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Mental Health and Aging


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Mental health issues such as depression and anxiety are NOT a normal part of aging and are hard to discuss, diagnose and treat. The good news is that there are innovative programs, tools and resources that can help.

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Mental Health and Aging

  1. 1. An Overview of Barriers & Solutions © 2013 Griswold International, LLC
  2. 2. “Held annually during Mental Illness Awareness Week in October, National Depression Screening Day (NDSD) raises awareness and screens people for depression and related mood and anxiety disorders.” National Alliance on Mental Illness (NAMI) © 2013 Griswold International, LLC
  3. 3. Our Goal for Today • Increase awareness of mental health issues in older adults and the importance of treatment • Drive early and effective…. - Dialogue related to mental health and depression - Mental health screening and diagnosis - Treatment that drives positive outcomes © 2013 Griswold International, LLC
  4. 4. Presented by: Chris Kelly, MEd Director of Learning & Development Griswold Home Care © 2013 Griswold International, LLC
  5. 5. Thank you for your courage, energy, and dedication! Healthcare Providers Professional Caregivers Family Caregivers Clients Living with Mental Illness © 2013 Griswold International, LLC
  6. 6. Lit Review Social Media Advocacy Solutions Webinar & Toolkit © 2013 Griswold International, LLC
  7. 7. Orange Arrow Button: Minimizes or expands the GoToWebinar control panel. BRAIN WRITING Solutions Brainwriting is… • a fun, engaging way to brainstorm • sharing as many ideas as possible within a short timeframe Brainwriting Process • Listen for our questions • When prompted, enter your solutions using the webinar chat function • Don’t overthink or agonize…There are no right or wrong answers Brainwriting Outcomes • Peer-to-peer learning and sharing • A publication that benefits others who are living with Depression Important • Avoid sharing any information that you would not want others to see © 2013 Griswold International, LLC
  8. 8. Mental Health and Aging in America • 20% of people age 55 years or older have mental health issues • The most common mental health conditions for older adults are: - Mood disorders - Anxiety - Severe cognitive impairment • Depression is the most common mental health condition among older adults The State of Mental Health and Aging in America Mental Health and Aging TOOLS © 2013 Griswold International, LLC
  9. 9. The Impact Untreated mental health conditions in older adults have been connected with chronic conditions such as: - Heart disease - Diabetes - Stroke - Increased health care costs - Inability to function - Disability © 2013 Griswold International, LLC
  10. 10. The Impact Older adults with untreated depression have… - More doctor/ER visits - Increased use of medicine - Higher outpatient charges - Longer hospital stays - Increased readmission rates - Highest risk for suicide as compared to other age groups © 2013 Griswold International, LLC
  11. 11. Core Barriers – Older Adults “Well, I feel as though most people that are depressed really feel unloved - that’s the main thing or they feel unwanted or they feel as though that they are useless…like…I’m no more use to you any more so just let me go.” Quote from older adult with depression © 2013 Griswold International, LLC
  12. 12. Core Client Barriers - Awareness, Beliefs and Stoicism Older adults are often… - Unaware of the symptoms - Stoic about emotional and physical pain - Reluctant to “complain” - Skeptical about the need for treatment - Feel they can handle things on their own Depression In Older Adults - Lou Gehrig Older Americans Behavioral Health TOOLS © 2013 Griswold International, LLC
  13. 13. Core Client Barriers Access to Support and Services Older adults often lack access to care and support due to: - Medical issues - Decreased mobility - Lack of transportation - “Digital divide” – low access/comfort with e-tools (email, text, online portal) - Depression - which triggers isolation © 2013 Griswold International, LLC
  14. 14. Core Barriers – Healthcare Providers “Depression in elderly people often goes untreated because many people think that depression is a normal part of aging and a natural reaction to chronic illness, loss and social transition.” National Alliance on Mental Illness (NAMI) © 2013 Griswold International, LLC
  15. 15. Core Healthcare Provider Barriers Healthcare Provider Time Constraints, Tools, Access • Healthcare providers work very hard to recognize and treat depression • Recent research highlights that the prevalence of depression in older adults has lowered • Common provider barriers remain: - Inadequate vigilance and screening - Time constraints - Misperception/Stigma - Poor access to older adults - Using language/terms that clients and family caregivers cannot identify with © 2013 Griswold International, LLC
  16. 16. Screen, Discuss and Diagnose Depression CDCP - “I didn’t know anything about depression, so I didn’t know I was depressed.” Older adult with depression © 2013 Griswold International, LLC
  17. 17. Learn About Depression It is important to learn about the symptoms of depression and treatment that can help About Depression Caregiving and Depression TOOLS © 2013 Griswold International, LLC
  18. 18. Know the Symptoms of Depression • Memory problems • Confusion • Social withdrawal • Loss of appetite • Weight loss TOOLS • Vague complaints of pain • Sleeping too much or too little • Anxious and/or irritated • Delusions (thinking things that are not reality-based) • Hallucinations (seeing, hearing or feeling things that are not reality-based) Depression in Older Persons Fact Sheet Screening for Depression in Adults and Older Adults in Primary Care American Psychiatric Association © 2013 Griswold International, LLC
  19. 19. Talk About Depression This is easier said than done. Depression and other mental health conditions are difficult to discuss due to the long-standing stigma of mental illness. How to Talk to Your Elderly Parent About Depression TOOLS Discussing Sensitive Topics © 2013 Griswold International, LLC
  20. 20. Screen for Depression There are several validated screening tools that help clients, providers and family caregivers to recognize and discuss depression. TOOLS Geriatric Depression Scale The Hamilton Rating Scale for Depression © 2013 Griswold International, LLC
  21. 21. Get an Early, Accurate Diagnosis A diagnosis of depression should include: - A physical exam - Speaking with family members or close friends - A review of medicines - Blood tests and lab studies - A clinical interview - Imaging studies Diagnosis and Treatment of Depression in Adults: 2012 Clinical Practice Guideline © 2013 Griswold International, LLC
  22. 22. Seek Innovative Treatment Approaches “Once diagnosed, 80 percent of clinically depressed individuals can be effectively treated by medication, psychotherapy, electroconvulsive therapy (ECT) or any combination of the three.” National Alliance on Mental Illness © 2013 Griswold International, LLC
  23. 23. Seek Innovative Treatment Approaches CDC Promotes Public Health Approach to Address Depression Among Older Adults “For older adults (age 60+), the top recommended treatment is home or clinic-based depression care management (DCM).” Task Force on Community Preventive Services © 2013 Griswold International, LLC
  24. 24. Depression Care Management (DCM) Family Doctor/Physician’s Assistant/ Nurse Practitioner/ Nurse Care management and coordination is critical to successful treatment for older adults with depression. Geriatric Psychiatrist Physical Therapist Dietician Your care team should include: Advocacy/ Support Group Wellness Coach Occupational Therapist Speech Therapist Home Care Professional Social worker/Geriatric Care Manager/Psychologist © 2013 Griswold International, LLC
  25. 25. Innovative Treatment Approaches • Cognitive Behavioral Therapy (CBT) – A form of counseling that helps a person to understand and change the thoughts, feelings and beliefs that might be related to depression • Medicine • Client and Family Education • Support Groups • Wellness • Electroconvulsive Therapy (ECT) and other brain stimulation therapies A Guide to Mental Wellness in Older Age Cognitive– Behavioral Therapy WRAP Plus TOOLS © 2013 Griswold International, LLC
  26. 26. About Geriatric Psychiatrists • Older adults can be sensitive to medicine, but with proper support, medicine can play an important role • Geriatric Psychiatrist can play a key role in: - Assessing the need for medicine/s - Choosing the right medicine and dose TOOL Find a Geriatric Psychiatrist © 2013 Griswold International, LLC
  27. 27. About Cognitive Behavioral Therapy (CBT) Cognitive Behavioral Therapy can help older adults to understand and change the thoughts, feelings and beliefs that might be related to depression. Find a Therapist Service How to Adapt CognitiveBehavioral Therapy for Older Adults TOOLS © 2013 Griswold International, LLC
  28. 28. Supporting Family Caregivers • Family Caregivers also live with depression • It is important for family caregivers to take care of themselves TOOLS Caregiver Action Network Toolbox Caregiving and Depression © 2013 Griswold International, LLC
  29. 29. Using Technology For Healthcare Providers: Geriatric by Doctot © 2013 Griswold International, LLC
  30. 30. Using Technology For Clients and Family Caregivers: Lotsa Helping Hands Mobile App The 3 Minute Test for Depression, Anxiety, Bipolar Disorder and PTSD Digital Technology for the Family Caregiver © 2013 Griswold International, LLC
  31. 31. Support Groups Can Help The most practical coping strategies for depression can be found through support groups. DBSA Chapters/Support Groups NAMI Support and Programs © 2013 Griswold International, LLC
  32. 32. Key Takeaways Depression and mental health issues ARE NOT a normal part of aging Untreated mental health conditions in older adults have a serious impact Education, discussion, screening and diagnosis are challenging but essential   Older adults and their family caregivers CAN BENEFIT from treatment and support © 2013 Griswold International, LLC
  33. 33. Open Q&A 1. Click to expand if necessary 2. Type questions here © 2013 Griswold International, LLC
  34. 34. Brought to you by: Griswold Home Care offers access to affordable non-medical care options to assist your loved one. CareAssure Screening System™ The Griswold Golden Rule: We only approve caregivers we would trust in our own homes. Extraordinary Home Care at Affordable Rates Since 1982 QuickCare Placement™ We give each family access to the most experienced caregivers available. ValueCare Commitment™ Simple Rates. Unmatched Value. Our allinclusive rates are among the most affordable. National 24x7 Care Line: 800-GRISWOLD © 2013 Griswold International, LLC