{"title":"Talking sh**! – are we doing enough?","authors":"Becci Dow, Alicia Ladbrook, Jess Saunders","doi":"10.53841/bpsfpop.2024.1.167.15","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.167.15","url":null,"abstract":"This paper is a discursive piece on whether clinical psychologists and psychological practitioners are taking the time to consider bowel, urine and toileting issues sufficiently in their work. It draws on the disgust literature and the links to compassion in care giving. It seeks to explore experiences in direct therapy, in caregiver work, within teams and aims to encourage greater reflection on our relationships to these issues. The hope is to draw attention to the extraordinary work of those completing personal care tasks and the impact it has, with an attempt to position ourselves alongside people tolerating incontinence in order to grasp the psychological impact on self.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"118 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141840233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Autistic cognitive presentation in later-life","authors":"Aimee Hayter","doi":"10.53841/bpsfpop.2024.1.167.6","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.167.6","url":null,"abstract":"Autistic people grow older; however, little is known about how autistic cognitive differences change over later-life. Additionally, recent estimates indicate that many autistic older people remain undiagnosed. How then do clinical (neuro) psychologists understand the cognitive presentation of autistic people when they present to our services? This paper attempts to answer this question by briefly reviewing four pertinent studies in the literature. It discusses findings indicating that autistic cognitive differences remain into later life, that these cognitive differences do not change differentially compared to neurotypical people during aging. Finally, it notes practical suggestions from the literature of how to make cognitive assessments more sensitive to changes in cognition shown by older autistic people, and highlights the work FPOP intend to do in this area.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"3 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141847270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jayne Westwood, Andy Ashley, Viktorija Petrulionyte
{"title":"Exploring clinicians’ experience of using Behavioural Family Therapy within an older adult community mental health service","authors":"Jayne Westwood, Andy Ashley, Viktorija Petrulionyte","doi":"10.53841/bpsfpop.2024.1.167.22","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.167.22","url":null,"abstract":"This service evaluation summarises the experience of staff offering Behavioural Family Therapy (BFT) in a community mental health setting for older people. Semi-structured interviews were conducted to gather staff views and a Template Analysis was used to summarise feedback. This evaluation indicates that BFT were seen as beneficial to Older Adults (OA) across a range of mental health problems and adaptations were needed to support this patient group and their families.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"105 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141840157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An evaluation of the process of measuring outcomes of a cognitive stimulation therapy group","authors":"Roseanna Bridge, Sophie Allan, F. Gracey","doi":"10.53841/bpsfpop.2024.1.167.49","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.167.49","url":null,"abstract":"The evaluation took place in an NHS Older People’s Mental Health community service in the east of England. One intervention provided by these teams is a Cognitive Stimulation Therapy (CST) group, an evidence-based therapy for people with dementia. This evaluation was completed in the context of procedural changes following the Covid-19 pandemic. CST groups moved from face-to-face to online delivery, and there were changes in the clinical systems used across the service. These changes led to inconsistencies in how outcome measures were administered and how data was gathered and stored across the teams. The aim was to recommend improvements to the procedures for evaluating the CST groups, namely, the use of outcome measures. Data on processes was acquired from professionals and quantitative data was procured from the clinical records system. A literature review was carried out to summarise the most recent evidence on outcome measures used to evaluate the CST intervention. This resulted in descriptive data about the inconsistencies across teams in evaluating the CST group. Findings focused on descriptive data and recommendations were shared with the service about the most efficacious process and outcome measure to evaluate the CST group.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"353 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141839163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Peake, Joanne Bailey, Kathryn Hunton, Daniel Snell, Emma Butcher, Roxanne Carswell, Christine Hill, Hazel Wright, Catherine Carter, Joyce Rumney, Leanne Pattinson, Laura Rielly, Josephine Clark, Pauline Carlyle
{"title":"Developing Cumbria’s post dementia diagnostic support using Cognitive Stimulation Therapy (CST): Results and reflections on the treatment’s reintroduction post Covid-19","authors":"N. Peake, Joanne Bailey, Kathryn Hunton, Daniel Snell, Emma Butcher, Roxanne Carswell, Christine Hill, Hazel Wright, Catherine Carter, Joyce Rumney, Leanne Pattinson, Laura Rielly, Josephine Clark, Pauline Carlyle","doi":"10.53841/bpsfpop.2024.1.167.37","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.167.37","url":null,"abstract":"Cognitive Stimulation Therapy (CST, Spector et al., 2006) groups were part of the treatment provided by North Cumbria’s Community Older Adult Service until the Covid pandemic halted provision. Subsequently, treatment provided by the service to those diagnosed with a dementia relied heavily on pharmacological interventions to target the rate of cognitive decline. This paper documents the methodology of a service development project in Cumbria that reintroduced community CST groups, weekly for fourteen weeks across the year 2023. Preliminary findings demonstrate CST’s efficacy as a treatment for those living with a dementia diagnosis and coinciding low mood. Reflections shared from the project on the successes and challenges across its duration show its feasibility despite service pressures and resource limitations in a rural locality.In documenting this work, the project team aim to showcase the benefits of providing biopsychosocial care for older adults living with a dementia diagnosis and hope to inspire other Older Adult services to develop their post dementia diagnosis service provision using the CST protocols. With future iterations, more conclusive findings will be drawn and continued service development work has commenced in Cumbria on this project’s foundation within the Care Home and Educational Support System’s pathway.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141850047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reflections of an APPly programme assistant psychologist: 6-month post in an acute older adults’ ward","authors":"Yohan Augustine","doi":"10.53841/bpsfpop.2024.1.167.63","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.167.63","url":null,"abstract":"An assistant psychologist (AP) post is a highly coveted and extremely competitive role for budding psychologists. For many, this is a crucial step to applying for the DClin, a shared goal for graduates to further their education and training. As popular and competitive positions may be for AP roles, it is no secret that experience in the older adults’ sector is not as popular as some others (Karel et al., 2012). This not only applies to APs in older adults’ services, but also to graduates of the DClin, who may prefer to work in other services rather than older adults. This highlights the necessity of generating interest in this area, as it’s important to ensure psychological needs are met for all populations and demographics, including older people.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"80 S12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141844023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Single case experiment evaluating the effectiveness of an adapted cognitive behavioural therapy intervention for an older adult with a fear of falling","authors":"Rosie Sibley","doi":"10.53841/bpsfpop.2024.1.167.29","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.167.29","url":null,"abstract":"Aim:A single case experiment was carried out for a 77-year-old woman who was referred to the older adult community mental health team for support with anxiety related to a fear of falling.Method:An AB design was implemented, using an adapted cognitive behavioural therapy graded exposure intervention to target her anxiety and fear of falling.Results:There was an overall reduction in the client’s anxiety and an increase in her activity levels.Conclusion:The adapted intervention resulted in decreased anxiety, psychological distress, and a fear of falling and an increase in the frequency of her walking.Consent:The client was provided with information about the purpose of the write up for this case study. She kindly provided informed written consent for the case study to be published within an academic journal. Some demographic details have been amended to protect her identity.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"2017 47","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141851646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Widening access to older people’s clinical psychology: Piloting a summer shadowing programme in older adults services","authors":"Reena Shah, Navneet Nagra","doi":"10.53841/bpsfpop.2024.1.167.57","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.167.57","url":null,"abstract":"Within recent years, there has been an expansion of UK clinical psychology courses, additional psychological professions and increased attention to psychological wellbeing as part of the NHS Long Term Plan (NHS England, 2019). It has been an energetic time for clinical psychology and in turn, older adult clinical psychology. However, despite the expansion of training places, pervasive social inequalities have meant that for some a career in clinical psychology is less accessible, meaning that the psychology workforce is less diverse. This, in combination with lack of parity in investment for Older Adult Services, can mean older adults’ access to more representative psychological professionals remain hindered. The current paper explores a recent shadowing programme that our small psychology team and older adults’ mental health team piloted in the summer of 2023. Eight female students were able to complete the programme and provided insightful feedback on the experience. We reflect on future learnings and recommendations of setting up such projects in older adult services.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"74 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mild Cognitive Impairment (MCI): Evaluating a new treatment pathway for service users and carers","authors":"Derek Batten, Koralia Bentivoglio","doi":"10.53841/bpsfpop.2024.1.166.56","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.166.56","url":null,"abstract":"The prevalence of MCI is increasing in older adults; living with MCI not only negatively affects older people’s daily living and quality of life, but also increases the likelihood of developing dementia in the future. However, not all individuals will progress to dementia, which highlights the importance of developing preventative strategies and appropriate interventions to delay the onset of dementia. Given the current emphasis across the healthcare system on the need for psychosocial interventions that reduce the risk of dementia, the Specialist Dementia and Frailty Service (SDFS) in West Essex has launched a new MCI pathway, which runs as a pilot for one year to offer support for individuals with MCI and their caregivers. The current service evaluation aims to evaluate older people’s and their carers’ experiences of receiving a diagnosis in conjunction with exploring ideas about what they would find helpful in terms of post diagnostic support. Semi-structured interviews were conducted with service users and their carers over the telephone. Service users had received an MCI diagnosis and were either awaiting an intervention from the pathway or had received some form of post diagnostic support. Data was collected through an interview schedule and analysed using thematic analysis (TA). Themes highlighted the varying emotional experiences of receiving the diagnosis, the confusing and ambiguous process of MCI, the helpful and less helpful aspects of the support received, and ideas for future support. Findings from the service evaluation fit with the wider MCI literature and research. Some implications for the memory service are discussed, including individualised support, peer support, additional regular check ins and follow ups from the service, and support for carers.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"43 42","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140357735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The risk of being older: Working with risk in older adults mental health services","authors":"Elena Olgiati, Navneet Nagra","doi":"10.53841/bpsfpop.2024.1.166.27","DOIUrl":"https://doi.org/10.53841/bpsfpop.2024.1.166.27","url":null,"abstract":"When working as healthcare professionals, we incorporate an array of narratives and structures which come with the role. It is our clinical responsibility to acknowledge and name different factors at play in different conditions, and we are trained to work and support teams with constructs such as vulnerability and power. Working with older people, other dynamics entering the picture are ageing, dementia and frailty. Risk is another example of such forces, an overarching concept which we need to be constantly aware of as professionals. This article will explore the concept of risk and what it means to be working with risk in community-based care for older people. The aim is to generate a conversation about common risks in the older population, challenging assumptions and offering a space for reflection on how to best explore and support.","PeriodicalId":306496,"journal":{"name":"FPOP Bulletin: Psychology of Older People","volume":"83 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140356002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}