Evidence-based Practices in Mental Health and Aging. June 22, 2010 Cheryl Evans-Pryor, M.A.-G Aging Resources of Central Iowa 5835 Grand Avenue, Suite 106 Des Moines, IA. 50312-1437 (515) 255-6714, ext.322 [email protected] www.agingresources.com.
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June 22, 2010
Cheryl Evans-Pryor, M.A.-G
Aging Resources of Central Iowa
5835 Grand Avenue, Suite 106
Des Moines, IA. 50312-1437
(515) 255-6714, ext.322
1. Present model components.
2. Present behavioral activation & problem-solving approaches.
3. Discuss model outcomes/ success.
Offer brief treatment- time sensitive
Researched, proven to work
Flexible implementation – 1:1 or groups
Redefines issues/ current focus
Meets people where they are in life
Small, manageable steps
Both models are grounded in Behavioral Activation & Change.
PEARLS - Program to Encourage Active, Rewarding Lives for Seniors.
Addresses Minor Depression & Dysthymia. Is not designed to address situational depression or grief issues.
Built on Medical/Psychiatric foundation with team approach to chronic care.
1. Problem-solving Treatment
2. Social & Physical Activation
3. Pleasant Events Scheduling
Patient-centered and patient directed, can participate in 1 or all 3 components.
Serves persons 60+ with physical impairments and social isolation.
Purpose= There isa direct connectionbetween unresolved problems & depression.
Theory= Depression has many causes, and failed attempts to solve problems leads to learned helplessness.
Goal= Increase confidence and feelings of self-control.
Increase understanding of causal link btw. symptoms and current problems.
Increase pleasant, social, and physical activities.
Adopt attitude of goals being attainable=increased success.
Decreases prolonged episodes/relapses.
Shift in thinking pattern that facilitates change (contemplation to action).
Fosters a sense of HOPE.
7 Steps of PST:
Goal= to insure a systematic identification of depression through routine screenings (PHQ-2 & PHQ-9) from counselor or case managers.
Utilizes case management staff that already have an existing relationship with the client.
Screening and assessments occur at regular intervals/visits by case manager. Utilizes Behavioral Activation method.
Behavioral Activation= Re-establishes routines, reinforces experiences, overcome avoidance patterns (Jacobson et al., U. Wash).
Depression results in behaviors that limit positive outcomes
→reduced pleasure, reduced accomplishment
Decreased Pleasant Activities
Decreased Depressive Symptoms
PEARLS : http://depts.washington.edu/pearlspr/
University of Washington Health Promotion Research Center, Seattle, WA.
HEALTHY IDEAS : www.careforelders.org/healthyideas
Huffington Center on Aging, Baylor College of Medicine, Houston, TX.
www.cdc.gov/aging and www.chronicdisease.org
SAMHSA National Registry of Evidence-Based Programs & Practices