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Geropsychology

  • Michele J. Karel
  • Gregory A. Hinrichsen
Reference work entry

Abstract:

Geropsychology is a growing area of practice within professional psychology. Due to the demographic imperative of an aging population, increasing numbers of psychologists will find themselves working with older adults, their families, and related care systems. They will seek to develop increased competence for work with this historically underserved yet rewarding and challenging clinical population. This chapter reviews the knowledge base and skill competencies for professional geropsychology practice, as defined in the Pikes Peak Model for Training in Professional Geropsychology. Foundational competencies (e.g., ethical issues, diversity, relationships) and functional assessment, intervention, and consultation competencies are defined and elaborated as applied to an older adult population. The chapter includes an overview of common late life clinical problems (e.g., depression, anxiety, dementia, alcohol and substance abuse), strategies for evaluation and efficacy of psychological interventions (e.g., for depression, anxiety, caregiver distress, behavioral problems in dementia, sleep problems), and settings of care for geropsychology practice (e.g., primary, long-term, and end-of-life care). The importance of interdisciplinary care and consultation skills is emphasized. Basic versus expert competencies for geropsychology practice are delineated; basic competencies are important for any psychologist working with older adults while expert competencies are important for psychologists who will serve as geropsychology educators, supervisors, and leaders. Essential components of a geropsychology training program are reviewed, while emphasizing that there are multiple developmental pathways to geropsychology competence. Resources for further information and education in the field are provided.

Keywords

Mental Health Service American Psychological Association Older Adult Professional Psychology Skill Competency 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Administration on Aging. (2001). Achieving cultural competence: A guidebook for providers of services to older Americans and their families [on-line]. Available at: http://www.aoa.gov/prof/adddiv/cultural/addiv_cult.asp, accessed 6/14/08.
  2. Alexopoulos, G. S. (2003). Vascular disease, depression, and dementia. Journal of the American Geriatrics Society, 51, 1178–1180.PubMedCrossRefGoogle Scholar
  3. Alexopoulos, G. S., Abrams, R. C., Young, R. C., & Shamoian, C. A. (1988). Cornell Scale for Depression in Dementia, Biological Psychiatry, 23, 271–84.Google Scholar
  4. Alexopoulos, G. S., Kiosses, D. N., Klimstra, S., Kalayam, B., & Bruce, M. L. (2002). Clinical presentation of the “depression-executive dysfunction syndrome” of late life. American Journal of Geriatric Psychiatry, 10, 98–106.PubMedGoogle Scholar
  5. American Bar Association & American Psychological Association Assessment of Capacity in Older Adults Project Working Group. (2008). Assessment of older adults with diminished capacity: A handbook for psychologists. Washington, DC: American Bar Association and American Psychological Assocition.Google Scholar
  6. American Psychological Association. (2002). Ethical principles of psychologists and code of conduct. American Psychologist, 57, 1060–1073.CrossRefGoogle Scholar
  7. American Psychological Association. (2004). Guidelines for psychological practice with older adults. American Psychologist, 59, 236–260.CrossRefGoogle Scholar
  8. American Psychological Association Presidential Task Force on Integrated Health Care for an Aging Population. (2008). Blueprint for change: Achieving integrated health care for an aging population. Washington, DC: American Psychological Association. A copy of the report is available online at www.apa.org/pi/aging/blueprint.html
  9. American Psychological Association Working Group on the Older Adult. (1998). What practitioners should know about working with older adults. Professional Psychology: Research and Practice, 29, 413–427.CrossRefGoogle Scholar
  10. Arean, P. A. & Ayalon, L. (2005). Assessment and treatment of depressed older adults in primary care. Clinical Psychology: Science and Practice, 12, 321–335.CrossRefGoogle Scholar
  11. Arean, P. A. & Cook, B. L. (2002). Psychotherapy and combined psychotherapy/psychopharmacotherapy for late life depression. Biological Psychiatry, 52, 293–303.PubMedCrossRefGoogle Scholar
  12. Attix, D. K. & Welsh-Bohmer, K. A. (2006). Geriatric neuropsychology: Assessment and intervention. New York: Guilford.Google Scholar
  13. Ayers, C. R., Sorrell, J. T., Thorp, S. R., & Wetherell, J. L. (2007). Evidence-based psychological treatments for late-life anxiety. Psychology and Aging, 22, 8–17.PubMedCrossRefGoogle Scholar
  14. Bartels, S. J. (2003). Improving the United States’ system of care for older adults with mental illness: Findings and recommendations for the president’s new freedom commission on mental health. American Journal of Geriatric Psychiatry, 11, 486–497.PubMedGoogle Scholar
  15. Bartels, S. J., Coakley, E. H., Zubritsky, C., Ware, J. H., Miles, K. M., Arean, P. A., et al. (2004). Improving access to geriatric mental health services: a randomized trial comparing treatment engagement with integrated versus enhanced referral care for depression, anxiety, and at-risk alcohol use. American Journal of Psychiatry, 161, 1455–1462.PubMedCrossRefGoogle Scholar
  16. Beck, J. G. & Stanley, M. A. (2001). Assessment of anxiety disorder in older adults: current concerns, future prospects. In. Antony, M. M., Orsillo, S. M., & Roemer, L. (Eds.), Practitioner’s guide to empirically based measures of anxiety (pp. 43–48). Dordrecht, The Netherlands: Kluwer.Google Scholar
  17. Bengtson, V. L. & Schaie, K. W. (Eds.). (1999). Handbook of theories of aging. New York: Springer.Google Scholar
  18. Binstock, R. E. & George, L. K. (Eds.). (2006). Handbook of aging and the social sciences (6th ed.). Burlington, MA: Elsevier.Google Scholar
  19. Birren, J. E. & Schaie, K. W. (Eds.). (2006). Handbook of the psychology of aging (6th ed.). Burlington, MA: Elsevier.Google Scholar
  20. Blow, F. C., Brower, K. J., Schulenberg, J. E., Demo-Dananberg, L. M., Young, J. P., & Beresford, T. P. (1992). The Michigan alcoholism screening test – Geriatric version (MAST-G): A new elderly-specific screening instrument. Alcoholism: Clinical and Experimental Research, 16, 372.Google Scholar
  21. Bruce, M. L., Ten Have, T. R., Reynolds, C. F., III, Katz, I. I., Schulberg, H. C., Mulsant, B. H., et al. (2004). Reducing suicidal ideation and depressive symptoms in depressed older primary care patients: a randomized controlled trial. Journal of the American Medical Association, 291, 1081–1091.PubMedCrossRefGoogle Scholar
  22. Burgio, L. D., Stevens, A., Burgio, K. L., Roth, D. L., Paul, P., & Gerstle, J. (2002). Teaching and maintaining behavioral management skills in the nursing home. The Gerontologist, 42, 487–496.PubMedCrossRefGoogle Scholar
  23. Center for Health Workforce Studies. (2005). The impact of the aging population on the health workforce in the United States. Rensselaer, NY: School of Public Health, University at Albany.Google Scholar
  24. Cullen, B., O’Neill, B., Evans, J. J., Coen, R. F., & Lawlor, B. A. (2007). A review of screening instruments for cognitive impairment. Journal of Neurology, Neurosurgery, and Psychiatry, 78, 790–799.PubMedCrossRefGoogle Scholar
  25. Duffy, M. (Ed.) (1999). Handbook of counseling and psychotherapy with older adults. New York: Wiley.Google Scholar
  26. Edelstein, B. A., Woodhead, E. L., Segal, D. L., Heisel, M. J., Bower, E. H., Lowery, A. J., et al. (2008). Older adult psychological assessment: Current instrumental status and related considerations. Clinical Gerontologist, 31, 1–35.CrossRefGoogle Scholar
  27. Elmore, D. (2006). An aging America. Monitor on Psychology, 37(6).Google Scholar
  28. Erikson, E. H. (1980). Identity and the life cycle. New York: W.W. Norton.Google Scholar
  29. Falender, C. A. & Shafranske, E. P. (2007). Competence in competency-based supervision practice: Construct and application. Professional Psychology: Research and Practice, 38, 232–240.CrossRefGoogle Scholar
  30. Federal Interagency Forum on Aging-Related Statistics. (2008, March). Older Americans 2008: Key indicators of well-being. Washington, DC: U.S. Government Printing Office.Google Scholar
  31. Fick, D. M., Agostini, J. V., & Inouye, S. K. (2002). Delirium superimposed on dementia: A systematic review. Journal of the American Geriatrics Society, 50, 1723–1732.PubMedCrossRefGoogle Scholar
  32. Flint, A. J. (1994). Epidemiology and comorbidity of anxiety disorders in the elderly. The American Journal of Psychiatry, 151, 640–649.PubMedGoogle Scholar
  33. Frank, R. G., McDaniel, S. H., Bray, J. H., & Heldring, M. (2003). Primary care psychology. Washington, DC: American Psychological Association.Google Scholar
  34. Frazer, D. W. (2006). Psychotherapy in the context of long-term care. In Qualls, S. H. & Knight, B. G. (Eds.), Psychotherapy for depression in older adults (pp. 201–228). Hoboken, NJ: Wiley.Google Scholar
  35. Fulmer, T., Flaherty, E., & Hyer, K. (2003). The Geriatric Interdisciplinary Team Training (GITT) program. Gerontology and Geriatrics Education, 24, 3–12.PubMedCrossRefGoogle Scholar
  36. Gallagher-Thompson, D. & Coon, D. W. (2007). Evidence-based psychological treatments for distress in family caregivers of older adults. Psychology and Aging, 22, 37–51.PubMedCrossRefGoogle Scholar
  37. Gallagher-Thompson, D., Steffen, A. M., & Thompson, L. W. (2008). Handbook of behavioral and cognitive therapies with older adults. Springer: New York.CrossRefGoogle Scholar
  38. Gatz, M. (2007). Commentary on evidence-based psychological treatments for older adults. Psychology and Aging, 22, 52–55.PubMedCrossRefGoogle Scholar
  39. Gatz, M., Fiske, A., Fox, L. S., Kaskie, B., Kasl-Godley, J. E., McCallum, T. J., et al. (1998). Empirically validated psychological treatment for older adults. Journal of Mental Health and Aging, 4, 9–46.Google Scholar
  40. Gatz, M. & Smyer, M. A. (2001). Mental health and aging at the outset of the twenty-first century. In Birren, J. E. & Schaie, K. W. (Eds.), Handbook of the psychology of aging (5th ed., pp. 523–544). San Diego, CA: Academic.Google Scholar
  41. Gerdner, L. A., Hall, G. R., & Buckwalter, K. C. (1996). Impact of a psychoeducational intervention on caregiver response to behavioral problems. Nursing Research, 51, 363–374.CrossRefGoogle Scholar
  42. Gurnack, A. M., Atkinson, R., & Osgood, N. J. (Eds). (2002). Treating alcohol and drug abuse in the elderly. New York: Springer.Google Scholar
  43. Haley, W. E., Larson, D. G., Kasl-Godley, J., Neimeyer, R. A., & Kwilosz, D. M. (2003). Roles for psychologists in end-of-life care: Emerging models of practice. Professional Psychology: Research and Practice, 34(6), 626.CrossRefGoogle Scholar
  44. Halpain, M. C., Harris, M. J., McClure, F. S., & Jeste, D. V. (1999). Training in geriatric mental health: Needs and strategies. Psychiatric Services, 50, 1205–1208.PubMedGoogle Scholar
  45. Hartman-Stein, P. E. (2006). The basics of building and managing a geropsychology practice. In Qualls, S. H. & Knight, B. G. (Eds.), Psychotherapy for depression in older adults (pp. 229–249). Hoboken, NJ: Wiley.Google Scholar
  46. Hartman-Stein, P. E. & Georgoulakis, J. M. (2007). How Medicare shapes behavioral health practice with older adults in the US: Issues and recommendations for practitioners. In Gallagher-Thompson, D., Steffen, A. M., & Thompson, L. W. (Eds.), Handbook of behavioral and cognitive therapies with older adults (pp. 323–334). New York: Springer.Google Scholar
  47. Hatcher, R. L. & Lassiter, K. D. (2007). Initial training in professional psychology: The practicum competencies outline. Training and Education in Professional Psychology, 1, 49–63.CrossRefGoogle Scholar
  48. He, W., Sengupta, M., Velkoff, V. A., & DeBarros, K. A. (2005). Current population reports, P23–209, 65 + in the United States. In Bureau, U. S. C. (Ed.). Washington, DC: U.S. Government Printing Office.Google Scholar
  49. Heisel, M. J. & Duberstein, P. R. (2005). Suicide prevention in older adults. Clinical Psychology: Science and Practice, 12, 242–259.CrossRefGoogle Scholar
  50. Hinrichsen, G. A. (2006). Why multicultural issues matter for practitioners working with older adults. Professional Psychology: Research and Practice, 37, 29–35.CrossRefGoogle Scholar
  51. Hinrichsen, G. A. & Clougherty, K. F. (2006). Interpersonal psychotherapy for depressed older adults. Washington, DC: American Psychological Association.CrossRefGoogle Scholar
  52. Hinrichsen, G. A., Zeiss, A., Karel, M. J., & Molinari, V. A. Competency based geropsychology training in doctoral internships and postdoctoral fellowships. Unpublished manuscript.Google Scholar
  53. Hunkeler, E. M., Katon, W., Tang, L., Williams J. W., Jr., Kroenke, K., Lin, E. H., et al. (2006). Long term outcomes from the IMPACT randomized trial for depressed elderly patients in primary care. British Medical Journal, 332, 259–63.PubMedCrossRefGoogle Scholar
  54. Hyer, L. & Intrieri, R. C. (2006). Geropsychological interventions in long-term care. New York: Springer.Google Scholar
  55. Inouye, S. K. (2006). Delirium in older persons. New England Journal of Medicine, 354, 1157–1165.PubMedCrossRefGoogle Scholar
  56. Institute of Medicine. (2008). Retooling for an aging America: Building the health care workforce. Washington, DC: The National Academies Press.Google Scholar
  57. Jeste, D. V., Alexopoulos, G. S., Bartels, S. J., Cummings, J. L., Gallo, J. J., Gottlieb, G. L., et al. (1999). Consensus statement on the upcoming crisis in geriatric mental health: Research agenda for the next 2 decades. Archives of General Psychiatry, 56, 848–853.PubMedCrossRefGoogle Scholar
  58. Karel, M. J. (2007). Culture and medical decision making. In Qualls, S. H. & Smyer, M. A. (Eds.), Changes in decision-making capacity in older adults: Assessment and intervention (pp. 145–174). Hoboken, NJ: Wiley.Google Scholar
  59. Karel, M. J. (2008). Ethical issues. In Rosowsky, E., Casciani, J., & Arnold, M. (Eds.), Geropsychology and long-term care: A practitioner’s guide (pp. 111–123). New York: Springer.Google Scholar
  60. Karel, M. J. & Hinrichsen, G. (2000). Treatment of depression in late life: Psychotherapeutic interventions. Clinical Psychology Review, 20, 707–729.PubMedCrossRefGoogle Scholar
  61. Karel, M. J., Knight, B. G., Duffy, M., Hinrichsen, G. A., & Zeiss. A. Attitude, knowledge and skill competencies for practice in professional geropsychology: Implications for training and building a psychology workforce (in press).Google Scholar
  62. Karel, M. J., Ogland-Hand, S., & Gatz, M. (2002). Assessing and treating late life depression: A case book and resource guide. New York: Basic Books.Google Scholar
  63. Karlin, B. E. & Duffy, M. (2004). Geriatric mental health policy: Impact on service delivery and directions for effecting change. Professional Psychology: Research and Practice, 35, 509–519.CrossRefGoogle Scholar
  64. Karlin, B. E. & Humphreys, K. (2007). Improving medicare coverage of psychological services for older Americans. American Psychologist, 62, 637–649.PubMedCrossRefGoogle Scholar
  65. Kaslow, N. J., Borden, K. A., Collins F. L., Jr., Forrest, L., Illfelder-Kay, J., Nelson, P. D., et al. (2004). Competencies conference: Future directions in education and credentialing in professional psychology. Journal of Clinical Psychology, 60, 699–712.PubMedCrossRefGoogle Scholar
  66. Knight, B. G. (2004). Psychotherapy with older adults (3rd ed.). Thousand Oaks, CA: Sage.Google Scholar
  67. Knight, B. G., Karel, M. J., Hinrichsen, G. A., Qualls, S. H., & Duffy, M. (2009). Pikes Peak model for training in professional geropsychology. American Psychologist, 64, 205–214.Google Scholar
  68. Knight, B. G., Teri, L., Wohlford, P., & Santos, J. (Eds.). (1995). Mental health services for older adults: Implications for training and practice in geropsychology. Washington, DC: American Psychological Association.Google Scholar
  69. Koenig, H. G., George, L. K., & Schneider, R. (1994). Mental health care for older adults in the year 2020: A dangerous and avoided topic. Gerontologist, 34, 674–679.PubMedCrossRefGoogle Scholar
  70. Kogan, J. N., Edelstein, B. A., & McKee, D. R. (2000). Assessment of anxiety in older adults: Current status. Journal of Anxiety Disorders, 14, 109–132.PubMedCrossRefGoogle Scholar
  71. Lawton, M. P. (1990). Residential environment and self-directedness among older people. American Psychologist, 45, 638–640.PubMedCrossRefGoogle Scholar
  72. Lawton, M. P. & Nahemow, L. (1973). Ecology and the aging process. In Eisdorfer, C. & Lawton, M.P. (Eds.), Psychology of adult development and aging (pp. 619–674). Washington, DC: American Psychological Association.Google Scholar
  73. Lebowitz, B. D. & Niederehe, G. (1992). Concepts and issues in mental health and aging. In Barren, J. E., Sloane, R. B., & Cohen, G. D. (Eds.), Handbook of mental health and aging (2nd ed., pp. 3–26). San Diego, CA: Academic.Google Scholar
  74. Levinson, D. J. (1986). A conception of adult development. American Psychologist, 41, 3–13.CrossRefGoogle Scholar
  75. Lichstein, K. L., Stone, K. C., Nau, S. D., McCrae, C. S., & Payne, K. L. (2006). Insomnia in the elderly. Sleep Medicine Clinics, 2, 221–229.CrossRefGoogle Scholar
  76. Lichtenberg, P. A. (Ed.). (1999). Handbook of assessment in clinical gerontology. Hoboken, NJ: Wiley.Google Scholar
  77. Lichtenberg, P. A., Murman, D. L., & Mellow, A. M. (Eds). (2003). Handbook of dementia: Psychological, neurological, and psychiatric perspectives. Hoboken, NJ: Wiley.Google Scholar
  78. Lichtenberg, P. A., Smith, M., Frazer, D., Molinari, V., Rosowsky, E., Crose, R., et al. (1998). Standards for psychological services in long-term care facilities. The Gerontologist, 38(1), 122.PubMedCrossRefGoogle Scholar
  79. Logsdon, R. G., McCurry, S. M., & Teri, L. (2007). Evidence-based psychological treatments for disruptive behaviors in individuals with dementia. Psychology and Aging, 22, 28–36.PubMedCrossRefGoogle Scholar
  80. McCurry, S. M., Logsdon, R. G., Teri, L., & Vitiello, M. V. (2007). Evidence-based psychological treatments for insomnia in older adults. Psychology and Aging, 22, 18–27.PubMedCrossRefGoogle Scholar
  81. Mellor, M. J. & Brownell, P. J. (Eds.). (2006). Elder abuse and mistreatment: Policy, practice, and research. New York: Routledge.Google Scholar
  82. Mezey, M. D., Cassel, C. K., Bottrell, M. M., Hyer, K., Howe, J. L., & Fulmer, T. T. (Eds.). (2002). Ethical patient care: A casebook for geriatric health care teams. Baltimore, MD: The Johns Hopkins University Press.Google Scholar
  83. Molinari, V. (Ed.). (2000). Professional psychology in long term care. New York: Hatherleigh.Google Scholar
  84. Molinari, V., Karel, M. J., Jones, S., Zeiss, A., Cooley, S. G., Wray, L., Brown, E., & Gallagher-Thompson, D. (2003). Recommendations about the knowledge and skills required of psychologists working with older adults. Professional Psychology: Research and Practice, 34, 435–443.CrossRefGoogle Scholar
  85. Moye, J. (1999). Assessment of competency and decision making capacity. In Lichtenberg, P. (Ed.), Handbook of assessment in clinical gerontology (pp. 488–528). New York: Wiley.Google Scholar
  86. Moye, J., Wood, S., Edelstein, B., Armesto, J. C., Bower, E. H., Harrison, J. A., et al. (2007). Clinical evidence in guardianship of older adults is inadequate: Findings from a tri-state study. Gerontologist, 47, 604–612.PubMedCrossRefGoogle Scholar
  87. National Center on Elder Abuse. (2008). Administration on aging Website http://www.ncea.aoa.gov accessed 6/14/08.
  88. Norris, M. P., Molinari, V., & Ogland-Hand, S. (2002). Emerging trends in psychological practice in long-term care. Binghamton, NY: Haworth.Google Scholar
  89. Ott, C. H., Lueger, R. J., Kelber, S. T., & Prigerson, H. G. (2007). Spousal bereavement in older adults: Common, resilient, and chronic grief with defining characteristics. Journal of Nervous and Mental Disease, 195, 332–341.PubMedCrossRefGoogle Scholar
  90. Pachana, N. A., Byrne, G. J., Siddle, H., Koloski, N., Harley, E., & Arnold, E. (2007). Development and validation of the Geriatric anxiety inventory. International Psychogeriatrics, 19, 103–114.PubMedCrossRefGoogle Scholar
  91. Pinquart, M. & Sorensen, S. (2001). How effective are psychotherapeutic and other psychosocial interventions with older adults? A Meta-analysis. Journal of Mental Health and Aging, 7, 207–243.Google Scholar
  92. Powers, D. V. (2008a). Psychotherapy in long-term care: I. Practical considerations and the link to policy and advocacy. Professional Psychology: Research and Practice, 39, 251–256.CrossRefGoogle Scholar
  93. Powers, D. V. (2008b). Psychotherapy in long-term care: II. Evidence-based psychological treatments and other outcome research. Professional Psychology: Research and Practice, 39, 257–263.CrossRefGoogle Scholar
  94. Qualls, S. H. & Knight, B. G. (Eds.). (2006). Psychotherapy for depression in older adults. Hoboken, NJ: Wiley.Google Scholar
  95. Qualls, S. H., Scogin, F., Zweig, R., & Whitbourne, S. K. Predoctoral training models in professional geropsychology. Unpublished manuscript.Google Scholar
  96. Qualls, S. H., Segal, D. L., Normans, S., Niederehe, G. N., & Gallagher-Thompson, D. (2002). Psychologists in practice with older adults: Current patterns, sources of training, and need for continuing education. Professional Psychology: Research and Practice, 33, 435–442.CrossRefGoogle Scholar
  97. Qualls, S. H. & Smyer, M. A. (Eds.). (2007). Changes in decision-making capacity in older adults: Assessment and intervention. Hoboken, NJ: Wiley.Google Scholar
  98. Rodolfa, E., Bent, R., Eisman, E., Nelson, P. D., Rehm, L., & Ritchie, P. (2005). A cube model for competency development: Implications for psychology educators and regulators. Professional Psychology: Research and Practice, 36, 347–354.CrossRefGoogle Scholar
  99. Rosowsky, E., Casciani, J. M., & Arnold, M. (Eds.). (2008). Geropsychology and long-term care: A practitioner’s guide. New York: Springer.Google Scholar
  100. Ruchinskas, R. A. & Curyto, K. J. (2003). Cognitive screening in geriatric rehabilitation. Rehabilitation Psychology, 48, 14–22.CrossRefGoogle Scholar
  101. Santos, J. F. & VandenBos, G. R. (Eds.). (1982). Psychology and the older adult: Challenges for training in the 1980’s. Washington, DC: American Psychological Association.Google Scholar
  102. Schaie, K. W. (2005). Developmental influences on adult intelligence: The Seattle longitudinal study. New York: Oxford University Press.CrossRefGoogle Scholar
  103. Schulz, R. & Matire, L. M. (2004). Family caregiving of persons with dementia: Prevalence, health effects and support strategies. American Journal of Geriatric Psychiatry, 12, 240–249.PubMedGoogle Scholar
  104. Scogin, F. (2000). The first session with seniors: A step-by-step guide. San Francisco, CA: Jossey-Bass.Google Scholar
  105. Scogin, F. & McElreath, I. (1994). Efficacy of psychosocial treatments for geriatric depression: A quantitative review. Journal of Consulting and Clinical Psychology, 57, 403–407.CrossRefGoogle Scholar
  106. Scogin, F., Welsh, D., Hanson, A., Stump, J., & Coates, A. (2005). Evidence-based psychotherapies for depression in older adults. Clinical Psychology: Science and Practice, 12, 222–237.CrossRefGoogle Scholar
  107. Scogin, F. & Yon, A. (2006). Evidence-based psychological treatments with older adults. In Qualls, S. H. & Knight, B. G. (Eds.), Psychotherapy for depression in older adults (pp. 157–176). Hoboken, NJ: Wiley.Google Scholar
  108. Seignourel, P. J., Kunik, M. E., Snow, L., Wilson, N., & Stanley, M. (2008). Anxiety in dementia: A critical review. Clinical Psychology Review, 28(7), 1071–1082 (epub ahead of print).PubMedCrossRefGoogle Scholar
  109. Snarski, M. & Scogin, F. (2006). Assessing depression in older adults. In Qualls, S. H. & Knight, B. G. (Eds.), Psychotherapy for depression in older adults (pp. 45–77). Hoboken, NJ: Wiley.Google Scholar
  110. Sorocco, K. H. & Ferrell, S. W. (2006). Alcohol use among older adults. Journal of General Psychology, 133(4) 453.PubMedCrossRefGoogle Scholar
  111. Steffens, D. C., Maytan, M., Helms, M. J., & Plassman, B. L. (2005). Prevalence and clinical correlates of neuropsychiatric symptoms in dementia. American Journal of Alzheimer’s Disease and Other Dementias, 20, 367–373.PubMedCrossRefGoogle Scholar
  112. Stevens, A. B. & Hochhalter, A. K. (2006). Meeting the needs of nursing home residents and staff: The informed teams model of staff development. In Hyer, L. & Intrieri, R. C. (Eds.), Geropsychological interventions in long term care (pp. 245–261). New York: Springer.Google Scholar
  113. Substance Abuse and Mental Health Services Administration. (1998). Substance abuse among older adults: Treatment Improvement Protocol (TIP) Series 26. Rockville, MD: U.S. Department of Health and Human Services.Google Scholar
  114. Teri, L., Logsdon, R. G., & McCurry, S. M. (2005). The Seattle protocols: Advances in behavioral treatment of Alzheimer’s disease. In Vellas, B., Fitten, L. J., Winblad, B., Feldman, H., Grundman, M., & Giacobini, E. (Eds.), Research and practice in Alzheimer’s disease and cognitive decline (Vol. 10, pp. 153–158). Paris: SERDI.Google Scholar
  115. Teri, L., Truax, P., Logsdon, R., Uomoto, J., Zarit, S., & Vitaliano, P. P. (1992). Assessment of behavioral problems in dementia: The revised memory and behavior problems checklist. Psychology and Aging, 4, 622–631.CrossRefGoogle Scholar
  116. Weissman, M. M., Markowitz, J. C., & Klerman, G. L. (2000). Comprehensive guide to interpersonal psychotherapy. New York: Basic Books.Google Scholar
  117. Wenger, N. S., Solomon, D. H., Roth, C. P., MacLean, C. H., Saliba, D., Kamberg, C. J., et al. (2003). The quality of medical care provided to vulnerable community-dwelling older patients. Annals of Internal Medicine, 139, 740–747.PubMedGoogle Scholar
  118. Werth, J. L. & Blevins, D. (Eds.). (2006). Psychosocial issues near the end of life: A resource for professional care providers. Washington, DC: American Psychological Association.Google Scholar
  119. Wetherell, J. L., Birchler, G. D., Ramsdell, J., & Unutzer, J. (2007). Screening for generalized anxiety disorder in geriatric primary care patients. International Journal of Geriatric Psychiatry, 22, 15–123.CrossRefGoogle Scholar
  120. Wetherell, J. L. & Gatz, M. (2005). The Beck anxiety inventory in older adults with generalized anxiety disorder. Journal of Psychopathology and Behavioral Assessment, 27, 17–24.CrossRefGoogle Scholar
  121. Whitbourne, S. K. (1999). Physical changes. In Cavanaugh, J. C. & Whitbourne, S. K. (Eds.), Gerontology: Interdisciplinary perspectives (pp. 91–122). New York: Oxford University Press.Google Scholar
  122. Xakellis, G., Brangman, S. A., Hinton, W. L., Jones, V. Y., Masterman, D., Pan, C. X., et al. (2004). Curricular framework: Core competencies in multicultural geriatric care. Journal of the American Geriatrics Society, 52, 137–142.PubMedCrossRefGoogle Scholar
  123. Yeo, G. (Ed.). (2001). Curriculum in ethnogeriatrics (2nd ed.). Stanford, CA: Collaborative on Ethnogeriatric Education. Available at: http://www.stanford.edu/group/ethnoger/, accessed 6/14/08.
  124. Yeo, G. & Gallagher-Thompson, D. (Eds.). (2006). Ethnicity and the dementias, Second edition. New York: Routledge/Taylor & Francis.Google Scholar
  125. Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M. B., et al. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17, 37–49.CrossRefGoogle Scholar
  126. Yon, A. & Scogin, F. (2006). Procedures for identifying evidence-based psychological treatments for older adults. Psychology and Aging, 22, 4–7.CrossRefGoogle Scholar
  127. Zarit, S. H. & Zarit, J. M. (2006). Mental disorders in older adults: Fundamentals of assessment and treatment. New York: Guilford.Google Scholar
  128. Zeiss, A. M. (2003). Providing interdisciplinary geriatric team care: What does it really take? Clinical Psychology: Science and Practice, 10, 115–119.CrossRefGoogle Scholar
  129. Zeiss, A. M. & Steffen, A. M. (1996). Interdisciplinary health care teams: The basic unit of geriatric care. In Carstensen, L. L., Edelstein, B. A., & Dornbrand, L. (Eds.), The practical handbook of clinical gerontology (pp. 423–450). Thousand Oaks, CA: Sage.Google Scholar

Copyright information

© Springer Science+Business Media LLC 2010

Authors and Affiliations

  • Michele J. Karel
    • 1
  • Gregory A. Hinrichsen
    • 2
  1. 1.Harvard Medical SchoolBrocktonUSA
  2. 2.Albert Einstein College of MedicineNew YorkUSA

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