Community Integration for Older Adults with Mental Illnesses (4 Credit Hours)

Program Summary: This paper explores the characteristics and needs of older adults with serious mental illnesses along with challenges and solutions for community-based services.

This course is recommended for social workers, counselors, and therapists and is appropriate for beginning and intermediate levels of practice.

Publisher: US Department of Health and Human Services

Substance Abuse and Mental Health Services Administration

Center for Mental Health Services

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Program Objectives: To enhance professional practice, values, skills and knowledge by identifying key issues related to the provision of community services and support for older adults with mental illnesses.

Learning Objectives: Identify characteristics of older adults with mental illness.  Identify barriers to community-based services and supports.  Identify prevention efforts and successful practices.

Review our pre-reading study guide.

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1: For questions 1-5, please refer to Section I:  A Vulnerable Population.  Older adults with serious mental illnesses are _____________ more likely to be admitted to a nursing home than older individuals without serious mental illnesses (Bartels et al., 2000).
2: Suicide rates
3: Among older people, those at greater risk for poverty include all of the following except:
4: According to one source of data, what percentage of caregivers are clinically depressed (US Department of Health and Human Services, 1999).
5: In 1963 Congress passed the _____________, in large part to address community mental health needs after deinstitutionalization.
6: For questions 6-14, please refer to Section II:  Barriers to Community Integration.  Current reimbursement and financial policies tend to favor all of the following except:
7: Which funding source is the largest payer of institutional care for older adults with mental illnesses?
8: For non-medical mental health services, such as psychotherapy, Medicare covers ___________.
9: People most likely to have negative clinical outcomes in managed care plans include which of the following:
10: The rate at which primary care providers identify mental disorders in older adults is
11: Most states license assisted living facilities and require them to screen for psychiatric illnesses.
12: Screening for older adults for mental illnesses is complicated by
13: It has been shown that depression screening alone is enough to relieve patient distress.
14: Officially designated the "Decade of the Brain", which decade was dedicated to enhancing public awareness about brain disorders and the benefits of brain research?
15: For questions 15-19, please refer to Section III:  Prevention.  Risk factors for late-life depression in older adults include all of the following except ____________ (US Department of Health and Human Services, 1999; Smyer, 1995).
16: Depression in older adults is associated with all of the following except:
17: Results of the NYU Spouse Caregiver Intervention Study revealed that enhancing caregiver skills and access to support delayed nursing home placement by an average of _______ days , particularly in the early to middle stages of dementia (Mittleman et al., 1996).
18: States receive support for caregiver initiatives under the National Family Caregiver Support Program established as part of the
19: The most frequently requested and used form of respite care is __________ (US Administration on Aging, 2001).
20: For questions 20-29, please refer to Section IV:  Successful Practices.  Older adults receiving outreach services have been shown to have __________ (Van Citters and Bartels, 2004b; Russell, 1997).
21: The Gatekeeper Program in Spokane, Washington trains which group to identify older adults who may need mental health services.
22: Programs based on the Gatekeepers Model work well in _____________ areas where people can easily be overlooked.
23: Experts in the care of older adults with depression recommend combining antidepressant medication with _________ (Reynolds et al, 2002).
24: One of the best predictors of level of functioning in older adults with schizophrenia is level of social support (Cohen, 2000).
25: Which initiative allows the pooling of Federal Medicare and Medicaid dollars into an inclusive package of services for people who are age 55 or over and meet nursing home admission criteria?
26: The Balanced Budget Act of 1997 increased Medicare reimbursement to home healthcare agencies.
27: The recently formed Older Adult Consumer Mental Health Alliance (OACMHA) exemplifies
28: According to the Surgeon General's Report on Mental Health:  Culture Race and Ethnicity (US Department of Health and Human Services 2001), members of minority groups have less access to mental health services than whites, and the treatment they do receive is often of poorer quality.
29: What organization was founded in 1991 and serves as a forum for more than 60 Federal agencies and national organizations to gather to discuss mental health and aging issues?

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Free State Social Work, LLC, provider #1235, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 9/6/2021 - 9/6/2024. Social workers completing this course receive 4 continuing education credits.

Free State Social Work has been approved by NBCC as an Approved Continuing Education Provider, ACEP NO. 6605. Programs that do not qualify for NBCC credit are clearly identified. Free State Social Work is solely responsible for all aspects of the programs.