The use of problem-solving therapy and restraint-free environment for the management of depression and agitation in long-term care

Liat Ayalon; Heather Bornfeld; Amber M. Gum; Patricia A. Areán

doi:10.1080/07317110802468728

The use of problem-solving therapy and restraint-free environment for the management of depression and agitation in long-term care

Liat Ayalon, Heather Bornfeld, Amber M. Gum, Patricia A. Areán

School of Social Work

Research output: Contribution to journal › Review article › peer-review

6 Scopus citations

Abstract

We demonstrate the use of behavioral techniques with older adults in long-term care settings, using two case examples. Ms. N is an 81-year-old woman with mild cognitive impairment who attended 12 sessions of problem-solving therapy for ongoing depression. Her Montgomery Asberg Depression Rating Scale score of 30 (moderate levels of depression) decreased to 6 (not depressed) following treatment. Mr. K is a 77-year-old male with moderate to severe Alzheimer's disease who was referred for treatment of behavioral problems. Following 10 weeks of restraint free environment, his Cohen Mansfield Agitation Inventory score declined from 60 (moderate behavioral problems) to 38 (minimal problem behaviors), indicating a significant reduction in agitation. Through these two cases, we provide a description of behavioral interventions for the treatment of depression and behavioral problems in long-term care settings.

Original language	English
Pages (from-to)	77-90
Number of pages	14
Journal	Clinical Gerontologist
Volume	32
Issue number	1
DOIs	https://doi.org/10.1080/07317110802468728
State	Published - Jan 2009

Bibliographical note

Funding Information:
Received April 7, 2006; revised June 6, 2007; accepted September 7, 2007. This study was supported by a grant of the Substance Abuse and Mental Health Services Administration, Grant number 4 H79 SM52236-03-1 provided to Patricia A. Areán, PhD. Address correspondence to Liat Ayalon, PhD, School of Social Work, Bar Ilan University, Ramat Gan, Israel 52900. E-mail: [email protected]

Keywords

Agitation
Behavioral interventions
Depression
Dissemination
Long-term care
Problem solving therapy
Restraint free environment

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10.1080/07317110802468728

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The use of problem-solving therapy and restraint-free environment for the management of depression and agitation in long-term care

Abstract

Bibliographical note

Keywords

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