Cover -- Title -- Copyright -- Contents -- Foreword -- Preface -- Acknowledgments -- Part I: Overview of Theories, Assessment Techniques, and Treatment Approaches to the Older Adult Client -- 1. Theories to Inform the Social Worker Practicing With Older Adults -- The Need for a Unifying Gerontological Social Work Theoretical Orientation -- Theory Circle -- Suggested Theories to Inform the Social Worker Treating Older Adults -- Age Stages -- Psychological and Social Aging Theories -- Erikson's Stages Theory -- The Medical Model -- Person-in-Environment Theory and Resilience: A Good Partnership -- Person-in-Environment Theory: The Beginning -- Perception of Control -- The Case of Georgina -- Summary -- Discussion Topics -- 2. Assessing an Older Adult -- Part 1: Environmental and Communication Challenges to Be Overcome by the Social Worker and Older Client -- Office Assessment Setting -- A Matter of Speaking -- Home, Nursing Home, Assisted Care Facility, or Hospital Assessment Setting -- Working the Clock -- To Take or Not Take Notes -- Part 2: Assessment Categories -- Gender, Age, Ethnicity, Sexual Orientation -- Presenting Problem -- Environmental and Demographic Information -- Developmental History -- Medical Status -- Sexual Assault History -- Sexual History -- Substance Use -- Psychiatric History -- Appearance -- Attitude -- Motor Status -- Speech Quality -- Thought Process -- Mood/Affect -- Sleep/Appetite Status -- Suicide Assessment -- Rational Suicide -- Homicidal Assessment -- Mental Status Exam -- Spirituality/Religion -- Older Adult Abuse -- Collateral Interviews -- DSM-5 Diagnosis -- The Case of Dr. Frank -- Gender, Age, Ethnicity, Sexual Orientation -- Presenting Problem -- Environmental and Demographic Information -- Developmental History -- Medical Status -- Sexual Assault History -- Sexual History -- Substance Use.

Psychiatric History -- Appearance -- Attitude -- Motor Status -- Speech Quality -- Thought Process -- Mood/Affect -- Sleep/Appetite Status -- Suicide Assessment -- Homicidal Assessment -- Mental Status Exam -- Sensorium -- Spirituality/Religion -- Older Adult Abuse -- Collateral Interviews -- DSM-5 Diagnosis -- Goals for Change -- Summary -- Discussion Topics -- 3. Intervention Theories Informing the Clinician Treating Older Adults -- Are Theories an Uncontaminated View of an Older Adult? -- Sources of Contamination -- Sorry, No Theory Available -- Ageism -- The New Ageism -- The Incompetence Model -- The Geriactivist Model -- Theoretical Orientations for Treating Older Adults -- Foundations Underlying Existential, Brief Solution, Cognitive Behavioral, and Narrative Therapies -- Empowerment Theory and the Strength Perspective -- Constructivist Theory -- Existential Theory -- Cognitive Behavioral Theory -- Narrative Theory -- Reminiscence Therapy -- Feminist Theory -- The Case of Henriqua -- Summary and Applications of Theoretical Orientations to Henriqua's Case -- Henriqua Through the Optic of Existential-Phenomenological Theory -- Henriqua Through the Optic of Cognitive Behavioral Theory -- Henriqua Through the Optic of Narrative and Reminiscence Theory -- Henriqua Through the Optic of Feminist Theory -- Discussion Topics -- 4. Stigma and Older Adults -- Examples of Optics Affected by Stigma and Their Subsequent Effects on Older Adults -- Ageism -- Race/Ethnicity/Sexual Orientation -- Gender -- Poverty -- Policy -- Psychological Problems -- Medical Illness -- The Internet: A Tool for Fighting Stigma -- The Case of Michael -- Summary -- Discussion Topics -- Part II: Specialized Problems and Orientations in Gerontological Social Work Practice -- 5. Psychopathological Problems in Older Adults -- The Medical Model of Psychopathology.

Psychopathological Problems in Older Adults -- Anorexia Tardive -- Anxiety Disorders -- Co-Occurring Psychological Disorders and Substance Abuse/Dependence Disorders -- Delusional Disorder -- Mood Disorders -- Personality Disorders -- Schizophrenia -- Suicide -- The Case of Anthony -- Summary -- Discussion Topics -- 6. Alzheimer's Disease and Other Dementias -- Mild Cognitive Impairment -- Vascular Dementia -- Dementia With Lewy Bodies -- Frontal Lobe Dementia (Including Pick's Disease) -- Korsakoff Syndrome -- Parkinson's Disease -- Alzheimer's Disease -- Stage 1 -- Stage 2 -- Stage 3 -- Stage 4 -- Stage 5 -- Stage 6 -- Stage 7 -- A Basic Guide to Medicines for Alzheimer's Disease -- Neurotransmitters -- Therapeutic Interventions for Alzheimer's Disease Patients -- Agitation States Common to Dementias -- Caregiver Support Groups -- Psychotherapeutic Interventions in Early-Stage Dementias -- Psychoeducational Support Groups for Alzheimer's Disease Patients -- Leisure Activities and Therapeutic Recreation -- Cognitive Training Intervention Programs -- Driving Retirement -- Fall Risk With Dementia -- Inappropriate Sexual Behaviors -- Dementia in Imprisoned Older Adults -- Long-Term Care for Dementia -- The Case of Daiki -- Summary -- Discussion Topics -- 7. Medical Problems in Older Adults -- Commonly Occurring Medical Problems Experienced by Older Adults -- Arthritis -- Cardiovascular Diseases -- Cancers -- Chronic Obstructive Pulmonary Disease -- Diabetes -- Eye Disorders -- Hearing Disorders -- Osteoporosis -- Pain -- Pressure Ulcers -- Sleep Disorders -- Urinary Disorders -- Interventions for Older Adults With Chronic Illnesses and Their Families -- The Case of Miguel -- Summary -- Discussion Topics -- 8. Older Adult Substance Abusers -- Chronic Versus Situational Substance Abuse -- Alcohol Abuse/Dependence -- Nonalcohol Substance Use Disorders.

Benzodiazepine Abuse/Dependence Disorders -- Opioid/Synthetic Opioid Abuse/Dependence Disorders -- An Existential Analysis of Older Adult Substance Abuse/Dependence -- Motivational Interviewing -- Cognitive Behavioral Interventions -- Integrating Motivational Interviewing With Other Therapeutic Modalities -- The Case of Pauline -- Summary -- Discussion Topics -- 9. Older Adult Sexuality -- Men -- Erectile Dysfunction Treatments -- Women -- Gay Male and Lesbian Couples -- Heterosexual Couples -- Sexuality and Dementia -- Caregiver Sexual Education for Dementia Patients -- HIV/AIDS -- Nursing Homes -- Older Adult Sexuality and Religion/Spirituality -- The Case of Lim and Jun -- Summary -- Discussion Topics -- 10. Older Adult Abuse -- Prevalence of Older Adult Abuse -- Perpetrators of Older Adult Abuse -- Assisted Living Facilities and Nursing Homes -- Long-Term Care at Home -- Older Adults' Perceptions as Potential Crime Victims -- Sexual Violence -- Disabled Older Adults -- Older Adult Prisoner Abuse -- Historical Programs to Address Older Adult Prisoner Abuse -- Older Adults' Self-Abuse -- Self-Neglect -- Self-Harm -- Interventions for Older Adult Abuse, Self-Neglect, and Self-Harm -- The Case of Gloria -- Summary -- Discussion Topics -- 11. Gay Male, Lesbian, Bisexual, and Transgender Older Adults -- Coming Out in Later Life -- Older LGBT Sexuality and HIV -- Substance Abuse -- Older Gay Inmates -- Clinical Intervention -- Concerns About Health Service Delivery -- Interventions -- Mental Health Issues -- Retirement and Housing -- The Case of Sheri and Camila -- Summary -- Discussion Topics -- 12. Care and Residential Settings for Older Adults -- Retirement Communities -- Gay-Oriented Retirement Communities -- Aging in Place -- Adult Day Care Services -- Continuing Care and Assisted Living -- Housing for Aging Inmates: A New Type of Aging in Place.

Nursing Homes -- Goals for Improved Experiences in All Types of Care and Residential Settings -- The Case of Adanna -- Summary -- Discussion Topics -- 13. Dying and Death -- End-of-Life Planning -- End-of-Life Palliative Care -- Intensive Care and Terminal Illness -- Euthanasia -- Place of Death -- End-of-Life Psychotherapy -- Grief Counseling -- The Case of Yael -- Summary -- Discussion Topics -- References -- Index.

Written by an expert in gerontological social work and curriculum development, this book provides a wealth of clinical information for social workers and other health care professionals who counsel older adults. It describes a strengths-based, empowerment approach to treatment that integrates theory, technique, advocacy, and social policy, and encompasses the tenets of human rights. The book's content has been tested in the classroom setting for a three-year period with advanced social work undergraduate and graduate students. The book examines various theories of aging including a contrast between the strengths-based person-in-environment theory and the pathologically based medical model of psychological problems. It advocates truly engaging with the older client during the assessment phase, and discusses a variety of intervention modalities. The psychological construct of stigma regarding aging is examined, along with the major psychopathological problems common to older adults. The book also considers Alzheimer's disease and dementia, medical problems of older adults and co-occurring psychological problems, substance abuse, older adult sexuality, elder abuse, and the vulnerabilities of gay, lesbian, bisexual, and transgender older adults. Additionally, the book addresses mental health issues pertaining to residential settings and the aspects of death and dying that give older people concern. Extensive case studies, learning objectives, and discussion questions are featured in each chapter. The book also includes an instructor packet, PowerPoint slides, and an interactive PDF. Key Features: Provides a wealth of classroom-tested clinical information Espouses a strengths-based approach to treatment that integrates theory, technique, advocacy, and social justice Consistent with social work mandates for a human rights focus Presents

extensive case studies, learning objectives, and discussion questions in each chapter Includes an instructors packet, PowerPoint slides, and interactive PDF.

Description based on publisher supplied metadata and other sources.

Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2018. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.