Work

Evidence-based Non-pharmacologic Interventions for Managing Neuropsychiatric Symptoms and Mental Health Issues in Residents in Assisted Living.

Year: 2017

Type: article

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.

Source: PubMed

Authors: Katherine A Marx, Naomi Duffort, Daniel L Scerpella, Quincy Miles Samus, Laura N Gitlin

Institutions: Johns Hopkins University, Johns Hopkins Medicine

Language: English

Topic: Geriatric Care and Nursing Homes

Subfield: Geriatrics and Gerontology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: green

Funder: National Institute on Aging

Awards: Reducing Agitation in Dementia Patients at Home: The Customized Activity Trial, Strengthening Informal Support Resources with Strategic Methodological Advances