Evidence-Based Mental Health Practices for Older Iowans

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Presentation transcript:

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

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

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

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

Treating Older Iowans American Psychological Association (2004) Guidelines for Providing Care to Older Adults American Psychologist, 59, 4, 236-260,

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

PHARMACY THERAPY DEPRESSION X ANXIETY SUB ABUSE DEMENTIA

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

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

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

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

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

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

THANK YOU