Schizophrenia into Later Life: Treatment, Research, and Policy

by Cohen, Carl I.

• ISBN13: 9781585620371
• ISBN10: 1585620378
• Edition: 1st
• Format: Paperback
• Copyright: 2003-04-01
• Publisher: AMERICAN PSYCHIATRIC PUBLISHING INC

Summary

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 Policyis 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 Policywill guide researchers, service providers, and policy makers in creating innovative new programs to help this underserved and growing population.

Author Biography

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

Table of Contents

Contributors	ix
Introduction	xiii
Carl I. Cohen
PART I Epidemiology, Historical Background, Illness Phenomenology, and Diagnostic Issues
Patterns of Care for Persons 65 Years and Older With Schizophrenia	3	(16)
Donna D. McAlpine
Changes in Schizophrenia Across Time: Paradoxes, Patterns, and Predictors	19	(24)
Courtenay M. Harding
A Comparison of Early- and Late-Onset Schizophrenia	43	(12)
Barton W. Palmer
Gauri V. Nayak
Dilip V. Jeste
Differential Diagnosis of Psychotic Disorders in the Elderly	55	(24)
Abbilash K. Desai
George T. Grossberg
PART II Biological and Medical Aspects
Biological Changes in Older Adults With Schizophrenia	79	(14)
Susan K. Schultz
Cognitive Functioning in Late-Life Schizophrenia: Course and Correlates	93	(20)
Philip D. Harvey
Joseph I. Friedman
Medical Comorbidity in Older Persons With Schizophrenia	113	(28)
Raymelle Schoos
Carl I. Cohen
PART III Gender and Sociocultural Aspects
Gender Differences in Schizophrenia Across the Life Span	141	(14)
Mary V. Seeman
Social Vicissitudes of Schizophrenia in Later Life	155	(22)
Carl I. Cohen
PART IV Treatment and Service Issues
What Are the Service Needs of Aging People With Schizophrenia?	177	(18)
Suzanne Meeks
Colin A. Depp
Use of Novel Antipsychotics in Older Patients With Schizophrenia	195	(10)
John W. Kasckow
Somaia Mohamed
Sidney Zisook
Dilip V. Jeste
Community-Based Treatment of Schizophrenia and Other Severe Mental Illnesses	205	(18)
Somaia Mohamed
John W. Kasckow
Eric Granholm
Dilip V. Jeste
Biobehavioral Treatment and Rehabilitation for Older Adults With Schizophrenia	223	(28)
Robert Paul Liberman
Changing Caregiving Needs as Persons With Schizophrenia Grow Older	251	(18)
Harriet P. Lefley
Mental Health Policy and Financing of Services for Older Adults With Severe Mental Illness	269	(22)
Stephen J. Bartels
Aricca R. Dums
PART V Future Directions
Toward the Development of Theory and Research in Aging and Schizophrenia	291	(14)
Carl I. Cohen
Index	305