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Evidence-Based Mental Health Practices for Older Iowans

Published byClare Holland Modified over 6 years ago

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Presentation on theme: "Evidence-Based Mental Health Practices for Older Iowans"— Presentation transcript:

1 Evidence-Based Mental Health Practices for Older Iowans
Brian Kaskie, PhD Center on Aging University of Iowa June 22, 2010

2 National EBP Project: 6 Selected Practices
Assertive Community Treatment Co-occurring Disorders: Integrated Treatment Family Psycho-education Illness Management and Recovery Medication Management Approaches in Psychiatry (MedMAP) Supported Employment

3 Results of Initial Iowa Assessment: Models with strong Evidence-Base
Michael this slide is different than ICMH report, I bused Use in US on NASMHPD study in 2001

4 Michael this slide is different than ICMH report, I bused Use in US on NASMHPD study in 2001

5 Treating Older Iowans American Psychological Association (2004)
Guidelines for Providing Care to Older Adults American Psychologist, 59, 4, ,

6 Treating Older Iowans Gatz et al. (1998)
Empirically validated treatments for older adults. Journal of Mental Health & Aging, 4, 1, 9-46, 1998. Bartels et al. (2002) Evidence Based Practice in Geriatric Mental Health

7 PHARMACY THERAPY DEPRESSION X ANXIETY SUB ABUSE DEMENTIA

8 Evidence-Based Treatments DEPRESSION
PRESCRIPTION MEDICATION - Serotonin-Norepinephrine Reuptake Inhibitors - Selective Serontonin Reuptake Inhibitors TARGETS - Major, uni-polar depression - Depressive symptoms - co-occurring disorders - co-morbid conditions

9 Evidence-Based Treatments ANXIETY
PRESCRIPTION MEDICATION - Anti-depressants - Buspirone - Benzodiazipines TARGETS - ADs = OCD, panic, phobia - BuSpar = GAD

10 Evidence-Based Treatments ALCOHOL & SUSBTANCE ABUSE
PRESCRIPTION MEDICATION - Naltrexone - Acamprosate and antabuse TARGETS - Pain Medication - Altered states

11 Evidence-Based Treatments DEMENTIA
PRESCRIPTION MEDICATION - Aspirin - Cholinesterase inhibitors: donepezil, rivastigmine, galantamine - Memantine TARGETS - Early stage - Psychosis

12 Evidence-Based Treatments PSYCHOTHERAPY
VALIDATED APPROACHES - Cognitive Therapy - Behavioral Therapy - Interpersonal Therapy - Life Review - Environmental

13 Evidence-Based Treatments PSYCHOTHERAPY
PROBLEM SOLVING THERAPY - Problem Definition - Goal setting - Solutions - Path selection - Strategy - Execute - Evaluate

14 THANK YOU

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