Foreword | p. xi |
Acknowledgments | p. xiii |
Introduction: The Links Between Physical and Mental Health | p. 1 |
Overview | p. 7 |
Physical Diseases and Functional Outcome in 1,000 Older Urban Medical Patients | p. 7 |
Clinical Implications | p. 13 |
Influence of Cognition on Health Outcomes | p. 15 |
The Relationship of Neuropsychological Variables to ADL Abilities | p. 16 |
Cognition and ADL Recovery in Urban Medical Rehabilitation Settings | p. 18 |
Studies to Predict ADLs | p. 19 |
Clinical Implications of Rehabilitation and ADL Studies | p. 24 |
The Relationship of Neuropsychological Variables to Instrumental Activities of Daily Living Skills (IADLS) | p. 25 |
Clinical Implications of IADL Research | p. 34 |
Summary | p. 35 |
The Role of Depression in Geriatric Health Outcomes | p. 37 |
Prevalence of Depression in Medically Ill Older Adults | p. 37 |
Measuring Depression in Urban Elderly: The Geriatric Depression Scale | p. 39 |
The Relationship of Depression to Physical Health Outcomes | p. 40 |
Psychosocial Treatment of Geriatric Depression | p. 43 |
Behavioral Theory of Depression | p. 44 |
The Depression in Older Urban Rehabilitation Patients Treatment Program: The DOUR Project | p. 45 |
Clinical Implications | p. 52 |
Perspectives on Cognition in Normal Elderly and in Those with Alzheimer's Disease | p. 53 |
Lessons for the Clinician from Studies on Normal Aging | p. 53 |
Cross-Sectional and Longitudinal Research Considerations | p. 53 |
Studies on Memory and Aging | p. 55 |
Clinical Implications from Normal Aging Studies | p. 56 |
Differentiating Normal Aging from Dementia | p. 57 |
Brief Cognitive Assessment Batteries | p. 60 |
The Normative Studies Research Project Test Battery | p. 69 |
NSRP Goals | p. 69 |
General Cognition: Mattis Dementia Rating Scale | p. 70 |
Memory: Logical Memory Subtest of the Wechsler Memory Scale--Revised (WMS-R) | p. 75 |
Fuld Object Memory Evaluation | p. 78 |
Language: Boston Naming Test | p. 81 |
Visuospatial Abilities: Visual Form Discrimination Test | p. 87 |
Hooper Visual Organization Test | p. 90 |
The NSRP Test Battery | p. 91 |
Factor Analysis of the NSRP Test Battery | p. 93 |
Utilizing the NSRP Test Battery | p. 99 |
Case Illustrations with the NSRP Test Battery | p. 99 |
Mrs. M | p. 99 |
Ms. MF | p. 102 |
Ms. P | p. 103 |
Mrs. V | p. 104 |
Mr. W | p. 107 |
Ms. P | p. 109 |
Ms. H | p. 110 |
Ms. A | p. 112 |
Ms. H | p. 114 |
Mr. H | p. 116 |
Summary | p. 117 |
Behavioral Treatment of Geriatric Depression in Health Care Settings | p. 119 |
Specific Methods of Detection and Treatment | p. 120 |
Organization of Each Session | p. 120 |
Case Examples | p. 130 |
Detection and Treatment of Alcohol Abuse | p. 133 |
Defining Alcoholism | p. 134 |
Detection of Alcohol Abuse in Health Care Settings | p. 138 |
Assessment of Alcoholism | p. 139 |
Use of Screening Measures to Detect Alcoholism | p. 141 |
Treatment of Alcohol Abuse | p. 148 |
Issues of Relapse | p. 150 |
An Interdisciplinary Approach to Confronting Alcohol Abuse in Older Adults | p. 151 |
Emerging Areas in Geriatric Health Care Practice | p. 155 |
Determining Patient Competence and Decision-Making Capacity | p. 155 |
Empirical Studies of Medical Decision Making | p. 158 |
Limitations in Competency Assessment Research | p. 161 |
Treatment of Pain and Anxiety | p. 164 |
Practice Management Issues for the Health Care Provider | p. 169 |
Mental Health Practitioners' Survival of Health Care Changes | p. 171 |
Better Utilization of Interdisciplinary Team Members | p. 171 |
Shaping Referrals in Health Care Settings | p. 174 |
Recognizing Opportunity in Health Systems | p. 178 |
Summary | p. 180 |
References | p. 181 |
Index | p. 199 |
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