Community Programs for the Depressed Elderly: A Rehabilitation Approach

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4 Community Programs for the Depressed Elderly: A Rehabilitation Approach Ellen D. Taira Editor J Routledge Taylor &. Francis Group LONDON AND NEW YORK

5 Community Programs fo r the Depressed Elderly: A Rehabilitation Approach has also been published as Physical & Occupational Therapy in Geriatrics, Volume 5, Number 1, Fall First published 1987 by The Haworth Press, Inc. Published 2013 by Routledge 711 Third Avenue, New York, NY, 10017, USA 2 Park Square, Milton Park, Abingdon, Oxon 0X 14 4RN Routledge is an imprint o f the Taylor & Francis Group, an informa business 1987 by The Haworth Press, Inc. All rights reserved. No part of this book may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, microfilm and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Library of Congress Cataloging in Publication Data Community programs for the depressed elderly. Includes bibliographies. 1. Depression in the aged. 2. Occupational therapy for the aged. 3. Community health services for the aged. I. Taira, Ellen D. [DNLM: 1. Community Mental Health Services in old age. 2. Depression in old age. 3. Depression rehabilitation. 4. Occupational T herap y -in old age. WM 171 C7345] RC537.5.C ' ISBN 13: (hbk)

6 Community Programs for the Depressed Elderly: A Rehabilitation Approach Physical & Occupational Therapy in Geriatrics Volume 5, Number 1 CONTENTS FROM THE EDITOR 1 Models for Treatment of Depression 3 Patricia Miller, MEd, OTR Psychodynamic Theories 5 A Cognitive Theory 9 Conclusion 11 Occupational Therapy Assessment for Older Adults With Depression: Asking the Right Questions 13 Joan C. Rogers, PhD, OTR Self-Perceptions 14 Habits 16 Skill 18 Occupational Performance Components 21 Sequence of Assessing Occupational Performance 22 Case Illustration 23 Mastery and Achievement: Guidelines Using Clinical Problem Solving With Depressed Elderly Clients 35 Helen Smith, Dip O T Introduction 35 Human Occupation and Action 36 Intervention 39

7 Pilot Program Summary and Conclusions An Expanded Community Role for Occupational Therapy: Preventing Depression 47 Alisa Ofsevit Eilenberg, MS, OTR Introduction 47 Frames of Reference 48 Program Setting 49 Methodology 51 Sample Sessions 52 Obstacles Encountered 55 Assessment of the Program 55 Implications for Occupational Therapy Practice 57 Steps in the Progressive Treatment of Depression in the Elderly 59 Fiona Docherty, Dip, COT Introduction 59 Approach to Treatment 60 The Next Step 71 Results 75 Conclusion 76 Treatment of Depression in Institutionalized Older Persons 77 Ingrid Due Pedersen Nursing Homes in Denmark 78 Role of Therapists 79 Role of the Family 80 Contact Person 80 Speed 80 Noise 81 Sight 81 Hearing 82 Memory 82 Motivation 83 Song as Stimulation 83 Dance and Motion 84 The Room

8 The Break 85 Pedagogy 85 Lower Functioning Group 86 Staff 86 The Room 86 Details of a Group Meeting 87 General Observations 88 Summary 89

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10 EDITOR ELLEN DUNLEAVEY TAIRA, OTR, MPH, Geriatric Consultant, Kailua, HI EDITORIAL BOARD CLARA BRIGHT, RPT, Acting Chair, Section on Geriatrics, American Physical Therapy Association, Wickenburg, AZ CAROLYN BURNETT, MS, Associate Professor, School of Allied Medicine, Division of Physical Therapy, Ohio State University FLORENCE S. CROMWELL, MA, OTR, FAOTA, Consultant in Program Development, Editor, Occupational Therapy in Health Care, Pasadena, CA LINDA DAVIS, PhD, OTR, Assistant Professor of Gerontology and Occupational Therapy, University of Southern California LINDA TICKLE DEGNAN, MA, OTR, Cambridge, MA NANCY B. ELLIS, PhD, OTR, Associate Director for Education, Center for the Study of Aging, University of Pennsylvania BETTY RISTEEN HASSELKUS, MS, OTR, Chair, Gerontology Sig, American Occupational Therapy Association, Madison, WI JACK HOFKOSH, MA, Director, Physical Therapy, Institute of Rehabilitation Medicine, New York University Medical Center SATORU IZUTSU, PhD, OTR, FAOTA, Vice President, Long Term Care, Kuakini Gerontology Center, Honolulu, HI FRAN KERN PhD, Health Systems Consultant, Encino, CA JEAN M. KIERNAT, MS, OTR, Assistant Director for Education and Outreach, Department of Gerontology/Geriatrics, Good Samaritan Medical Center, Phoenix, AZ MARGARET KIRCHMAN, PhD, OTR/L, FAOTA, Assistant to the Dean for Gerontological Education and Research, University of Illinois at Chicago GAIL HILLS MAGUIRE, PhD, OTR, Assistant Professor, Florida International University MARILYN E. MILLER, MA, RPT, Professional Rehabilitation Associates, Kailua, HI ELEANOR P. NYSTROM, PhD, OTR/L, Assistant Professor, Occupational Therapy Division, School of Allied Medical Professions, Ohio State University OTTO D. PAYTON, PhD, Professor and Director of Graduate Studies in Physical Therapy, Medical College of Virginia, Virginia Commonwealth University JOAN ROGERS, PhD, OTR, Professor of Occupational Therapy, University of Pittsburg JULIA VAN DEUSEN, PhD, OTR, Assistant Professor, Occupational Therapy, University of Florida, Gainesville, FL CAROLYN VAN SCHROEDER, OTR, Occupational Therapy Service, Veterans Administration, Honolulu, HI PRODUCTION EDITOR SUSAN BILLERT-DUFFY

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