Pub Date : 2023-07-01DOI: 10.53841/bpsfpop.2023.1.163.68
A. Crabtree
As clinical psychologists working with older adults, we are all likely familiar with the above question, both in memory services and those who do not have a diagnosed cognitive problem. In the context of an ageing population, much research has been focused on the development of cognitive training as an intervention to promote healthy ageing. Defining what it means to age healthily, however, can be problematic, particularly given the heterogeneity evidenced in studies of normative cognitive functioning in older people. Furthermore, although different cognitive training methods appear to have face value, the evidence base for the effectiveness of cognitive training is mixed, and has, to date, provided conflicting results. This article discusses the findings of major research studies in this area, and possible future directions of research are considered.
{"title":"‘Is there anything I can do to train my memory?’ The rationale and evidence behind cognitive training as an intervention to promote healthy ageing","authors":"A. Crabtree","doi":"10.53841/bpsfpop.2023.1.163.68","DOIUrl":"https://doi.org/10.53841/bpsfpop.2023.1.163.68","url":null,"abstract":"As clinical psychologists working with older adults, we are all likely familiar with the above question, both in memory services and those who do not have a diagnosed cognitive problem. In the context of an ageing population, much research has been focused on the development of cognitive training as an intervention to promote healthy ageing. Defining what it means to age healthily, however, can be problematic, particularly given the heterogeneity evidenced in studies of normative cognitive functioning in older people. Furthermore, although different cognitive training methods appear to have face value, the evidence base for the effectiveness of cognitive training is mixed, and has, to date, provided conflicting results. This article discusses the findings of major research studies in this area, and possible future directions of research are considered.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129509026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.53841/bpsfpop.2023.1.163.7
Rowan M. Tinlin
{"title":"LGBTQ+ history: A reflection on Pride and generational context","authors":"Rowan M. Tinlin","doi":"10.53841/bpsfpop.2023.1.163.7","DOIUrl":"https://doi.org/10.53841/bpsfpop.2023.1.163.7","url":null,"abstract":"","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116919189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.53841/bpsfpop.2023.1.163.11
Emma Kinnaird, A. Crabtree, K. Evans
Autistic adults are at higher risk of experiencing mental health problems and commonly describe poor service experiences relating to a lack of understanding of autism by clinicians. Therefore, there is an increasing impetus in the National Health Service (NHS) for staff to receive autism training. However, there is a lack of understanding around training needs for older adult mental health teams. This service evaluation project used audit and survey methodologies to explore the autism training needs of an older adult mental health team. Whilst the audit identified that the team did see patients suspected to be on the autism spectrum, most patients did not have an official diagnosis. Most clinicians reported never having received any training in autism, and highlighted autism in older adults, and autism and mental health, as specific training priorities. A training programme based on these responses was developed, implemented, and evaluated using surveys. The training was rated as useful by attendees and resulted in non-statistically significant increases in self-rated knowledge. The findings of this study suggest that clinicians working in older adult mental health may particularly benefit from training specialised to their older adult context. Further research is required to better understand the area of older adulthood and autism, and to evaluate how to effectively enhance the capability of staff working in this area.
{"title":"Service evaluation project: Evaluating and addressing staff training needs in relation to autism in an older adult mental health service","authors":"Emma Kinnaird, A. Crabtree, K. Evans","doi":"10.53841/bpsfpop.2023.1.163.11","DOIUrl":"https://doi.org/10.53841/bpsfpop.2023.1.163.11","url":null,"abstract":"Autistic adults are at higher risk of experiencing mental health problems and commonly describe poor service experiences relating to a lack of understanding of autism by clinicians. Therefore, there is an increasing impetus in the National Health Service (NHS) for staff to receive autism training. However, there is a lack of understanding around training needs for older adult mental health teams. This service evaluation project used audit and survey methodologies to explore the autism training needs of an older adult mental health team. Whilst the audit identified that the team did see patients suspected to be on the autism spectrum, most patients did not have an official diagnosis. Most clinicians reported never having received any training in autism, and highlighted autism in older adults, and autism and mental health, as specific training priorities. A training programme based on these responses was developed, implemented, and evaluated using surveys. The training was rated as useful by attendees and resulted in non-statistically significant increases in self-rated knowledge. The findings of this study suggest that clinicians working in older adult mental health may particularly benefit from training specialised to their older adult context. Further research is required to better understand the area of older adulthood and autism, and to evaluate how to effectively enhance the capability of staff working in this area.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"147 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115184427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.53841/bpsfpop.2023.1.163.26
Grace Mackenzie, J. Marshall, R. Caiazza
Cognitive Stimulation Therapy (CST) is an evidence-based therapy recommended for individuals who have been diagnosed with mild to moderate dementia, however its effectiveness for people with Mild Cognitive Impairment (MCI) has not been explored. This research update briefly outlines Cognitive Training and Cognitive Stimulation as cognitive intervention options for MCI, before positing that the offer of CST should be extended to those diagnosed with an MCI. This is discussed in relation to the limitations which exist around MCI diagnosis as a whole, as well population ageing and conversion rates between MCI and clinical dementia. We conclude by outlining the CST provision which we intend to provide within our Memory Clinic for those recently diagnosed with an MCI.
{"title":"Research update: The use of cognitive stimulation therapy to reduce decline of cognitive function in patients with mild cognitive impairment","authors":"Grace Mackenzie, J. Marshall, R. Caiazza","doi":"10.53841/bpsfpop.2023.1.163.26","DOIUrl":"https://doi.org/10.53841/bpsfpop.2023.1.163.26","url":null,"abstract":"Cognitive Stimulation Therapy (CST) is an evidence-based therapy recommended for individuals who have been diagnosed with mild to moderate dementia, however its effectiveness for people with Mild Cognitive Impairment (MCI) has not been explored. This research update briefly outlines Cognitive Training and Cognitive Stimulation as cognitive intervention options for MCI, before positing that the offer of CST should be extended to those diagnosed with an MCI. This is discussed in relation to the limitations which exist around MCI diagnosis as a whole, as well population ageing and conversion rates between MCI and clinical dementia. We conclude by outlining the CST provision which we intend to provide within our Memory Clinic for those recently diagnosed with an MCI.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131590623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.53841/bpsfpop.2023.1.163.43
Natalie Florence May Peake
The therapeutic use of art has been acknowledged as an effective nonpharmacological intervention for those living with a dementia diagnosis, with a vast array of mental health benefits. However, despite these benefits, nonpharmacological interventions are widely underused in favour of pharmacological treatments for the management of mental health and cognitive difficulties following a diagnosis of dementia in older people’s services. Case studies detailing three artistic interventions that were carried out as part of each service user’s treatment from an older people’s service in North Cumbria are discussed to demonstrate the therapeutic use of art following a dementia diagnosis, and to share the clinical observations and improvements on Geriatric Depression Scale (GDS) scores achieved within each intervention. These interventions suggest support for existing literature and aim to encourage other healthcare professionals to use person-centred, nonpharmacological interventions in the management of cognitive and mental health difficulties in later life following a dementia diagnosis.
{"title":"The therapeutic use of art as a form of nonpharmacological treatment for those living with a dementia diagnosis","authors":"Natalie Florence May Peake","doi":"10.53841/bpsfpop.2023.1.163.43","DOIUrl":"https://doi.org/10.53841/bpsfpop.2023.1.163.43","url":null,"abstract":"The therapeutic use of art has been acknowledged as an effective nonpharmacological intervention for those living with a dementia diagnosis, with a vast array of mental health benefits. However, despite these benefits, nonpharmacological interventions are widely underused in favour of pharmacological treatments for the management of mental health and cognitive difficulties following a diagnosis of dementia in older people’s services. Case studies detailing three artistic interventions that were carried out as part of each service user’s treatment from an older people’s service in North Cumbria are discussed to demonstrate the therapeutic use of art following a dementia diagnosis, and to share the clinical observations and improvements on Geriatric Depression Scale (GDS) scores achieved within each intervention. These interventions suggest support for existing literature and aim to encourage other healthcare professionals to use person-centred, nonpharmacological interventions in the management of cognitive and mental health difficulties in later life following a dementia diagnosis.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127331244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.53841/bpsfpop.2023.1.162.32
M. Safrova, Ewan James, I. James
The Communication and Interaction Training (CAIT) programme is a six module package designed to enhance caregiver communication skills. It builds on, and extends, caregivers‘existing skills in managing behaviours that challenge (BtC) in dementia care. An on-line version of the training was produced between 2020-2022, during the Covid-19 pandemic, to enhance the delivery of CAIT, and to further support caregivers’ good practice. To aid the development of on-line CAIT a number of pilot sessions were organised to obtain feedback on the package. This article provides data from the first of these pilots.Feedback was obtained from 16 clinical psychologists who attended a 5.5 hour workshop on CAIT. Satisfaction ratings for the modules varied between 87–96 per cent. Qualitative feedback was analysed using thematic analysis, and four key themes emerged: (i) Applicability in practice, (ii) Delivery and visual learning, (iii) Consolidation of content, (iv) Implementation of package. The overall analyses showed CAIT to be a well delivered and highly applicable training programme for staff working in dementia care. Specfic recommendations were made to improve CAIT, particularly in relation to its on-line delivery.
{"title":"Feedback from clinical psychologists on the online version of the Communication and Interaction Training (CAIT) package","authors":"M. Safrova, Ewan James, I. James","doi":"10.53841/bpsfpop.2023.1.162.32","DOIUrl":"https://doi.org/10.53841/bpsfpop.2023.1.162.32","url":null,"abstract":"The Communication and Interaction Training (CAIT) programme is a six module package designed to enhance caregiver communication skills. It builds on, and extends, caregivers‘existing skills in managing behaviours that challenge (BtC) in dementia care. An on-line version of the training was produced between 2020-2022, during the Covid-19 pandemic, to enhance the delivery of CAIT, and to further support caregivers’ good practice. To aid the development of on-line CAIT a number of pilot sessions were organised to obtain feedback on the package. This article provides data from the first of these pilots.Feedback was obtained from 16 clinical psychologists who attended a 5.5 hour workshop on CAIT. Satisfaction ratings for the modules varied between 87–96 per cent. Qualitative feedback was analysed using thematic analysis, and four key themes emerged: (i) Applicability in practice, (ii) Delivery and visual learning, (iii) Consolidation of content, (iv) Implementation of package. The overall analyses showed CAIT to be a well delivered and highly applicable training programme for staff working in dementia care. Specfic recommendations were made to improve CAIT, particularly in relation to its on-line delivery.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126320853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.53841/bpsfpop.2023.1.162.9
This poem was written by a service user as an ending letter, reflecting on the 16 sessions of Cognitive Analytic Therapy they completed with a clinical psychologist. The service user consented to sharing their poetry anonymously, to be able to provide hope for others with similar struggles and experiences. It is a pleasure to share these words with the FPOP readership.
{"title":"My recovery journey","authors":"","doi":"10.53841/bpsfpop.2023.1.162.9","DOIUrl":"https://doi.org/10.53841/bpsfpop.2023.1.162.9","url":null,"abstract":"This poem was written by a service user as an ending letter, reflecting on the 16 sessions of Cognitive Analytic Therapy they completed with a clinical psychologist. The service user consented to sharing their poetry anonymously, to be able to provide hope for others with similar struggles and experiences. It is a pleasure to share these words with the FPOP readership.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116640992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.53841/bpsfpop.2023.1.162.10
Luke Jordan
Older people are less likely to receive psychological treatment than younger adults despite having a high level of need and complexity. This article outlines the design, implementation, and evaluation of a 9-session psychoeducational group for adults with complex emotional needs (CEN), aged 65 and over. The group collated material from Dialectical Behaviour Therapy (DBT), Mentalisation Based Treatment (MBT), Schema Focused Therapy (SFT), Structured Clinical Management (SCM), and Radically Open DBT (RO-DBT). The aim of the group was to collaborate with participants so that they could help us understand the needs and wishes of older people with CEN. We recruited 6 individuals with CEN from the Later Life Community Mental Health Teams in Manchester. We found that all treatment modalities were well received, that participants had an interest in treatments focusing on understanding self and others, and that clients had behavioural deficits relating to emotional overcontrol. We learnt that CEN in later life manifest differently, and as such may require a varied and adaptive response from psychological services to meet the diverse needs that present in this client group.
{"title":"An evaluation of a pilot psychoeducational group for older adults with complex emotional needs","authors":"Luke Jordan","doi":"10.53841/bpsfpop.2023.1.162.10","DOIUrl":"https://doi.org/10.53841/bpsfpop.2023.1.162.10","url":null,"abstract":"Older people are less likely to receive psychological treatment than younger adults despite having a high level of need and complexity. This article outlines the design, implementation, and evaluation of a 9-session psychoeducational group for adults with complex emotional needs (CEN), aged 65 and over. The group collated material from Dialectical Behaviour Therapy (DBT), Mentalisation Based Treatment (MBT), Schema Focused Therapy (SFT), Structured Clinical Management (SCM), and Radically Open DBT (RO-DBT). The aim of the group was to collaborate with participants so that they could help us understand the needs and wishes of older people with CEN. We recruited 6 individuals with CEN from the Later Life Community Mental Health Teams in Manchester. We found that all treatment modalities were well received, that participants had an interest in treatments focusing on understanding self and others, and that clients had behavioural deficits relating to emotional overcontrol. We learnt that CEN in later life manifest differently, and as such may require a varied and adaptive response from psychological services to meet the diverse needs that present in this client group.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128312715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.53841/bpsfpop.2023.1.162.24
Rachel Porter, Kerrianne Devlin
The aging population is increasing rapidly however research continues to show a decline in the number of older adults accessing and seeking psychological treatment since the Covid-19 pandemic. This study aims to identify perceived barriers to access and engagement within an IAPT service and explores possible ways these might be overcome. 24 IAPT clinicians completed an online survey exploring their experiences of working psychologically with older adults. Content analysis revealed three key themes and subthemes related to barriers: (1) Technology (Confidence, Ability, Reluctance, Access), (2) Health (Commitment, Assistance, Mobility, Impairments), (3) Client engagement (Expectation, Understanding, Stigma, Motivation) and three themes with subthemes for overcoming these barriers: (1) Therapist flexibility (Slower pace, Adaptations, Signposting) (2) Client autonomy (Socialisation, Client values, expectations); (3) Therapeutic alliance (Honesty, Listening to needs, Collaboration). It is hoped these findings help to raise awareness and recognition of potential challenges associated with older adult access and engagement as experienced by IAPT clinicians and begins to highlight possible ways these might be overcome.
{"title":"Exploring current perceptions and experiences of working with older adults within an IAPT service: Barriers and ways to overcome","authors":"Rachel Porter, Kerrianne Devlin","doi":"10.53841/bpsfpop.2023.1.162.24","DOIUrl":"https://doi.org/10.53841/bpsfpop.2023.1.162.24","url":null,"abstract":"The aging population is increasing rapidly however research continues to show a decline in the number of older adults accessing and seeking psychological treatment since the Covid-19 pandemic. This study aims to identify perceived barriers to access and engagement within an IAPT service and explores possible ways these might be overcome. 24 IAPT clinicians completed an online survey exploring their experiences of working psychologically with older adults. Content analysis revealed three key themes and subthemes related to barriers: (1) Technology (Confidence, Ability, Reluctance, Access), (2) Health (Commitment, Assistance, Mobility, Impairments), (3) Client engagement (Expectation, Understanding, Stigma, Motivation) and three themes with subthemes for overcoming these barriers: (1) Therapist flexibility (Slower pace, Adaptations, Signposting) (2) Client autonomy (Socialisation, Client values, expectations); (3) Therapeutic alliance (Honesty, Listening to needs, Collaboration). It is hoped these findings help to raise awareness and recognition of potential challenges associated with older adult access and engagement as experienced by IAPT clinicians and begins to highlight possible ways these might be overcome.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129027824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.53841/bpsfpop.2023.1.162.67
Cerise Sandhu, Elizabeth R. Drew
Emotional skills groups can be an important component of delivering secondary mental health care. An emotional skills group has been run in adult mental health services in Somerset FT, however it was felt this was not well adapted for an older adult population. Therefore, a specific emotional skills group was implemented within the older adult’s mental health service. A service evaluation was conducted after participants attended the course. Pre and post outcome measures were collected along with in-depth interviews which were thematically analysed. The results of this service evaluation will inform the running of future emotional skills groups and support equity of access to emotion skills groups for older adults.
{"title":"A service evaluation of an ‘Emotional skills group’ for older adults within a day hospital service","authors":"Cerise Sandhu, Elizabeth R. Drew","doi":"10.53841/bpsfpop.2023.1.162.67","DOIUrl":"https://doi.org/10.53841/bpsfpop.2023.1.162.67","url":null,"abstract":"Emotional skills groups can be an important component of delivering secondary mental health care. An emotional skills group has been run in adult mental health services in Somerset FT, however it was felt this was not well adapted for an older adult population. Therefore, a specific emotional skills group was implemented within the older adult’s mental health service. A service evaluation was conducted after participants attended the course. Pre and post outcome measures were collected along with in-depth interviews which were thematically analysed. The results of this service evaluation will inform the running of future emotional skills groups and support equity of access to emotion skills groups for older adults.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124931274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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