Katherine A Marx1, Naomi Duffort2, Daniel L Scerpella3, Quincy Miles Samus4, Laura N Gitlin5. 1. Research Associate, Johns Hopkins School of Nursing. 2. Research Assistant, Center for Innovative Care in Aging, Johns Hopkins School for Nursing, 525 North Wolfe Street, Suite 472-I, Baltimore, MD 21205. 3. Research Assistant, Center for Innovative Care in Aging, Johns Hopkins School of Nursing, 525 N. Wolfe Street, Suite 472-K, Baltimore, MD 21205. 4. Associate Professor Director of the Translational Aging, Services Core Psychiatry & Behavioral Sciences, Johns Hopkins School of Medicine Core Faculty/Johns, Hopkins Center for Innovations in Aging, 5300 Alpha Commons Drive, 4th Floor, Baltimore, MD 21224. 5. Director & Professor, Center for Innovative Care in Aging, Johns Hopkins School of Nursing, Department of Community-Public Health, Johns Hopkins School of Medicine, Department of Psychiatry (Joint Appointment), 525 N. Wolfe Street, Suite 316, Baltimore, MD 21205.
Abstract
THE PROBLEM: Mental health issues such as depression and neuropsychiatric symptoms (NPS) (e.g. agitation, aggression, rejection of care, wandering) are prevalent among residents in Assisted Living Facilities (ALF). Historically, these issues have only been treated with medications that can have a high risk of adverse effects in this population. This paper presents a scoping review of nonpharmacological interventions tested in ALFs for two of the most prevalent mental health issues: depression and NPS. KEY FINDINGS: Thirteen studies met inclusion criteria. Of those, eight (61.5%) found positive outcomes. Activity based and music therapy that utilize customization to interests and abilities showed the most promise. TIPS FOR SUCCESS: Based on findings we offer five recommendations: 1) adopt evidence-based or evidence-informed interventions; 2) use tailored activity as a therapeutic modality; 3) adopt new training approaches for staff; 4) use emerging technologies for training and intervention; and 5) participate in practice based research.
THE PROBLEM: Mental health issues such as depression and neuropsychiatric symptoms (NPS) (e.g. agitation, aggression, rejection of care, wandering) are prevalent among residents in Assisted Living Facilities (ALF). Historically, these issues have only been treated with medications that can have a high risk of adverse effects in this population. This paper presents a scoping review of nonpharmacological interventions tested in ALFs for two of the most prevalent mental health issues: depression and NPS. KEY FINDINGS: Thirteen studies met inclusion criteria. Of those, eight (61.5%) found positive outcomes. Activity based and music therapy that utilize customization to interests and abilities showed the most promise. TIPS FOR SUCCESS: Based on findings we offer five recommendations: 1) adopt evidence-based or evidence-informed interventions; 2) use tailored activity as a therapeutic modality; 3) adopt new training approaches for staff; 4) use emerging technologies for training and intervention; and 5) participate in practice based research.
Entities:
Keywords:
Assisted Living Facility; dementia; depression; mental health
Authors: Sheryl Zimmerman; Ann L Gruber-Baldini; Philip D Sloane; J Kevin Eckert; J Richard Hebel; Leslie A Morgan; Sally C Stearns; Judith Wildfire; Jay Magaziner; Cory Chen; Thomas R Konrad Journal: Gerontologist Date: 2003-04
Authors: Constantine G Lyketsos; Maria C Carrillo; J Michael Ryan; Ara S Khachaturian; Paula Trzepacz; Joan Amatniek; Jesse Cedarbaum; Robert Brashear; David S Miller Journal: Alzheimers Dement Date: 2011-09 Impact factor: 21.566
Authors: Erika Friedmann; Elizabeth Galik; Sue A Thomas; P Sue Hall; Seon Yoon Chung; Sandra McCune Journal: Am J Alzheimers Dis Other Demen Date: 2014-08-11 Impact factor: 2.035
Authors: Adam Rosenblatt; Quincy M Samus; Cynthia D Steele; Alva S Baker; Michael G Harper; Jason Brandt; Peter V Rabins; Constantine G Lyketsos Journal: J Am Geriatr Soc Date: 2004-10 Impact factor: 5.562
Authors: S A Zwijsen; A Kabboord; J A Eefsting; C M P M Hertogh; A M Pot; D L Gerritsen; M Smalbrugge Journal: Int J Geriatr Psychiatry Date: 2013-08-20 Impact factor: 3.485