A behavioural approach to helping an older adult with a learning disability and mild cognitive impairment overcome depression.
Accessible summary Older people with learning disabilities who develop memory problems are likely to feel sad., There is much information showing how people with learning disabilities can learn new behaviours which help them to think differently and feel better., This is the story of how I helped on...
| Published in: | British Journal of Learning Disabilities Vol. 45; no. 1; pp. 81 - 89 |
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| Format: | case study tables/charts Journal Article |
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Wiley-Blackwell
Mar2017
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=120966541&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 120966541 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13544187 F04 jtl: British Journal of Learning Disabilities issn: 13544187 maglogo: Y pubinfo: dt: Mar2017 vid: 45 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 120966541 120966541 120966541 10.1111/bld.12160 120966541 ppf: 81 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: A behavioural approach to helping an older adult with a learning disability and mild cognitive impairment overcome depression. aug: au: Green, Paul affil: Sheffield Memory Service, The Longley Centre, Sheffield Health and Social Care NHS Foundation Trust, Norwood Grange Drive, Sheffield S5 7JT, UK sug: subj: Intellectual Disability Psychosocial Factors Cognition Disorders Psychosocial Factors Depression Therapy Behavior Therapy Male Geriatric Depression Scale Scales England Male ab: Accessible summary Older people with learning disabilities who develop memory problems are likely to feel sad., There is much information showing how people with learning disabilities can learn new behaviours which help them to think differently and feel better., This is the story of how I helped one older man with learning disabilities and memory problems to change how he was behaving and feel happier., Abstract Background: There is a considerable body of evidence to suggest that behavioural activation for depression is an equally effective but less complex treatment than cognitive behavioural therapy. It may therefore be more suitable for those who are cognitively impaired (i.e. early-stage dementia or mild cognitive impairment) or have a learning disability. Materials and Methods: A case study is presented that outlines how a behavioural approach was used to support an older adult with a learning disability and mild cognitive impairment who was depressed. It was delivered by the carer liaison practitioner employed by a memory service. Results: The client's score on the GDS- LD reduced from 23 to 5 and on the GAS- ID from 19 to 11 indicating a clinically significant improvement in his symptoms of depression and anxiety at post-treatment. Mood ratings on the Ottawa Mood Scales rose from 2/10 to 7/10. Increased engagement in activities and an improvement in the client's problem-solving abilities were evident. Conclusions: The case study demonstrates the clinical utility of behavioural activation as a treatment for depression in an older adult with a learning disability and mild cognitive impairment. This matches the findings of other studies of behavioural activation as an intervention to treat depression in older adults. However, the client did not have a formal diagnosis of learning disability and may therefore be atypical. More comprehensive studies, including randomised controlled trials, are needed to confirm these findings and more thoroughly test the effectiveness of behavioural interventions with this client group. pubtype: Academic Journal doctype: case study tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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