Module 1: Overview of mental health in older adults

Question 1

? in 10 people aged 60 and older experience elder abuse in the United States.

Answer 1

1 in 10

Question 2

Do elder men or women experience higher rates of fatal and non-fatal elder abuse?

Answer 2

Men

Question 3

How can we prevent elder abuse?

Answer 3

• Listen to older adults and their caregivers
• Report abuse to local APS/authorities
• Educate yourself on how to recognize elder abuse
• Learn how signs of elder abuse differ from normal aging
• Check in on older adults who may have few friends or family
• Provide over burdened caregivers with support
  Encourage and assist people having problems with drug/alcohol abused in getting help.

Question 4

What percent of adults aged 45 or older experience loneliness and social isolation?

Answer 4

35%

Question 5

What are the effects of loneliness and social isolation?

Answer 5

• Cardiovascular disease
• Hypertension
• Obesity
• Depression
• Substance use
• Suicidal ideation/attempts
• Cognitive decline
• Progression of dementia
• Stroke
• Premature death

Question 6

Name 2 scales that help identify loneliness in older adults

Answer 6

• The Revised UCLA Loneliness scale
• De Jong Gierveld Loneliness Scale

Question 7

How can OT’s play a role in supporting older adults?

Answer 7

• Helping them discover and access available social resources
• Facilitating social support networks, such as connecting with family members and friends

Question 8

True or false: Older adults who are socially isolated usually feel alone?

Answer 8

False

Question 9

True or false: In Dabban et als study, the author suggested that if a family member or friend can speak with an individual, this person will not feel alone.

Answer 9

False - architectural barriers and limited social resources also contribute social isolation for older adults

Question 10

What are the 6 types of loss?

Answer 10

1. Material
2. Relationship
3. Intrapsychic
4. Functional loss
5. Role loss
6. Systemic loss

Question 11

Define the following type of loss: Material

Answer 11

Loss of possessions (theft, breakage, loss of income)

Question 12

The following describes what type of loss?

Loss of possessions (theft, breakage, loss of income)

Answer 12

Material

Question 13

Define the following type of loss: Relationship

Answer 13

Change in social status, an unavoidable aspect of human life

Question 14

The following describes what type of loss?

Change in social status, an unavoidable aspect of human life

Answer 14

Relationship

Question 15

Define the following type of loss: Intrapsychic

Answer 15

Loss of self-image d/t bereavement, completion of a task, or failure

Question 16

The following describes what type of loss?

Loss of self-image d/t bereavement, completion of a task, or failure

Answer 16

Intraspychic

Question 17

Define the following type of loss: Functional

Answer 17

Loss of autonomy, occupational deprivation

Question 18

The following describes what type of loss?

Loss of autonomy, occupational deprivation

Answer 18

Functional

Question 19

Describe the following type of loss: Role

Answer 19

Retirement, acquiring new roles or responsibilities, becoming a patient.

Question 20

The following describes what type of loss?

Retirement, acquiring new roles or responsibilities, becoming a patient.

Answer 20

Role loss

Question 21

Define the following type of loss: Systemic

Answer 21

Loss of function within an existing system, such as retirement or illness impact on function of an entire family.

Question 22

The following describes what type of loss?

Loss of function within an existing system, such as retirement or illness impact on function of an entire family.

Answer 22

Systemic loss

Question 23

Name the 5 stages of grief

Answer 23

• Denial
• Anger
• Depression
• Bargaining
• Acceptance

Question 24

True or false: Schizophrenia has been linked to a higher risk of heart and respiratory disease?

Answer 24

True

Question 25

Depression has been linked to many chronic illnesses, including:

Answer 25

- Diabetes - Asthma - Cancer - Cardiovascular disease - Arthritis

Question 26

What percent of the population of people with mental health conditions have sleeping problems?

Answer 26

50-80%

Question 27

True or false: People with mental health conditions are less likely to have access to adequate health care?

Answer 27

True

Question 28

Psoriasis is associated with what mental illnesses?

Answer 28

- Acute stress - Depression

Question 29

What does SDoH refer to?

Answer 29

Conditions in the environments where individuals are born, live, work play, worship and age.

Question 30

What does the following describe: Conditions in the environments where individuals are born, live, work play, worship and age.

Answer 30

Social determinists of health

Question 31

What are the 5 domains of SDOH?

Answer 31

- Education access and quality - Economic stability - Social and community context - Neighborhood and built environment - Health care access and quality

Question 32

According to Perez et al. social determinants of health account for ? percent of population health outcomes?

Answer 32

60%

Question 33

What type of exogenous depression is associated with significant life events such as the loss of a spouse?

Answer 33

Reactive depression

Question 34

Describe reactive depression

Answer 34

Type of exogenous depression is associated with significant life events such as the loss of a spouse?

Question 35

Describe paraphrenia

Answer 35

A type of psychosis, occurring after the age of 40 and following a traumatic personal even, which is often accompanied by auditory hallucinations, suspicion and aggression as symptoms.

Question 36

What type of psychosis is described below: A type of psychosis, occurring after the age of 40 and following a traumatic personal even, which is often accompanied by auditory hallucinations, suspicion and aggression as symptoms.

Answer 36

Paraphrenia

Question 37

What percent of adults over the age of 65 experience serious mental illness (SMI)?

Answer 37

1.4 - 4.8%