A GUIDE TO EVIDENCE-BASED PRACTICES for OLDER ADULTS WITH MENTAL ILLNESS This report was produced with the support of the Saginaw County Community Mental Health Authority February 2013 Compiled by Barbara Glassheim This document may not be reproduced or distributed without the express permission of SCCMHA A GUIDE TO EVIDENCE-BASED PRACTICES FOR OLDER ADULTS WITH MENTAL ILLNESS TABLE OF CONTENTS FORWARD ................................................................................................................................ 1 INTRODUCTION AND OVERVIEW ........................................................................................... 2 AN OVERVIEW OF EVIDENCE-BASED CONCEPTS .............................................................. 5 THE ETHNOCULTURAL CONTEXT ......................................................................................... 7 LGBT CULTURES .................................................................................................................... 9 STIGMA ................................................................................................................................... 9 CULTURAL COMPETENCE ........................................................................................................10 CULTURE BROKERS ............................................................................................................11 INTERPRETER SERVICES ......................................................................................................12 PREVENTION...........................................................................................................................13 PREVENTION OF MALTREATMENT .............................................................................................14 HEALTH PROMOTION AND WELLNESS PROGRAMS ....................................................................15 ENHANCEWELLNESS ...........................................................................................................16 FUTURE-CARE PLANNING ........................................................................................................16 BEREAVEMENT .......................................................................................................................18 SUICIDE PREVENTION ..............................................................................................................19 FAMILIES AND CAREGIVERS ................................................................................................22 PROGRESSIVELY LOWERED STRESS THRESHOLD MODEL (PLST) .............................................25 CAREGIVER SKILL BUILDING (CSB) .........................................................................................26 RESOURCES FOR ENHANCING ALZHEIMER'S CAREGIVER HEALTH II (REACH II) ........................27 SAVVY CAREGIVER PROGRAM (SCP) .......................................................................................28 AD SUPPORT GROUPS ............................................................................................................28 RESPITE SERVICES .................................................................................................................29 ADULT DAY SERVICES (ADS) ..............................................................................................30 CONSUMER EMPOWERMENT ...............................................................................................31 SELF-DIRECTED CARE (SDC) ..................................................................................................31 SELF-MANAGEMENT INTERVENTIONS .......................................................................................32 CHRONIC DISEASE SELF-MANAGEMENT PROGRAM (CDSMP) ...............................................33 SELF HELP AND SUPPORT GROUPS .........................................................................................33 PEER SUPPORT AND CONSUMER-PROVIDED SERVICES .........................................................34 SENIOR COMPANION PROGRAM ........................................................................................35 SYSTEMS COLLABORATION .................................................................................................36 CO-OCCURRING DISORDERS ....................................................................................................37 HEALTH CARE ........................................................................................................................38 HEALTHCARE INTEGRATION .................................................................................................40 COLLABORATIVE CARE ........................................................................................................42 IMPROVING MOOD – PROMOTING ACCESS TO COLLABORATIVE TREATMENT (IMPACT) ......43 PREVENTION OF SUICIDE IN PRIMARY CARE ELDERLY: COLLABORATIVE TRIAL (PROSPECT) .......................................................................................................................................44 PROBLEM SOLVING THERAPY FOR PRIMARY CARE (PST-PC) ...............................................44 GERIATRIC RESOURCES FOR ASSESSMENT AND CARE OF ELDERS (GRACE) ........................45 LONG-TERM CARE ..................................................................................................................45 HOUSING ............................................................................................................................46 PSYCHOGERIATRIC ASSESSMENT AND TREATMENT IN CITY HOUSING (PATCH) ..................47 ASSISTED LIVING .............................................................................................................48 NURSING HOMES .................................................................................................................48 NURSING HOME MENTAL HEALTH SERVICES .....................................................................49 DEMENTIA CARE ..........................................................................................................50 SAGINAW COUNTY COMMUNITY MENTAL HEALTH AUTHORITY A GUIDE TO EVIDENCE-BASED PRACTICES FOR OLDER ADULTS WITH MENTAL ILLNESS EDEN ALTERNATIVE .........................................................................................................53 GREEN HOUSE (GH) ........................................................................................................54 EVERCARE ......................................................................................................................55 SERVICE DELIVERY MODELS ...............................................................................................57 PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) ............................................58 GATEKEEPER ......................................................................................................................59 GERIATRIC CASE MANAGEMENT ..........................................................................................60 ELDER-WRAP ..................................................................................................................61 HEALTHY IDEAS (IDENTIFYING DEPRESSION, EMPOWERING ACTIVITIES FOR SENIORS) .......61 SINGLE POINT OF ENTRY SYSTEMS (SEPS) .......................................................................62 “NO WRONG DOOR” PROGRAMS ......................................................................................64 TECHNOLOGY ......................................................................................................................65 ATTENTIVECARE ..............................................................................................................67 PSYCHOSOCIAL INTERVENTIONS ........................................................................................69 COGNITIVE AND BEHAVIOR THERAPIES ....................................................................................69 COGNITIVE BEHAVIORAL THERAPY FOR LATE-LIFE DEPRESSION ...........................................70 COGNITIVE BEHAVIORAL SOCIAL SKILLS TRAINING (CBSST) ................................................71 FUNCTIONAL ADAPTATION SKILLS TRAINING (FAST) ................................................................71 INTERPERSONAL THERAPY (IPT) .............................................................................................72 REMINISCENCE THERAPY (RT).................................................................................................72 COGNITIVE BIBLIOTHERAPY (CB).............................................................................................73 RELAXATION TRAINING ............................................................................................................74 PROLONGED EXPOSURE THERAPY (PE) ...................................................................................75 PROGRAM TO ENCOURAGE ACTIVE AND REWARDING LIVES FOR SENIORS (PEARLS) ...............76 TREATMENT OF BEHAVIORAL DISTURBANCES IN DEMENTIA ......................................................77 SOMATIC THERAPY ...............................................................................................................79 PHARMACOTHERAPY ...............................................................................................................79 ANTIDEPRESSANTS ..............................................................................................................82 MOOD STABILIZERS 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