DeprescribingJessica Visco, PharmD, CGP

SeniorPharmAssist

August 24, 2016

Deprescribing

Jessica Visco, PharmD,

CGP

SeniorPharmAssist

Webinar #1Webinar #13

Mental Health & AgingRobin Patterson, LCSW

Silver Linings

Disclosures No commercial support has influenced the planning of the

educational objectives and content of the activity. Any

commercial support will be used for events that are not CE

related.

There is no endorsement of any product by DUHS

associated with the session.

No influential financial relationships have been disclosed by

planners or presenters which would influence the planning of

the activity. If any arise, an announcement will be made at

the beginning of the session.

This program is supported by a Geriatric Workforce

Enhancement Program (GWEP) grant (U1QHP28708) from

the U.S. Bureau of Health Professions Health Resources

and Services Administration (HRSA).

Objectives

Acknowledge the prevalence of mental health in older

adults.

The significance of depression in older adults.

Learn about different screening modalities for mental

health.

Understand different treatment options for mental health,

and how treatment can enhance their life.

To learn about the prevalence of mental health in older

adults, including most common diagnosis.

“The World Health Organization defines health as ‘a state

of complete physical, mental, and social well-being and

not merely the absence of disease or infirmity.” Because

mental health is essential to overall health and well-being,

it must be recognized and treated in all Americans,

including older adults, with the same urgency as physical

health. For this reason, mental health is becoming an

increasingly important part of the public health mission. In

fact, the mental health of older Americans has been

identified as a priority by the Health People 2010

objectives, the 2005 White House Conference on Aging,

and the 1999 Surgeon General’s report on mental health.

Centers for Disease Control and Prevention and National Association of Chronic Disease Directors. The State of Mental Health and Aging in America

Prevalence of Mental Health in

Older Adults It is estimated that 20% of people age 55 years or older

experience some type of mental health concern.

The most common conditions include anxiety, severe

cognitive impairment, and mood disorders.

Older adults go through a high rate of change in their

life, which can effect their mental health and their ability

to cope.

Older men have the highest suicide rate of any age

group.

Centers for Disease Control and Prevention and National Association of Chronic Disease Directors. The State of Mental Health and Aging in America

Significance of Depression Depression is the most prevalent mental health

problem among older adults.

It can lead to impairments in physical, mental, and

social functioning.

The presences of depressive disorders often adversely

affects the course and complicates the treatment of

other chronic diseases.

Older adults with depression visit the doctor and

emergency room more often, use more medication,

incur higher outpatient charges, and stay longer in the

hospital.Centers for Disease Control and Prevention and National Association of Chronic Disease Directors. The State of Mental Health and Aging in America

Depression Continued The rate of older adults with depressive symptoms

tends to increase with age, depression is not a normal

part of growing older.

80% of cases of depression are treatable

Unfortunately, depressive disorders are a widely under-

recognized condition and often are untreated or under

treated among older adults.

Centers for Disease Control and Prevention and National Association of Chronic Disease Directors. The State of Mental Health and Aging in America

Common Things We See Depression

Anxiety

Isolation/Loneliness

Grief & Loss

Stress Related to Change

Struggles with Family Relationships

Screening Geriatric Depression Scale (GDS) (short form and long

form)

Mini-Mental State Examination (MMS)

Trauma History Screening

Axis 1 and Axis 2 Diagnostic Questionnaire

Geriatric Depression Scale

Mini-Mental State

Examination

Trauma History Screen

Axis 1 Diagnostic

Questionnaire

Psychotherapy Treatment

Models Cognitive Behavior Therapy

Dialectical Behavior Therapy

Systems

Mindfulness

Person Centered

Psychoanalytic

Motivational Interviewing

Psychoeducational

Social Skills

Relaxation Work

Memory Enhancement

Additional Treatment Models Alternative Treatments:

Music Therapy

Art Therapy

Pet Therapy

Medication Management

Social and Emotional Support

Healthy Aging

Silver Linings for Seniors Specialize in Geriatrics

Offering individual and family therapy, as well as

psychiatric services

Offers services in homes, communities, and our Cary

office throughout the Triangle, Triad, and Sandhills

Client-focused treatment plans

Accepts Medicare, private insurances, and self-pay

Continuing Education Credits 1 hour of CE credit is being offered for this webinar.

For the live webinar, to obtain the credit you must:

Add your name to the chat box (to verify attendance)

Complete the survey. The survey will open automatically at the end of the webinar and the link will be sent in a follow-up email.

If you did not register for this webinar and would like CE credit, contact gero@duke.edu