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Quatrième de couverture : "Que deviennent les patients souffrant de pathologies mentales lorsqu'ils sont vieux ? Quelle prise en charge leur est proposée à l'heure actuelle ? Est-elle optimale ? Comment faire pour améliorer la situation ? La plupart du temps, les psychotiques âgés sont « placés » le plus vite possible (souvent dès l'âge de 60 ans) dans des maisons de retraite, alors que la majorité des résidents y entrent bien plus tard (autour de 80 ans). Cette différence d'âge, les particularités liées aux pathologies mentales et la diversité des intervenants dans ces structures ainsi que la méconnaissance des spécificités des patients âgés psychotiques par le personnel de ces établissements font de cette solution une réponse perfectible. Georges Jovelet est allé à la rencontre de patients, de proches aidants, de médecins, de psychologues et de personnel d'établissements accueillant des personnes âgées atteintes de maladies mentales pour recueillir leur propos et faire progresser sa vision de la situation. Des vignettes cliniques viennent ponctuer l'ouvrage, mettant ainsi en lumière des parcours et ressentis variés. À travers cet ouvrage très humain, l'auteur propose des pistes de réflexion sur cette question encore très peu abordée en France qu'est le devenir des patients psychotiques âgés."

Psychotic Disorders --- Geriatric Psychiatry

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Building on the first edition, Psychiatric Consultation in Long-Term Care has been fully revised and updated, integrating DSM-5 classification throughout. It delivers an essential resource for psychiatrists, neurologists, geriatricians, palliative care physicians, primary care physicians, nurse practitioners, pharmacists, and physician assistants involved in prevention, assessment, diagnosis, and management of neuropsychiatric disorders in long-term care (LTC) populations, as well as for nurses, social workers, and other professionals involved in important day-to-day care. The book provides comprehensive descriptions of practical, strengths-based, individualized, psychosocial, spiritual, and environmental approaches, and high-quality mental healthcare utilizing pharmacological interventions when appropriate to improve the emotional and spiritual well-being of LTC residents. It details key elements in creating genuine person-centered long-term care: the reduction of inappropriate medications and counter-therapeutic staff approaches, treating serious psychiatric disorders with evidence-based interventions, and a road-map for owners and administrators of LTC facilities.

Geriatric psychiatry. --- Nursing home patients --- Mental health services.

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Cognition disorders in old age --- Cognition disorders in the aged --- Geriatric psychiatry --- Diagnosis. --- Treatment.

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"Working with older clients involves a number of unique ethical challenges, including those related to the array of health concerns that psychologists do not often encounter with younger clients, such as Alzheimer's disease. Perhaps the greatest challenge for geropsychologists is balancing the principles of respecting client autonomy and promoting client welfare, especially when a client's decision-making capacity is in question. Geropsychologists also must negotiate the competing interests and expectations of clients and their relatives, other healthcare professions, and the institutions in which many older adults are evaluated and treated. To help geropsychologists navigate these complex issues, this book introduces a structured decision-making process that draws heavily from principle-based and positive ethics and provides practical applications of the APA Ethics Code while also accounting for federal laws and regulations. Detailed case examples illustrate how to apply this process in a variety of treatment contexts, including hospitals, long-term care facilities, and hospice care. These vignettes review unique considerations for assessment, intervention, consultation, business practices, education and training, and advocating for clients' rights. This book will also help geropsychologists prepare for the ethics component of the board certification exam"--Publicity materials.

Geriatric psychiatry --- Older people --- Older people --- Clinical psychology --- Geriatric Psychiatry --- Aging --- Psychology, Clinical --- Moral and ethical aspects. --- Mental health services --- Moral and ethical aspects. --- Psychology. --- Moral and ethical aspects. --- ethics. --- psychology. --- ethics.

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This book discusses theoretical issues, standards, and professional considerations arising when legal and health practitioners undertake legal capacity assessments in the context of wills, enduring powers of attorney and advance health directives. The potential loss of cognition can erode autonomy as individuals lose the ability to make their own legally recognised decisions. This is an inescapable problem with significant legal, social, health and policy repercussions. This work synthesises and critically analyses the existing literature, including some of the best assessment models and guiding principles internationally, to generate a new methodology and understanding of what capacity assessment best practice means. This includes the impact of assessments on individual autonomy - the ideal method building upon respect for both autonomy as well as fundamental human rights. The triggers to assess capacity, who to involve in the assessment process, as well as how to conduct that assessment process are discussed. The crucial relationship between the legal and health professionals involved in assessments, including growing concerns around practitioner liability, is also explored. This analysis is undertaken through the innovative use of a therapeutic jurisprudence lens, the effect of which is to contribute new knowledge to this complex field.

Law. --- Geriatrics. --- Private international law. --- Conflict of laws. --- International law. --- Comparative law. --- Medical laws and legislation. --- Health economics. --- Medical economics. --- Private International Law, International & Foreign Law, Comparative Law. --- Geriatrics/Gerontology. --- Health Economics. --- Medical Law. --- Cognition --- Capacity and disability --- Cognition disorders in old age --- Testing. --- Evaluation. --- Cognition disorders in the aged --- Capacity (Law) --- Disability (Legal incapacity) --- Incapacity (Law) --- Law and legislation --- Geriatric psychiatry --- Status (Law) --- Public health laws. --- Private International Law, International & Foreign Law, Comparative Law . --- Communicable diseases --- Public health --- Medical laws and legislation --- Economics, Medical --- Health --- Health economics --- Hygiene --- Medical care --- Medicine --- Gerontology --- Older people --- Economic aspects --- Diseases --- Health and hygiene --- Law, Medical --- Medical personnel --- Medical registration and examination --- Physicians --- Surgeons --- Medical policy --- Medical jurisprudence --- Choice of law --- Conflict of laws --- Intermunicipal law --- International law, Private --- International private law --- Private international law --- Law --- Legal polycentricity --- Legal status, laws, etc. --- Civil law