Pub Date : 2023-02-01DOI: 10.53841/bpsfpop.2023.1.161.42
L. Piggin, C. Patterson
As increasing attention is focused on the experiences of people living with mild cognitive impairment (MCI), this paper reviews where we stand regarding evidence-based interventions. From simpler offers of information, psychoeducation, and ‘living well’ programmes, to more structured approaches that include cognitive stimulation, rehabilitation, and training, mindfulness, and mind-body exercise. Amongst studies of varying quality, there are notable trends emerging: evidence supports cognitive stimulation and combined mind-body programmes to improve neurocognitive function, yet there is still no clear picture regarding the efficacy of rehabilitation, cognitive training, or mindfulness-based approaches. Increasingly, it is multi-component interventions that are currently associated with more positive outcomes for cognitive health and wellbeing. However, it remains challenging to know what will work for whom when implementing these interventions in clinical practice.
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Pub Date : 2023-02-01DOI: 10.53841/bpsfpop.2023.1.161.30
Sheamus Galvin, Elizabeth Stephens, Andrea Hewitt, Jennifer Needham
Routine clinical investigations in the memory clinic may identify a degree of cognitive impairment that does not reach threshold criteria for a dementia diagnosis. A mild cognitive impairment may be the beginnings of a progressive decline for some people. How should services respond to those people, for whom a MCI is the beginning of a progressive decline and ensure a timely diagnosis is ultimately provided? This article describes our attempt at a solution.
{"title":"The North East Essex MCI practitioner role and service pathway: A description","authors":"Sheamus Galvin, Elizabeth Stephens, Andrea Hewitt, Jennifer Needham","doi":"10.53841/bpsfpop.2023.1.161.30","DOIUrl":"https://doi.org/10.53841/bpsfpop.2023.1.161.30","url":null,"abstract":"Routine clinical investigations in the memory clinic may identify a degree of cognitive impairment that does not reach threshold criteria for a dementia diagnosis. A mild cognitive impairment may be the beginnings of a progressive decline for some people. How should services respond to those people, for whom a MCI is the beginning of a progressive decline and ensure a timely diagnosis is ultimately provided? This article describes our attempt at a solution.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128965139","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 : 2023-02-01DOI: 10.53841/bpsfpop.2023.1.161.51
Angela Smith
This article gives the reader an insight into the quandaries and task list ahead with the ongoing work of the FPOP MCI workstream.
本文让读者深入了解FPOP MCI工作流正在进行的工作所面临的困境和任务列表。
{"title":"A summation of the collective workstream membership thinking at this point","authors":"Angela Smith","doi":"10.53841/bpsfpop.2023.1.161.51","DOIUrl":"https://doi.org/10.53841/bpsfpop.2023.1.161.51","url":null,"abstract":"This article gives the reader an insight into the quandaries and task list ahead with the ongoing work of the FPOP MCI workstream.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133920825","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 : 2022-10-01DOI: 10.53841/bpsfpop.2022.1.160.12
I. James, E. Moniz-Cook
This article previews some of the content of the new DCP/BPS guidelines on the management of Behaviours that Challenge (BtC). A number of the main themes in the guidance are outlined, such as: the nature of BtC; unmet needs; the evidence-base across settings; training; caregiver communication; the role of formulation; and management strategies.Since the publication of the previous DCP/BPS guidance. (Brechin et al., 2013) large randomised controlled trials (RCTs) have been conducted. There is also greater acknowledgement of the relevance of ‘good’ carer communication skills and acceptance of the potential benefits of the positive behavioural support approaches. Further, there is a call for psychologists to assist with the management of high levels of stress and distress in people living with dementia, and assisting caregivers to feel more confident and competent in dealing with such presentations. It is noteworthy that the management of high of levels arousal is frequently the reason for calling on the assistance of psychologists. Hence, it is essential that we have the skills in this area to provide appropriate support and guidance; otherwise psychotropics will be deployed unnecessarily.The paper discusses these new perspectives and concludes with an important with a request to heighten our focus on the implementation of existing knowledge and good practice. Indeed, psychologists have recognised the features of good practice for many years, yet have often struggled to embed the concepts in their clinical settings.
本文概述了DCP/BPS关于挑战行为(BtC)管理的新指南的一些内容。指南中概述了一些主题,例如:比特币的性质;未满足的需求;跨环境的证据基础;培训;护理沟通;制定的作用;以及管理策略。自之前的DCP/BPS指南发布以来。(Brechin et al., 2013)进行了大型随机对照试验(rct)。人们也更加认识到“良好”的护理沟通技巧的相关性,并接受积极行为支持方法的潜在好处。此外,还呼吁心理学家协助管理痴呆症患者的高水平压力和痛苦,并帮助护理人员在处理此类演讲时感到更自信和更有能力。值得注意的是,对高水平觉醒的管理经常是要求心理学家帮助的原因。因此,我们必须具备这方面的技能,提供适当的支持和指导;否则就会不必要地使用精神药物。本文讨论了这些新的观点,并在结论中提出了一个重要的要求,即加强我们对现有知识和良好实践的实施的关注。事实上,心理学家多年前就已经认识到良好实践的特征,但他们常常难以将这些概念融入到临床环境中。
{"title":"Preview of key themes in the new DCP/BPS guidelines for the management of behaviours that challenge","authors":"I. James, E. Moniz-Cook","doi":"10.53841/bpsfpop.2022.1.160.12","DOIUrl":"https://doi.org/10.53841/bpsfpop.2022.1.160.12","url":null,"abstract":"This article previews some of the content of the new DCP/BPS guidelines on the management of Behaviours that Challenge (BtC). A number of the main themes in the guidance are outlined, such as: the nature of BtC; unmet needs; the evidence-base across settings; training; caregiver communication; the role of formulation; and management strategies.Since the publication of the previous DCP/BPS guidance. (Brechin et al., 2013) large randomised controlled trials (RCTs) have been conducted. There is also greater acknowledgement of the relevance of ‘good’ carer communication skills and acceptance of the potential benefits of the positive behavioural support approaches. Further, there is a call for psychologists to assist with the management of high levels of stress and distress in people living with dementia, and assisting caregivers to feel more confident and competent in dealing with such presentations. It is noteworthy that the management of high of levels arousal is frequently the reason for calling on the assistance of psychologists. Hence, it is essential that we have the skills in this area to provide appropriate support and guidance; otherwise psychotropics will be deployed unnecessarily.The paper discusses these new perspectives and concludes with an important with a request to heighten our focus on the implementation of existing knowledge and good practice. Indeed, psychologists have recognised the features of good practice for many years, yet have often struggled to embed the concepts in their clinical settings.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129775070","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 : 2022-10-01DOI: 10.53841/bpsfpop.2022.1.160.55
Catherine Wood
The topic of death and dying is rarely discussed within normal society, but discussions with people living with dementia almost never happen. This leaves family members and carers having to make decisions on behalf of those they care for without understanding the wishes of the person with dementia. If these discussions could happen early enough then the level of burden would decrease and the person dying with dementia would be more likely to have a dignified death.Death cafes are a unique way of holding conversations about death and dying. This style of approach encourages informal group discussions rather than individual discussions between a patient and a heath professional. My study considers whether this approach will improve the ability to have these conversations with people living with dementia.
{"title":"The big discussion – dementia, death and dying","authors":"Catherine Wood","doi":"10.53841/bpsfpop.2022.1.160.55","DOIUrl":"https://doi.org/10.53841/bpsfpop.2022.1.160.55","url":null,"abstract":"The topic of death and dying is rarely discussed within normal society, but discussions with people living with dementia almost never happen. This leaves family members and carers having to make decisions on behalf of those they care for without understanding the wishes of the person with dementia. If these discussions could happen early enough then the level of burden would decrease and the person dying with dementia would be more likely to have a dignified death.Death cafes are a unique way of holding conversations about death and dying. This style of approach encourages informal group discussions rather than individual discussions between a patient and a heath professional. My study considers whether this approach will improve the ability to have these conversations with people living with dementia.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"13 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130052988","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 : 2022-10-01DOI: 10.53841/bpsfpop.2022.1.160.58
Joanna L. Mitchell, Christen M. Allen
People with a traveller community background have poorer health outcomes compared with the general population, face barriers gaining access to mental health services, and can hold beliefs that hinder getting help. This paper presents a case which leads to suggestions for adapting cognitive behaviour therapy (CBT) and recommendations for working psychologically with older people from the traveller community.
{"title":"Working psychologically with an older person from a traveller community background","authors":"Joanna L. Mitchell, Christen M. Allen","doi":"10.53841/bpsfpop.2022.1.160.58","DOIUrl":"https://doi.org/10.53841/bpsfpop.2022.1.160.58","url":null,"abstract":"People with a traveller community background have poorer health outcomes compared with the general population, face barriers gaining access to mental health services, and can hold beliefs that hinder getting help. This paper presents a case which leads to suggestions for adapting cognitive behaviour therapy (CBT) and recommendations for working psychologically with older people from the traveller community.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126343233","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 : 2022-10-01DOI: 10.53841/bpsfpop.2022.1.160.47
Ruth Lewis Morton, Molly Tong, S. Montgomery, Siana Fflur
This service evaluation aims to understand the psychological and emotional impact of Parkinson’s and the ways in which these experiences may generate potential barriers to accessing psychological support. Semi-structured interviews were conducted with people with Parkinson’s (pwP). The predominant psychological and emotional impact of Parkinson’s reported from this exploration included the following; anxiety and panic, low mood, loss of confidence and cognitive change. There were three dominant themes identified: (i) Making comparisons; (ii) Minimising and dismissing one’s own psychological needs; and (iii) A concern of burdening others. Further research is required to support our understanding of how to improve access to services for pwP.
{"title":"An exploration of the psychological and emotional experiences of people with Parkinson’s and the potential barriers to accessing support","authors":"Ruth Lewis Morton, Molly Tong, S. Montgomery, Siana Fflur","doi":"10.53841/bpsfpop.2022.1.160.47","DOIUrl":"https://doi.org/10.53841/bpsfpop.2022.1.160.47","url":null,"abstract":"This service evaluation aims to understand the psychological and emotional impact of Parkinson’s and the ways in which these experiences may generate potential barriers to accessing psychological support. Semi-structured interviews were conducted with people with Parkinson’s (pwP). The predominant psychological and emotional impact of Parkinson’s reported from this exploration included the following; anxiety and panic, low mood, loss of confidence and cognitive change. There were three dominant themes identified: (i) Making comparisons; (ii) Minimising and dismissing one’s own psychological needs; and (iii) A concern of burdening others. Further research is required to support our understanding of how to improve access to services for pwP.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126670743","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 : 2022-10-01DOI: 10.53841/bpsfpop.2022.1.160.26
G. Beldon, Felicity Caryer, Uzma Meraj
As group of psychologists across the UK who have found one another through our shared journey and struggles in training and using Mentalisation-Based Treatment (MBT) with Older Adults we hoped to share some of our thoughts, reflections and challenges at the Faculty of Psychology of Older People conference 2022 and within this summary. We hope that it may be of some help for clinicians interested in MBT and for those who may be considering integrating MBT into their treatment pathways. And if you are interested in any way – we also love you to join our special interest group! You can email us on the addresses provided at the end of article. Keywords: MBT; older people; complex emotional; relational needs.
{"title":"MBT and older adults: A learning journey and some reflections","authors":"G. Beldon, Felicity Caryer, Uzma Meraj","doi":"10.53841/bpsfpop.2022.1.160.26","DOIUrl":"https://doi.org/10.53841/bpsfpop.2022.1.160.26","url":null,"abstract":"As group of psychologists across the UK who have found one another through our shared journey and struggles in training and using Mentalisation-Based Treatment (MBT) with Older Adults we hoped to share some of our thoughts, reflections and challenges at the Faculty of Psychology of Older People conference 2022 and within this summary. We hope that it may be of some help for clinicians interested in MBT and for those who may be considering integrating MBT into their treatment pathways. And if you are interested in any way – we also love you to join our special interest group! You can email us on the addresses provided at the end of article. Keywords: MBT; older people; complex emotional; relational needs.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126875333","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 : 2022-10-01DOI: 10.53841/bpsfpop.2022.1.160.65
R. Dunning
Upon winning the Una Holden Award for Contributions to the field of older people’s psychology in early career, Bec was invited to reflect on her career so far.
在获得尤娜·霍尔顿早期职业生涯中对老年人心理学领域的贡献奖后,贝克被邀请反思她迄今为止的职业生涯。
{"title":"Reflections from the Una Holden Award winner for 2022","authors":"R. Dunning","doi":"10.53841/bpsfpop.2022.1.160.65","DOIUrl":"https://doi.org/10.53841/bpsfpop.2022.1.160.65","url":null,"abstract":"Upon winning the Una Holden Award for Contributions to the field of older people’s psychology in early career, Bec was invited to reflect on her career so far.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126520333","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}