This fully revised and updated second edition provides a completeintroduction to aging and mental health for psychology studentstaking courses in aging as well as for academics and practitionersworking in the field of gerontology. * Offers a comprehensive review of models of mental health andmental illness, along with their implications for treatment ofolder adults * Provides a pragmatic analysis of assessment and treatmentapproaches that both students and practitioners will finduseful * Uses case studies to link theory and practice * Fully updated to include discussion of the development andimplementation of evidence-based treatment protocols in the fieldof mental health; the increasing prevalence of cognitive impairmentand an appreciation of its implications for a variety of functionalbehaviors; and a changing understanding of long-term care away froma focus on institutional care and toward a broader spectrum ofservices

Daniel L. Segal is Professor of Psychology and Director of Clinical Training at University of Colorado at Colorado Springs.

Sara Honn Qualls is Kraemer Professor of Aging Studies, Professor of Psychology, and Director of the Gerontology Center at University of Colorado at Colorado Springs.

Michael A. Smyer is Professor of Psychology and Provost at Bucknell University.

This fully revised and updated second edition provides a complete introduction to aging and mental health for psychology students taking courses in aging as well as for academics and practitioners working in the field of gerontology. It will also be of interest to service providers in psychology, psychiatry, social work, and nursing, and to clinicians who are experienced mental health service providers but who have not had much experience of working with older adults.

The new edition of Aging and Mental Health offers a detailed and comprehensive discussion of the reigning theoretical models of mental health, and their application to later life. These discussions are supplemented by case material that allows the reader to apply theoretical perspectives to the problems and prospects of later life. The authors also include the most recent information on various types of mental disorders and effective therapeutic techniques for working with older adults. This combination of theory and practice helps readers conceptualize mental health disorders and problems in later life and negotiate the complex decisions involved with the assessment and treatment of those problems.

Preface viii

Part I Introduction 1

1 Mental Health and Aging: An Introduction 3

2 Basic Gerontology for Working with Older Adults 16

Part II Models of Mental Health in Later Life 33

Part II Introduction 33

3 Psychodynamic Model 37

4 Cognitive-Behavioral Model 53

5 Stress and Coping Model 74

6 Family Systems Model 89

Part II Summary and Commentary: Choosing Among Models of Mental Disorders in Later Life 105

Part III Introduction to Mental Disorders 111

Part III Introduction 111

7 Cognitive Impairment 115

8 Depression 136

9 Severe Mental Disorders in Older Adults: Schizophrenia and Other Late-Life Psychoses 157
Stephen J. Bartels

10 Anxiety, Sexual, and Sleep Disorders 178

11 Substance Abuse, Personality Disorders, and Marital/Family Confl ict 199

12 Settings and Contexts of Mental Health Services 223

Epilogue 241

References 243

Name Index 278

Subject Index 293