Handbook of Assessment in Clinical Gerontology, Second Edition

New trends in mental healthcare practice and a rapid increase in the aged population are causing an explosion in the fields of clinical gerontology and geropsychology today. This comprehensive second edition handbook offers clinicians and graduate students clear guidelines and reliable tools for assessing general mental health, cognitive functioning, functional age, psychosocial health, comorbidity, behavior deficits, and more. Psychopathology, behavioral disorders, changes in cognition, and changes in everyday functioning are addressed in full, and a wide range of conditions and disorders common to this patient population are covered. Each chapter provides an empirical review of assessment instruments, assessment scales in their totality, a review of how these instruments are used with and adapted for different cultural groups, illustration of assessments through case studies, and information on how to utilize ongoing assessment in treatment and/or treatment planning. This combination of elements will make the volume the definitive assessment source for clinicians working with elderly patients. *The most comprehensive source of up-to-date data on gerontological assessment, with review articles covering: psychopathology, behavioral disorders, changes in cognition, and changes in everyday functioning*Consolidates broadly distributed literature into single source, saving researchers and clinicians time in obtaining and translating information and improving the level of further research and care they can provide*Chapters directly address the range of conditions and disorders most common for this patient population - i.e. driving ability, mental competency, sleep, nutrition, sexual functioning, demntias, elder abuse, depression, anxiety disorders, etc*Fully informs readers regarding conditions most commonly encountered in real world treatment of an elderly patient population*Each chapter cites case studies to illustrate assessment techniques*Exposes reader to real-world application of each assessment discussed Cover Page ......Page 1 Handbook of Assessmentin Clinical Gerontology......Page 2 Copyright ......Page 3 List of Contributors......Page 4 Introduction......Page 8 EPIDEMIOLOGY OF LATE-LIFE DEPRESSION......Page 15 CONCEPTUAL APPROACHES TO ASSESSMENT......Page 16 DEFINITION AND DIAGNOSTIC ISSUES......Page 17 Multicultural Issues......Page 18 Self-Report......Page 20 Direct Observation......Page 21 Assessment of Physical Health......Page 22 Assessment of Cognitive Functioning......Page 23 Self-Report Instruments......Page 24 Beck Depression Inventory......Page 25 Geriatric Depression Scale......Page 26 Hospital Anxiety and Depression Scale......Page 28 Hamilton Rating Scale for Depression......Page 29 Geriatric Depression Rating Scale......Page 30 Measures of Depression with Coexistent Dementia......Page 31 EPIDEMIOLOGY OF BEREAVEMENT......Page 32 Normal Bereavement......Page 33 Factors That Affect Grief Response......Page 34 Complicated Grief......Page 35 Multicultural Issues......Page 36 The Grief Experience Inventory......Page 37 Inventory of complicated grief......Page 38 CONCLUSION......Page 40 APPENDIX A: GERIATRIC DEPRESSION SCALE (GDS)......Page 41 APPENDIX B: INVENTORY OF COMPLICATED GRIEF (ICG)......Page 42 References......Page 43 EPIDEMIOLOGICAL CONSIDERATIONS......Page 56 SPECIAL CONSIDERATIONS......Page 57 Diagnostic Assessment......Page 58 Geriatric Anxiety Inventory (GAI)......Page 60 Panic Disorder and Agoraphobia......Page 61 Alzheimer's Disease (AD)......Page 62 Description......Page 63 MULTICULTURAL ISSUES IN ANXIETY ASSESSMENT IN THE ELDERLY......Page 64 Case Study 2dObsessive Compulsive Disorder Treatment andBasal Ganglia Infarct......Page 65 Case Study 4dPost-Traumatic Stress Disorder......Page 66 References......Page 67 CHAPTER 15 Assessment of Agitation innbspOlder Adults ......Page 72 RESEARCH AND PSYCHOTHERAPY......Page 73 WHY ASSESS BASELINE FUNCTIONING AND OUTCOMES?......Page 74 PSYCHOTHERAPY MEASURES......Page 77 A MODEL OF OLDER ADULTS IN PSYCHOTHERAPY......Page 81 CAREGIVERS......Page 82 TESTING IN DIFFERENT SETTINGS......Page 84 CULTURAL DIVERSITY AND ASSESSMENT......Page 85 CONCLUSION......Page 92 APPENDIX A: SELF-CONTROL QUESTIONNAIRE......Page 93 SCQD Scoring......Page 94 SHORT FORM HEALTH SURVEY (SF-36)......Page 95 UNIVERSITY OF RHODE ISLAND CHANGE ASSESSMENT......Page 97 BASIS-32 (BEHAVIOR AND SYMPTOM IDENTIFICATION SCALE)......Page 98 Instructions......Page 99 Lifestyle, Environmental Factors, and Sleep......Page 102 References......Page 106 INTRODUCTION......Page 646 OVERVIEW......Page 112 DEFINITIONAL ISSUES......Page 113 EPIDEMIOLOGY OF PERSONALITY DISORDERS......Page 114 STABILITY AND CHANGE......Page 116 PSYCHOMETRIC CONCERNS IN LATER LIFE......Page 117 APPROACHES TO ASSESSMENT OF PERSONALITY DISORDERS......Page 118 Decision-Making Involvement of Individuals with Dementia......Page 120 Informant-Report......Page 121 Later-Life Assessment Issues......Page 122 Dementia-Related Issues......Page 123 Multicultural Issues......Page 124 APPENDIX A: MULTI-SOURCE ASSESSMENT OF PERSONALITYPATHOLOGY (MAPP)......Page 125 References......Page 129 CHAPTER 22 Assessment of Capacity ......Page 339 GENERAL ASSESSMENT CONSIDERATIONS......Page 134 Definition, Prevalence and Course......Page 136 Psychopathologic Symptoms......Page 138 Social Factors......Page 139 Medication Side Effects and Adherence......Page 140 Definition, Prevalence and Course......Page 141 Definition, Prevalence, and Course......Page 142 Assessment Procedures......Page 144 When to Refer to a Sleep Disorders Center......Page 146 POSITIVE AND NEGATIVE SYNDROME SCALE (PANSS)......Page 147 References......Page 162 DESCRIPTION OF COGNITIVE DOMAINS......Page 166 Do Families Know Their Relative's Personal and Care Preferences?......Page 167 Mild Cognitive Impairment......Page 168 The Assessment of Driving-Related Skills (ADReS)......Page 170 Vascular Dementia......Page 171 Mattis Dementia Rating Scale......Page 172 Parkinson’s Dementia......Page 173 Normal Pressure Hydrocephalus......Page 174 STANDARD USES AND GOALS OF ASSESSMENT......Page 175 Clinical Dementia Rating Scale (CDR)......Page 176 Visual Analog Scales (VAS)......Page 178 Alzheimer’s Disease Assessment Scale (ADAS)......Page 180 Parameters for Licensure by the Bureau of Motor Vehicles......Page 181 Other Agents......Page 184 Clinical Guidance......Page 185 CONCLUSION......Page 186 References......Page 187 HISTORY OF DELIRIUM AS A CLINICAL CONCEPT......Page 190 General Medical Inpatient and Acute Geriatric......Page 191 Treatment Planning......Page 192 ETIOLOGY/RISK FACTORS......Page 193 The Concepts ``Person-Environment Fit'' and ``Aging in Place''......Page 194 Neuropsychological Test Findings......Page 195 THE IMPORTANCE OF ASSESSING DELIRIUM......Page 196 DIAGNOSTIC CRITERIA......Page 197 Cognitive Test for Delirium......Page 199 Pain Coping......Page 200 Delirium Index......Page 201 Delirium Observation Screening Scale......Page 202 The Delirium Rating Scale-Revised-98......Page 203 Delirium Symptom Interview......Page 204 Treatment Model for Agitation and its Implications for Assessment......Page 205 Memorial Delirium Assessment Scale......Page 206 NEECHAM Confusion Scale......Page 207 CASE STUDIES......Page 209 PSYCHOSOCIAL INTERVENTIONS......Page 210 CONCLUSION......Page 211 APPENDIX A: MEMORIAL DELIRIUM ASSESSMENT SCALE (MDAS)......Page 212 REFERENCES......Page 215 CHAPTER 21 Assessing the Personal Preferences of Persons with Dementia ......Page 222 Memory Assessments......Page 223 Other Cognitive Assessments......Page 225 DIAGNOSTIC ISSUES......Page 226 COGNITIVE TRAINING PROGRAMS AND INTERVENTIONS......Page 227 Mnemonic Strategy Training......Page 228 Procedural Memory Training......Page 229 Interview With the Bed Partner and Family......Page 230 USE OF REASSESSMENT IN CLINICAL WORK......Page 231 CLINICAL CASE STUDY......Page 232 References......Page 233 INTRODUCTION AND HISTORY......Page 240 DEFINITIONS AND SCOPE OF THE PROBLEM......Page 241 CLINICAL SEQUELAE OF ELDER ABUSE AND NEGLECT......Page 242 SCREENING FOR ELDER ABUSE......Page 245 Review of Existing Screening Tools and Assessment Methods......Page 246 SPECIAL ISSUES......Page 247 CONCLUSION AND FUTURE DIRECTIONS......Page 248 APPENDIX A......Page 249 APPENDIX B......Page 250 ELDER ABUSE SCREENING TEST......Page 251 References......Page 252 CHAPTER 18 Geriatric Neuropsychological Assessment ......Page 254 BACKGROUND ON ASSESSMENT......Page 255 First Steps: The Core Assessment Battery......Page 256 The Roles of the Health Care Professional......Page 260 Behavioral Challenges for Caregivers......Page 261 Positive Rewards of Caregiving......Page 262 The Family Unit......Page 264 THE PRACTICE OF ASSESSMENT......Page 265 Cultural/Racial Issues in Assessment......Page 266 CASE STUDIES......Page 267 APPENDIX B: CAREGIVER ASSESSMENT OF FUNCTION AND UPSET (CAFU)......Page 271 APPENDIX C: POSITIVE ASPECTS OF CAREGIVING......Page 277 References......Page 278 RATIONALE FOR A CHAPTER ON FAMILY ASSESSMENT......Page 283 DIVERSITY IN LATE-LIFE FAMILIES......Page 285 OTHER RELEVANT DEMOGRAPHIC AND SOCIAL TRENDS......Page 286 What is the Purpose of the Assessment?......Page 287 What Should be Told to the Participants?......Page 288 How will Assessment Information from Multiple People be Combined andIntegrated?......Page 289 Summary of Screening Instruments......Page 290 Pain and Function......Page 291 Family Contact and Support......Page 292 Beliefs About Medicines Questionnaire......Page 293 Short Story, Depth Perception, and Color Intensity......Page 294 Family Assessment Measure......Page 295 Family Environment Scale......Page 300 Family APGAR......Page 301 Paternalism and Respect for Autonomy......Page 302 Preferences for Everyday Living Inventory......Page 303 Background Information......Page 304 Case Analysis and Summary......Page 305 INSTRUCTIONS:......Page 307 APPENDIX B:CHECKLIST OF FAMILY RELATIONAL ABILITIES......Page 310 REFERENCES......Page 311 CHAPTER 23 Household and Neighborhood Safety, Mobility ......Page 315 Medication Misuse......Page 316 Correlates of Prescription Drug Abuse in Older Adults......Page 317 Geriatric Nutritional Risk Index (GNRI)......Page 375 DEFINITIONS OF SUBSTANCE USE RISK IN OLDER ADULTHOOD......Page 318 Problem Use......Page 320 Alcohol......Page 321 Medications......Page 327 BROAD-BASED ASSESSMENT OF ALCOHOL PROBLEMSIN OLDER ADULTS......Page 328 Problems with DSM-IV Criteria for Older Adults......Page 329 Assessing Functional Health......Page 331 Assessing Psychiatric Comorbidity......Page 332 Functional Elements......Page 333 REFERENCES......Page 334 WOMEN, AGING, AND FACTORS AFFECTING SEXUAL FUNCTIONING......Page 340 Physiological Factors......Page 341 Decisional Versus Executional Capacity......Page 342 The AAA Roadwise Review......Page 683 RECENT ADVANCES IN PHARMACOTHERAPY FOR SEXUAL DISORDERS......Page 344 DIVERSITY AND MULTICULTURAL CONSIDERATIONS IN OLDER ADULTS......Page 345 INITIAL STAGES OF ASSESSMENT......Page 348 Assessment of Sexual Consent Capacity in Older Adults......Page 349 Legal and Ethical Standards......Page 350 Assessment Standards and Considerations......Page 351 ASSESSMENT TOOLS AND GUIDELINES......Page 352 A Semi-Structured Interview for Thorough Assessment of Sexual Dysfunction......Page 353 Sexual Beliefs and Information Questionnaire (SBIQ-R)......Page 356 Muscle Tone......Page 689 References......Page 360 PHYSIOLOGICAL CHANGES ASSOCIATED WITH AGING......Page 365 NUTRITION RECOMMENDATIONS FOR OLDER AMERICANS......Page 368 The Anthropometric Measures, Biochemical Data, Clinical Assessment, Dietary Data and Economic Assessment (the ABCDEs)......Page 370 The Mini Nutritional Assessment (MNAreg)......Page 372 The Impact of Medications on Sleep......Page 415 AGING AND CHRONIC DISEASE STATES......Page 377 Hypertension......Page 378 Pulmonary Diseases......Page 379 Cancer......Page 380 DIVERSITY ISSUES THAT IMPACT THE NUTRITION STATUS......Page 381 Living Arrangement......Page 384 REFERENCES......Page 385 INTRODUCTION......Page 389 Subtypes of Problem Behaviors......Page 390 Informant Rating Methods......Page 391 The Purpose of the Chapter......Page 620 Values and Preferences Scale (VPS)......Page 395 Mechanical Devices......Page 396 Comparing Methods of Assessment......Page 397 Woodcock-Johnson Tests of Cognitive Ability (WJ III COG; Woodcock, McGrew, & Mather, 2001b)......Page 401 Staff Communication......Page 402 Abilities Assessment......Page 403 Treatment Continuation Evaluation-Case Studies......Page 404 Means to Enhance Capacity......Page 405 SUMMARY......Page 406 References......Page 407 THE STRUCTURE OF SLEEP FOR OLDER ADULTS......Page 412 Illness and Sleep......Page 414 Psychological and Psychiatric Factors and Sleep......Page 416 SLEEP ASSESSMENT: MEASURES, METHODS, AND STRATEGY......Page 417 The Sleep Assessment Interview......Page 418 Sleep Diaries......Page 419 Test selection......Page 420 Capacity Assessment Handbooks......Page 588 Epworth Sleepiness Scale......Page 423 Wechsler Memory Scale-IV (WMS-IV; Wechsler, 2009)......Page 424 Sleep Hygiene Index......Page 428 References......Page 429 RATES OF TREATMENT ADHERENCE......Page 433 Cognitive Functioning......Page 434 Health Literacy and Numeracy......Page 435 Cultural Factors......Page 437 Evaluation of Functional Capabilities......Page 537 Personality/Psychopathology......Page 442 Serious Mental Illness......Page 444 Morisky Scales......Page 445 Illness Perception Questionnaire......Page 446 Wechsler Adult Intelligence Scale (WAIS-IV; Wechsler, 2008)......Page 474 Assessing Stages of Change in Relation to Adherence......Page 447 Ecological Momentary Assessment (EMA)......Page 448 Fuld Object Memory Evaluation (FOME; Fuld, 1981; Fuld, Maser, Blau, Crystal, & Aronson, 1990)......Page 480 Drug Regimen Unassisted Grading Scale......Page 449 Hopkins Medication Schedule......Page 450 Medication Management Instrument for Deficiencies in the Elderly......Page 451 Accelerometers......Page 452 Issues of Limits in Test Data and Test Time......Page 453 Availability of Health Care......Page 454 Shared Decision-Making in Treatment Planning......Page 455 References......Page 456 Dementia Evaluation......Page 464 Outcome Monitoring......Page 466 Medication Use......Page 467 Physical, Sensory, and Cognitive Limitations......Page 468 Clinical Considerations......Page 469 Capacity as Defined in Health Care Consent Law......Page 584 Normative Data for the Oldest Old......Page 471 CLINICAL CONSIDERATIONS IN ASSESSING THE OLDER ADULT......Page 472 Description......Page 473 Kaufman Adolescent and Adult Intelligence Test (KAIT; Kaufman & Kaufman, 1993, 1997)......Page 475 Memory Assessment Measures......Page 477 Rey Auditory Verbal Learning Test (AVLT; Rey, 1958)......Page 479 Measures of Executive Functioning......Page 481 Delis-Kaplan Executive Functioning System (D-KEFS; Delis, Kaplan, & Kramer, 2001)......Page 482 Assessment of Depression and Anxiety......Page 483 Computer-Based Testing......Page 484 Multicultural Neuropsychology......Page 487 Report Writing......Page 488 Serial Testing......Page 489 SUMMARY......Page 491 INTRODUCTION......Page 505 SCREENING FOR DEMENTIAdTHE LEGACY OF THE MMSE......Page 507 Mini-Cog......Page 509 Pain Severity......Page 510 Are IWDs Able to Provide Reliable and Valid Responses?......Page 563 Seven-Minute Screen......Page 511 Montreal Cognitive Assessment (MoCA)......Page 512 Clock Drawing Tests......Page 513 Consortium to Establish a Registry for Alzheimer's Disease (CERAD) Battery......Page 514 Repeatable Battery for the Assessment of Neuropsychological Status (RBANS)......Page 515 Mattis Dementia Rating Scale and Fuld Object Memory Evaluation......Page 517 Fuld Object Memory Evaluation......Page 518 Intra-individual variability on cognitive measures......Page 519 Technology and Screening......Page 520 REFERENCES......Page 525 PROBLEMS IN ASSESSING COGNITION IN LATE STAGE DEMENTIA......Page 533 Defining Late Stage Dementia......Page 534 Approaches to Cognitive Assessment in Late Stage Dementia......Page 535 Defining Stages of Dementia Severity......Page 536 Multicultural Issues in Functional Capacity......Page 538 Summary of Assessment Issues in Advanced Dementia......Page 540 MEETING THE CHALLENGE: INTERVENTION MODELS......Page 541 PHYSICAL ASSESSMENT......Page 687 The Healthcare Triangle......Page 542 Use of Montessori Activities for Persons with Dementia......Page 544 Montessori-Based Activities Used for Cognitive Assessment in Dementia......Page 545 Hand Washing......Page 546 Land/Water Sorting......Page 547 Fine Motor Skills and Color Matching......Page 548 How the MAS is Administered......Page 549 An Example of Using the MAS......Page 550 The MAS and Sensory Deficits......Page 551 SUMMARY AND CONCLUSIONS......Page 552 REFERENCES......Page 554 INTRODUCTION......Page 558 INCIDENCE OF DEMENTIA AND OTHER COGNITIVE IMPAIRING CONDITIONS......Page 559 EARLY DIAGNOSIS OF DEMENTIA: CHALLENGES AND OPPORTUNITIES......Page 560 UNDERSTANDING PREFERENCES AND DECISION MAKINGFOR EARLY-STAGE FAMILIES......Page 561 Practice Implications for IWDs, Families, and Providers......Page 564 INSTRUMENTS THAT ASSESS PERSONAL PREFERENCESAND DESIRES......Page 565 Preferences for Everyday Living Inventory (PELI)......Page 567 Decision-Making Involvement Scale (DMI)......Page 568 DO PREFERENCES FOR CARE VARY ACROSS DIFFERENT POPULATIONS?......Page 569 ENHANCING DECISION-MAKING AND UNDERSTANDING OF PERSONALPREFERENCES IN DEMENTIA......Page 570 Self-Awareness of Cognitive Losses and Skills......Page 571 REASSESSMENT OF CARE VALUES AND PREFERENCES AND A LOOK TO THEFUTURE......Page 572 ACKNOWLEDGMENTS......Page 573 American Geriatrics Society (AGS)......Page 574 APPENDIX B: PREFERENCES FOR CARE TASKS (PCT) WORKSHEET &MAGNET BOARD LAYOUT......Page 575 References......Page 576 Clinical Capacity......Page 580 Actions That Follow Clinical Findings of Incapacity......Page 581 Capacity as Defined in Guardianship Law......Page 582 Capacity to Appoint a Durable Power of Attorney......Page 585 Problems with Clinical Assessment of Capacity......Page 586 Legal Standard......Page 589 Values and Preferences......Page 590 Clinical Judgment......Page 591 A PROCESS FOR CAPACITY ASSESSMENT......Page 592 Issues in Informed Consent......Page 593 FUTURE DIRECTIONS......Page 602 Questions to add to a clinical interview for financial capacity evaluation......Page 604 APPENDIX B: INTERVENTIONS TO ADDRESS DIMINISHED CAPACITY......Page 605 APPENDIX C: CAPACITY ASSESSMENT TOOLS......Page 609 APPENDIX D: CAPACITY WORKSHEET FOR PSYCHOLOGISTS......Page 610 REFERENCES......Page 614 Pain Sensation......Page 618 Definitions......Page 621 The Berg Balance Scale (BBS)......Page 622 Description......Page 624 Description......Page 625 Description......Page 626 Description......Page 627 Individual FAB Items......Page 628 HOME SAFETY ASSESSMENTS......Page 629 Description......Page 630 Description......Page 631 Memory Assessments......Page 636 The Limitations of Existing Home Safety Measures......Page 637 NEIGHBORHOOD SAFETY AND MOBILITY ASSESSMENTS......Page 639 CRAIG Hospital Inventory of Environmental Factors (CHIEF and CHIEF-SF)......Page 640 Scoring Instructions for the NES......Page 641 REFERENCES......Page 642 NEUROCOGNITION AND NOCICEPTION......Page 647 THE PAIN EXPERIENCE......Page 648 Pain and Depression......Page 651 Driving Decisions Workbook......Page 682 Efficacy Expectancy Beliefs......Page 653 Self-Report Measures......Page 657 Observational measures......Page 658 Performance Measures......Page 660 CLINICAL PRACTICE GUIDELINES......Page 661 American Medical Directors Association (AMDA)......Page 662 CONCLUDING REMARKS......Page 663 APPENDIX A: PAIN SELF-EFFICACY QUESTIONNAIRE (PSEQ)*......Page 664 APPENDIX B: PAIN CATASTROPHIZING SCALE*......Page 665 APPENDIX C: PAIN DISABILITY INDEX*......Page 667 REFERENCES......Page 668 OLDER DRIVERS AS A GROUP......Page 677 Driving: A Rite (of Passage) or a Right?......Page 678 SELF-ASSESSMENTS THAT CAN HELP TO SCREEN DRIVER READINESS......Page 679 CLINICAL-BASED SCREENING TOOLS FOR DRIVING FITNESS......Page 684 THE DRIVER REHABILITATION CLINICAL EVALUATION......Page 685 Range of Motion and Strength......Page 688 Reaction Speed......Page 690 Balance......Page 691 THE ROLE OF VISION IN THE OPERATION OF A MOTOR VEHICLE......Page 692 Visual Skills......Page 693 Attention......Page 695 Memory......Page 696 Visuospatial Functioning and Visuomotor Functioning......Page 697 The Role of Executive Functioning in Driving......Page 698 Visual Perception Tests......Page 699 DRIVING KNOWLEDGE......Page 700 Coordination With the On-Road Evaluation......Page 701 APPENDIX A: ASSESSMENTS THAT COMPRISE THE DRIVERREHABILITATION CLINICAL ASSESSMENT......Page 702 AdministrationdPart A......Page 704 Administration-Part B......Page 705 APPENDIX C: GUIDELINES FOR MOTOR VEHICLE ADMINISTRATORS:LICENSE RENEWAL REQUIREMENTS......Page 706 APPENDIX D: STATE OF MICHIGAN’S DRIVER LICENSING REQUIREMENTSAND REPORTING LAWS......Page 713 APPENDIX E: LICENSING REQUIREMENTS......Page 714 REFERENCES......Page 715 Index......Page 719 New trends in mental healthcare practice and a rapid increase in the aged population are causing an explosion in the fields of clinical gerontology and geropsychology today. This comprehensive second edition handbook offers clinicians and graduate students clear guidelines and reliable tools for assessing general mental health, cognitive functioning, functional age, psychosocial health, comorbidity, behavior deficits, and more. Psychopathology, behavioral disorders, changes in cognition, and changes in everyday functioning are addressed in full, and a wide range of conditions and disorders common to this patient population are covered. Each chapter provides an empirical review of assessment instruments, assessment scales in their totality, a review of how these instruments are used with and adapted for different cultural groups, illustration of assessments through case studies, and information on how to utilize ongoing assessment in treatment and/or treatment planning. This combination of elements will make the volume the definitive assessment source for clinicians working with elderly patients.

*The most comprehensive source of up-to-date data on gerontological assessment, with review articles covering: psychopathology, behavioral disorders, changes in cognition, and changes in everyday functioning
*Consolidates broadly distributed literature into single source, saving researchers and clinicians time in obtaining and translating information and improving the level of further research and care they can provide
*Chapters directly address the range of conditions and disorders most common for this patient population - i.e. driving ability, mental competency, sleep, nutrition, sexual functioning, demntias, elder abuse, depression, anxiety disorders, etc
*Fully informs readers regarding conditions most commonly encountered in real world treatment of an elderly patient population
*Each chapter cites case studies to illustrate assessment techniques
*Exposes reader to real-world application of each assessment discussed New trends in mental healthcare practice and a rapid increase in the aged population are causing an explosion in the fields of clinical gerontology and geropsychology today. This comprehensive second edition handbook offers clinicians and graduate students clear guidelines and reliable tools for assessing general mental health, cognitive functioning, functional age, psychosocial health, comorbidity, behavior deficits, and more. Psychopathology, behavioral disorders, changes in cognition, and changes in everyday functioning are addressed in full, and a wide range of conditions and disorders common to this patient population are covered. Each chapter provides an empirical review of assessment instruments, assessment scales in their totality, a review of how these instruments are used with and adapted for different cultural groups, illustration of assessments through case studies, and information on how to utilize ongoing assessment in treatment and/or treatment planning. This combination of elements will make the volume the definitive assessment source for clinicians working with elderly patients. *The most comprehensive source of up-to-date data on gerontological assessment, with review articles covering : psychopathology, behavioral disorders, changes in cognition, and changes in everyday functioning *Consolidates broadly distributed literature into single source, saving researchers and clinicians time in obtaining and translating information and improving the level of further research and care they can provide *Chapters directly address the range of conditions and disorders most common for this patient population - i.e. driving ability, mental competency, sleep, nutrition, sexual functioning, demntias, elder abuse, depression, anxiety disorders, etc *Fully informs readers regarding conditions most commonly encountered in real world treatment of an elderly patient population *Each chapter cites case studies to illustrate assessment techniques *Exposes reader to real-world application of each assessment discussed