals with a very readable and up-to-date book.
Audience: The intended audience, according to the author, is students and trainees in nursing, social work, psychology, and medicine, as well as practicing clinicians, managed care administrators, elder care managers, ethicists, and even lawyers!
Features: The first chapter is an overview of the field, and the author emphasizes medicine, sociology, and psychology. In the remaining chapters he deals with the various clinical problems in geriatric psychiatry including depression and anxiety, dementia, psychosis and mania, sleep disturbances, personality, somatoform and pain disorders, sexuality, elder abuse, neglect, self-injurious behaviors, alcohol and substance abuse, and suicide. There are also useful chapters on legal and ethical issues, exercise and nutrition, consulting to nursing homes, and psychotherapy. Each chapter ends with contemporary and pertinent references and there is a helpful index at the end of the book.
Assessment: This is a valuable contribution to the field. Any clinician who diagnoses and treats elderly patients with psychiatric problems would benefit from reading and referring to this book.
Michael J. Schrift
Written and edited by a clinician-researcher in geriatric psychiatry, this comprehensive book is an excellent guide for managing mood, psychotic, and cognitive disorders of the elderly. The purpose, according to the author, is to provide a concise approach to geriatric conditions for the clinician already familiar with basic diagnosis and treatment of mental illness. In addition, he hopes to instruct the reader on how to work with the elderly, their families, and the rest of the care team. The author has succeeded in these goals with a very readable and up-to-date book. The intended audience, according to the author, is students and trainees in nursing, social work, psychology, and medicine, as well as practicing clinicians, managed care administrators, elder care managers, ethicists, and even lawyers! The first chapter is an overview of the field, and the author emphasizes medicine, sociology, and psychology. In the remaining chapters he deals with the various clinical problems in geriatric psychiatry including depression and anxiety, dementia, psychosis and mania, sleep disturbances, personality, somatoform and pain disorders, sexuality, elder abuse, neglect, self-injurious behaviors, alcohol and substance abuse, and suicide. There are also useful chapters on legal and ethical issues, exercise and nutrition, consulting to nursing homes, and psychotherapy. Each chapter ends with contemporary and pertinent references and there is a helpful index at the end of the book. This is a valuable contribution to the field. Any clinician who diagnoses and treats elderly patients with psychiatric problems would benefit from reading and referring to this book.
Booknews
For mental health practitioners, primary care providers, and other health professionals without advanced training in geriatric psychiatry, Kennedy (psychiatry and behavioral science, Albert Einstein College of Medicine) makes detailed recommendations for managing the emotional, behavioral, and cognitive problems that are most frequently encountered in clinical practice with older adults. Annotation c. Book News, Inc., Portland, OR (booknews.com)

4 Stars! from Doody
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Product Details

  • ISBN-13: 9781572305922
  • Publisher: Guilford Publications, Inc.
  • Publication date: 8/8/2000
  • Edition number: 1
  • Pages: 368
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.94 (d)

Meet the Author


Gary J. Kennedy, MD, is Professor of Psychiatry and Behavioral Science at Albert Einstein College of Medicine and Director of the Division of Geriatric Psychiatry and the Psychogeriatric Fellowship Training Program at Montefiore Medical Center in Bronx, New York. He is also Supervising Psychiatrist of the Geriatric Unit at Bronx Psychiatric Center. More than 30 psychiatrists have completed geriatric training under his direction. Dr. Kennedy's research and teaching have focused on cardiac arrhythmias, the epidemiology of depression and dementia, and mental health care in nursing homes and in the community.
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Table of Contents


Contents
1. Introduction to the Geriatric Imperative
2. Depression and Anxiety
3. The Dementias
4. Psychosis and Mania
5. Sleep Disturbances
6. Personality, Somatoform,and Pain Disorders
7. Individual Psychotherapies for Older Adults
8. Adapting Principles of Marital, Group, and Family Therapy to the Needs of Older Patients
9. Sexuality
10. Elder Abuse, Neglect, and Self-Injurious Behaviors
11. Alcohol and Substance Abuse
12. Recognition and Reduction of Suicide Risk
13.Mental Health Consultation in the General Hospital, Home, or Nursing Facility
14. Legal and Ethical Issues
15. Advice on Exercise and Nutrition
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