Nav: Home

Rapidly meeting the mental health needs of older adults

January 16, 2017

INDIANAPOLIS -- Nearly 20 percent of older Americans experience depression and the highest rate of suicide is among older adult Caucasian males. Despite the anticipated growth of mental health needs as the U.S. population ages, there is only one geriatric psychiatrist for every 23,000 older Americans. By 2030, there will only be one geriatric psychiatrist for every 27,000 adults 65 and older. How is the health care system expected to rapidly close this gap for the mental health needs of older adults?

A new pocket guide to elder mental health has been written with the express purpose of rapidly teaching all health care professionals the basics of diagnosing and treating mental health disorders in individuals over age 65. The easy to navigate volume is written for primary care doctors and mental health professionals, as well as those in various internal medicine specialties, surgery, nursing and pharmacy. It is also designed to be accessible to family members and caregivers. The book's main purpose is to ensure information critical to the diagnosis and treatment of older adult is accessible to everyone who is involved in caring for an older adult--not just to those with geriatrics training.

Is the elder mentally altered due to prescription or over-the-counter drugs which negatively impact the aging brain? Are there sleep problems? Is the elder suffering from post-hospitalization delirium? Does he or she have dementia?

"Most older adults are seen by primary care physicians. Too often these busy physicians are juggling the patient's multiple physical problems, and incorrectly diagnose mental health issues as irreversible cognitive impairment," said Sophia Wang, MD, an implementation scientist with the Indiana University Center for Health Innovation and Implementation Science and an assistant professor of clinical psychiatry at IU School of Medicine. "Because dementia is so common in older adults, clinicians may incorrectly diagnose it without ruling out other problems that we know can be reversed -- for example depression, sleep disorders, drug effects or alcohol. Dementia should be the last mental health condition they consider only after ruling out reversible causes of mental illness."

"DSM-5 Pocket Guide for Elder Mental Health" by Dr. Wang, a geriatric psychiatrist, and co-author psychiatrist Abraham M. Nussbaum, MD, of Denver Health and University of Colorado, puts easy-to-read information on elder mental health problems and treatment at the fingertips of primary care and other physicians, physician assistants, nurses, social workers as well as family members familiar with the day-to-day activities of the older adult to help secure the correct diagnosis and treatment.

The DSM-5, short for Diagnostic and Statistical Manual of Mental Disorders, fifth edition, contains the diagnostic criteria for every psychiatric disorder currently recognized by the U.S. health care system and is considered the bible of mental health diagnosis.

The "DSM-5 Pocket Guide for Elder Mental Health," designed to make all healthcare providers comfortable with treating mental health, offers detailed guidance on approaching older adults about mental health issues -- a taboo topic for many seniors. The 400-page, 4.5 by 8-inch guide provides step-by-step instructions on beginning dialogues on depression, substance abuse and suicide as well as diagnostics on these conditions and others including delirium and dementia. It is published by American Psychiatric Association Publishing, a division of the American Psychiatric Association.

"Implementation science has shown that dissemination of evidence-based knowledge can influence patient care so that clinicians provide their patients the best possible care," Dr. Wang said. "Ultimately they implement best practices."

"Many health care professionals do not receive adequate training in geriatrics mental health. This book closes this gap for busy professionals," said Malaz Boustani, MD, MPH, founding director of the IU Center for Health Innovation and Implementation Science and associate director of the IU Center for Aging Research. "There needs to be increased awareness of geriatric issues in all health care professionals and family members to improve current diagnosis and treatment to the latest standards."
The Center for Health Innovation and Implementation Science, which is part of the IU School of Medicine and of the Indiana Clinical Translational Sciences Institute, employs implementation science and innovation to produce high quality, patient-centered and cost-efficient health care delivery solutions.

Indiana University

Related Depression Articles:

Tackling depression by changing the way you think
A thought is a thought. It does not reflect reality.
How depression can muddle thinking
Depression is associated with sadness, fatigue and a lack of motivation.
Neuroimaging categorizes 4 depression subtypes
Patients with depression can be categorized into four unique subtypes defined by distinct patterns of abnormal connectivity in the brain, according to new research from Weill Cornell Medicine.
Studies suggest inflammatory cytokines are associated with depression and psychosis, and that anti-cytokine treatment can reduce depression symptoms
Studies presented at this year's International Early Psychosis Association meeting in Milan, Italy, (Oct.
Is depression in parents, grandparents linked to grandchildren's depression?
Having both parents and grandparents with major depressive disorder was associated with higher risk of MDD for grandchildren, which could help identify those who may benefit from early intervention, according to a study published online by JAMA Psychiatry.
Postpartum depression least severe form of depression in mothers
Postpartum depression -- a household term since actress Brooke Shields went public in 2005 about her struggle with it -- is indeed serious.
Tropical Depression 1E dissipates
Tropical Depression 1E or TD1E didn't get far from the time it was born to the time it weakened to a remnant low pressure area along the southwestern coast of Mexico.
Diagnosing depression before it starts
MIT researchers have found that brain scans may identify children who are vulnerable to depression, before symptoms appear.
Men actually recommend getting help for depression
Participants in a national survey read a scenario describing someone who had depressed symptoms.
Depression too often reduced to a checklist of symptoms
How can you tell if someone is depressed? The Diagnostic and Statistical Manual of Mental Disorders (DSM) -- the 'bible' of psychiatry -- diagnoses depression when patients tick off a certain number of symptoms on the DSM checklist.

Related Depression Reading:

Best Science Podcasts 2019

We have hand picked the best science podcasts for 2019. Sit back and enjoy new science podcasts updated daily from your favorite science news services and scientists.
Now Playing: TED Radio Hour

Moving Forward
When the life you've built slips out of your grasp, you're often told it's best to move on. But is that true? Instead of forgetting the past, TED speakers describe how we can move forward with it. Guests include writers Nora McInerny and Suleika Jaouad, and human rights advocate Lindy Lou Isonhood.
Now Playing: Science for the People

#527 Honey I CRISPR'd the Kids
This week we're coming to you from Awesome Con in Washington, D.C. There, host Bethany Brookshire led a panel of three amazing guests to talk about the promise and perils of CRISPR, and what happens now that CRISPR babies have (maybe?) been born. Featuring science writer Tina Saey, molecular biologist Anne Simon, and bioethicist Alan Regenberg. A Nobel Prize winner argues banning CRISPR babies won’t work Geneticists push for a 5-year global ban on gene-edited babies A CRISPR spin-off causes unintended typos in DNA News of the first gene-edited babies ignited a firestorm The researcher who created CRISPR twins defends...