Community Mental Health for Older People

by Byrne, Gerard

• ISBN13: 9780729538992
• ISBN10: 0729538990
• Edition: 1st
• Format: Paperback
• Copyright: 2009-10-01
• Publisher: CHURCHILL LIVINGSTONE

Summary

Community Mental Health for Older People provides valuable information and guidance to those working within the mental health sector. Using an evidence-based approach, it covers a range of important issues and clinical practices of the ageing population within the context of community mental health.

Author Biography

Gerard Byrne BSc(Med), MBBS, PhD, FRANZCP is the Director of the Older Persons' Mental Health Service at the Royal Brisbane and Women's Hospital, and is head of the Discipline of Psychiatry within the School of Medicine at The University of Queensland. Christine Neville RN, RPN, BHSc, MHSc, PhD, FACMHN is the Program Co-ordinator for Mental Health Nursing in the School of Nursing and Midwifery at The University of Queensland.

Table of Contents

Foreword	p. v
Preface	p. ix
About the authors	p. ix
Reviewers	p. x
Acknowledgments	p. x
Population health and burden of disease	p. 1
Normal, healthy and successful ageing	p. 10
Evidence-based care in the community	p. 16
Models of mental healthcare and organisational issues	p. 28
Community mental health teams	p. 36
Cultural issues	p. 45
Social issues	p. 55
Issues in rural and remote locations	p. 61
Consumers and carers	p. 69
Consultation-liaison services to residential aged care facilities	p. 78
The therapeutic relationship	p. 85
Psychiatric history taking	p. 92
The mental state examination	p. 99
Clinical cognitive assessment	p. 107
Physical health assessment	p. 116
Functional assessment	p. 130
Psychosocial and spiritual assessment	p. 135
Risk assessment	p. 141
The older person with confusion	p. 151
The older person with mood symptoms	p. 164
The older person with suicidal thoughts	p. 179
The older person with psychotic symptoms	p. 191
The older person with anxiety	p. 200
The older person with substance abuse	p. 214
The older person with personality disorder	p. 225
Prevention and promotion	p. 237
Community management of acutely ill older people	p. 245
Management of behaviour in dementia	p. 250
Psychotherapeutic treatment	p. 261
Pharmacological treatment	p. 271
Electroconvulsive therapy and other physical treatments	p. 282
Legal and ethical issues	p. 289
Driving	p. 298
Palliative and end-of-life care	p. 302
Rating scales	p. 309
Outcome evaluation	p. 320
Index	p. 331
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