Schizophrenia Into Later Life: Treatment, Research, and Policy

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We are on the verge of a crisis in mental health. Over the next 30 years the number of chronically mentally ill people 55 years of age and older will double. With multiple disorders relating to mental illness and old age, these people will require unique services from a health care system that is ill prepared to deliver them. Schizophrenia Into Later Life: Treatment, Research, and Policy is the first major multidisciplinary reference on this important topic -- a landmark work for researchers, service providers, and policy makers.

Broad in scope, it discusses the demographic and clinical characteristics of older schizophrenic persons, details treatment approaches, suggests research strategies, and covers the relevant economic and health policy issues. • The most up-to-date, comprehensive source of information on this understudied group. It will help community psychiatrists, gerontologists, psychologists, policy makers, and social scientists meet a growing demand for services.• A multidisciplinary approach with contributing experts from fields of biological psychiatry, social psychiatry, sociology, anthropology, social work, psychology, and neuropsychology will help professionals integrate services for the best outcome.• A primary resource on the subject -- sections include epidemiology, biological aspects, psychosocial features, clinical care, and public policy.

Today there is a distressing lack of age-appropriate clinical, rehabilitative, or residential programs for older patients with chronic mental illness. Schizophrenia in Later Life: Treatment, Research, and Policy will guide researchers, service providers, and policy makers in creating innovative new programs to help this underserved and growing population.

American Psychiatric Publishing

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Editorial Reviews

Myung A. Lee

This book is easy to read and deals with a broad spectrum of services needed for the comprehensive clinical care of people with schizophrenia. Thus, it will be a valuable reference to clinicians (e.g. physician, social worker, psychologist, case manager) and students as well as consumers.

F. M. Baker

Cohen has edited an important book that summarizes the work and research that is proceeding in a longitudinal study of the course of schizophrenia.... A missing resource has been put in place with the publication of this text.

International Psychogeriatrics Robert Howard

For once, with a multi-author volume, I was truly appreciative of a degree of editorial diligence that has ensured true chapter complimentarity. The result is a book that I found easy to read from start to finish. I would recommend that every psychiatrist involved in the care of older people does just this.... Schizophrenia Into Later Life should go some way to raise awareness and concern about this enormous patient group. This book really should be on every Old Age Psychiatrist's bookshelf.

David R. Levine

Schizophrenia Into Later Life is an important book on the consequential but neglected areas of research, service and policy for people with schizophrenia as they age... This comprehensive volume is valuable and recommended for anyone who works with, studies or develops policies for aging individuals with serious mental illness.

International Journal of Geriatric Psychiatry

The strength of the book lies in its exhaustive coverage of all aspects of schizophrenia throughout the lifespan to lead to greater understanding of the issues pertinent to those patients who are moving into older age. With the anticipated doubling in numbers of elderly people with chronic mental illness in the next 30 years it will become increasingly important for old age psychiatrists to be able to manage this group effectively and as a complete source this book is indispensable reading. Indeed as an in-depth overview of schizophrenia throughout the life cycle it would be valuable reading for all psychiatrists and an ideal revision source for trainees.

From The Critics
Reviewer: Daniel Loiterstein, MD (Rush University Medical Center)
Description: Miraculous discoveries and remarkable improvements in healthcare have extended life expectancy. The lives of the chronic mentally ill have lengthened, too. This situation has spawned unanticipated problems in caring for the elderly with mental illness. This book explores various aspects of treating this specific population.
Purpose: The authors' purpose is to review the current state of knowledge of schizophrenia in older adults. They focus on treatment, research, and policy. As the population of people with schizophrenia over the age of 55 explodes, increased awareness and thought about this subject is essential. This book provides a base of information to direct future research.
Audience: The book is primarily written for psychiatrists and other professionals involved in the care of older persons with schizophrenia. Clinicians, researchers, and administrators would all find useful information contained. The editor is an esteemed academic psychiatrist with excellent credentials. The contributors are among the leaders in psychiatry.
Features: The range of topics is representative of the multiple disciplines required to effectively treat this disease. The book is separated into five parts. Part one reviews epidemiology, phenomenology, history, and diagnostic issues. Part two covers the medical and biological aspects of treating schizophrenia in an older patient. Part three explores the differences between genders and various social dimensions. Part four addresses issues related to delivery of treatment and various therapies. The last chapter is reserved for future directions for research and policy. Selected references are provided at the end of each chapter. The editor also has created a Web site with a complete list of references.
Assessment: This high quality book addresses a growing issue in psychiatry. In this book, leading thinkers lend their expertise on the subject. There will no doubt be other significant works to follow.
Behavioral Healthcare Tomorrow

Regrettably, a literature review reveals that only 1 percent of the literature on schizophrenia has addressed issues of aging. Cohen's multidisciplinary reference, which aims to provide an overview of the current state of knowledge about schizophrenia in later life and to examine the implications for service, research and policy, helps fill that gap. It will serve as a guide for much-needed planning for integrated services.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9781585620371
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 5/28/2003
  • Edition description: New Edition
  • Pages: 344
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.65 (d)

Meet the Author

Carl I. Cohen, M.D., is Professor and Director of the Division of Geriatric Psychiatry at SUNY Downstate Medical Center in Brooklyn, New York.

American Psychiatric Publishing

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Table of Contents

Introduction. Part I: Epidemiology, Historical Background, Illness Phenomenology, and Diagnostic Issues. Patterns of care for persons age 65 years and older with schizophrenia. Changes in schizophrenia across time: paradox, patterns, and predictors. A comparison of early- and late-onset schizophrenia. Differential diagnosis of psychotic disorders in the elderly. Part II: Biological and Medical Aspects. Biological changes in older adults with schizophrenia. Cognitive functioning in late-life schizophrenia: course and correlates. Medical comorbidity in older persons with schizophrenia. Part III: Gender and Sociocultural Aspects. Gender differences in schizophrenia across the lifespan. Social vicissitudes of schizophrenia in later life. Part IV: Treatment and Service Issues. What are the service needs of aging people with schizophrenia? Use of novel antipsychotics in older patients with schizophrenia. Community-based treatment of schizophrenia and other severe mental illnesses. Biobehavioral treatment and rehabilitation for older adults with schizophrenia. Changing caregiving needs as persons with schizophrenia grow older. Mental health policy and financing of services for older adults with severe mental illness. Part V: Future Directions. Toward the development of theory and research in aging and schizophrenia. Index.

American Psychiatric Publishing

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