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Speziale, Jennifer; Black, Ed; Coatsworth-Puspoky, Robin; Ross, Tom; O'Regan, Tony – Gerontologist, 2009
Purpose: The Gentle Persuasive Approaches (GPA) curriculum was developed as an adjunct to other educational initiatives that were part of Ontario, Canada's Alzheimer Strategy. GPA emphasizes that an individual's unique personal history has a direct application to the interpretation of and response to their behavior. It incorporates strategies into…
Descriptors: Behavior Problems, Program Evaluation, Aggression, Dementia
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Siu, Albert L.; Beck, John C. – Gerontologist, 1990
In national survey of fellows trained in geriatric medicine and psychiatry, vast majority of former fellows expressed satisfaction with current work. Satisfaction with career choice in geriatrics was significantly greater among physicians who had practices with large numbers of patients over 75, accepted Medicare assignment, spent time as…
Descriptors: Career Choice, Geriatrics, Job Satisfaction, Physicians
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Sakauye, Kenneth M.; Camp, Cameron J. – Gerontologist, 1992
Consultation-liaison psychiatry program in teaching nursing home helped implement six guiding principles, including make patient human to the staff; assume no behavior is random; look for depression or psychosis as source of problems; reduce medications and medication doses; create more homelike environment; and use conditions in which learning…
Descriptors: Caregivers, Consultation Programs, Mental Disorders, Models
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Silverstone, Barbara; And Others – Gerontologist, 1986
Set of articles consisting of an introduction (Barbara Silverstone, et al.) and case study concerning drug misuse in the elderly, and six papers examining the case from the perspectives of clinical pharmacology (William Simonson); pharmacology (Peter Lamy); psychiatry (Charles Gaitz and Nancy Wilson); nursing (Delores Alford); social work (Janet…
Descriptors: Case Studies, Drug Abuse, Drug Therapy, Medical Care Evaluation
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Colenda, Christopher C.; And Others – Gerontologist, 1988
Conducted chart review of inpatient dementia patients cared for by neurology, psychiatry, medicine, and surgery services at university hospital. Found differences in symptom profiles, hospital utilization trends, medical comorbidity, and post-hospitalization dispositions. Examined how patients entered hospital system, were assigned to different…
Descriptors: Client Characteristics (Human Services), Clinical Diagnosis, Delivery Systems, Health Services
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Ray, Diane C.; And Others – Gerontologist, 1985
Psychiatrists have been reported to demonstrate a variety of negative attitudes toward older patients. This study suggests that certain personal characteristics of psychiatrists are associated with more pronounced negative attitudes. These characteristics include female gender, psychoanalytic theoretical orientation, and certification by the…
Descriptors: Age Discrimination, Individual Characteristics, Negative Attitudes, Predictor Variables
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Liptzin, Benjamin; And Others – Gerontologist, 1988
Found no significant differences in burden for relatives of demented and depressed patients admitted to geriatric psychiatry inpatient unit. Although at follow-up depressed patients were more improved than demented patients, their caregivers did not experience any greater decrease in burden. Families of depressed patients may require as much…
Descriptors: Depression (Psychology), Geriatrics, Institutionalized Persons, Mental Disorders
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Hesse, Katherine A.; And Others – Gerontologist, 1988
Examined knowledge of geriatric health policies of 154 physicians training in medicine, surgery, and psychiatry. Found a widespread lack of knowledge that could interfere with physicians' ability to use the health care system appropriately for patients' benefit and to function effectively as a gatekeeper to health care utilization. (Author/ABL)
Descriptors: Aging (Individuals), Geriatrics, Medical Services, Older Adults
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Joseph, Carol; And Others – Gerontologist, 1995
Describes the Mental Health Consultation Team at the Portland Veterans Affairs Medical Center nursing home. The team is an interdisciplinary group of mental health professionals and primary care providers. Cooperation among these professionals has decreased the demands for formal psychiatry and psychology consultations while increasing mental…
Descriptors: Agency Cooperation, Caregivers, Case Studies, Interdisciplinary Approach
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Johnson, David Kevin; Niedens, Michelle; Wilson, Jessica R.; Swartzendruber, Lora; Yeager, Amy; Jones, Kelly – Gerontologist, 2013
Purpose: Although declines in memory and attention are hallmark symptoms of Alzheimer's disease (AD), noncognitive symptoms are prevalent. Over 80% of individuals will experience neuropsychiatric symptoms, which complicates symptom profiles. Research indicates a community-integrated response to dementia crisis can reduce negative consequences…
Descriptors: Health Care Costs, Alzheimers Disease, Anxiety, Depression (Psychology)
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Seltzer, Benjamin; Buswell, Arthur – Gerontologist, 1994
To examine possible reasons for conflicting prevalence data on psychiatric features of Alzheimer's disease, compared results of mental status examination by physician with questionnaire completed by caregivers in eliciting 12 different psychiatric symptoms. Found agreement only on categories suggesting agitation. Formal examination showed more…
Descriptors: Alzheimers Disease, Evaluation Methods, Family Caregivers, Psychiatry
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Waxman, Howard M.; And Others – Gerontologist, 1984
Interviewed 88 community elderly about seeking help for psychiatric symptoms. The results showed low past professional utilization, perceptions of low future utilization, an overwhelming preference for general physicians as treatment providers, and a very low opinion of the effectiveness of mental health professionals. (JAC)
Descriptors: Fear, Mental Health Programs, Older Adults, Psychiatry
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Roane, David M.; Teusink, J. Paul; Wortham, Jennifer A. – Gerontologist, 2002
Purpose: The psychiatric home visit is an effective intervention for elderly patients who otherwise would not receive mental health services. Home visits also have potential to be useful for training. Here, the current practice of home visits in geropsychiatry fellowship programs is examined. Design and Methods: The directors of 55 current…
Descriptors: Community Health Services, Hospitals, Mental Health Programs, Home Visits
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Tourigny-Rivard, Marie-France; Drury, Marilyn – Gerontologist, 1987
Studied the effects of monthly psychiatric consultation in a nursing home. Suggested that consultation was primarily useful to staff providing direct care to referred residents. Cited benefits to residents as increased staff awareness and acceptance of emotional problems and increased frequency of therapeutic programs offered at the nursing home.…
Descriptors: Consultation Programs, Geriatrics, Nursing Homes, Older Adults
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Koenig, Harold G.; And Others – Gerontologist, 1994
Notes that low Medicare reimbursement rates are already causing some mental health professionals to turn away elderly patients. Considers baby boomer cohort who, unlike elders today, have high rates of psychiatric illness and are more likely to seek mental health services. Projects increasing gap over next 25 years between need and availability of…
Descriptors: Baby Boomers, Futures (of Society), Geriatrics, Health Insurance
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