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Providing Mental Health Care for the Complex Older Veteran: Implications for Social Work Practice

机译：为复杂的旧资深人民提供精神保健：对社会工作实践的影响

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Mental health conditions are underdiagnosed and undertreated in older veterans, as with all older adults. Social workers bring an important perspective to the interdisciplinary team for the care of older veterans with mental health conditions. In this study authors assessed 50 older veterans referred for mental health treatment (mean age = 74.52 years, SD = 6.48) with standardized measures of depression, posttraumatic stress disorder (PTSD), and cognitive impairment. At initial assessment, 24 percent had moderate depression, 30 percent had PTSD, and 62 percent (n = 31) had (mostly mild) cognitive impairment based on cut scores. These conditions were often comorbid with each other and with social (60 percent), retirement (26 percent), bereavement (32 percent), and financial (36 percent) stressors. Depression improved after three months of treatment [t(30) = 2.12, p = .04], but those with comorbid PTSD or social stressors had more depressive symptoms at follow-up [R2 = .36, F(4, 26) = 3.57, p = .02]. Interdisciplinary care is essential to address the multiple comorbidities and practical complexities of geriatric mental health care. Social workers play a valuable role on the interprofessional team in addressing these complexities.
机译：心理健康状况在老退伍军人和所有老年人那样受到欠低和下降。社会工作者对跨学科团队带来了一个重要的观点，为患有心理健康状况的老虎队的照顾。在本研究中，作者评估了50名老人士，称为心理健康治疗（平均年龄= 74.52岁，SD = 6.48），具有标准化的抑郁症，失调应激障碍（PTSD）和认知障碍。在初步评估时，24％的中度抑郁症，30％的患有PTSD，62％（n = 31）（n = 31）基于削减得分基于削减分数。这些条件往往互相混合，社会（60％），退休（26％），丧亲（32％）和财务（36％）压力源。治疗三个月后改善抑郁症[T（30）= 2.12，p = .04]，但具有可笑的前肢或社会压力源的那些随访中具有更高的抑郁症状[R2 = .36，F（4,26）= 3.57，p = .02]。跨学科护理对于解决大量合并症和老年精神医疗保健的多种合并和实际复杂性至关重要。社会工作者对解决这些复杂性的贸易组织团队发挥着宝贵的作用。

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