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-- ed. by Jill Eden, Katie Maslow, Mai Le, and Dan Blazer

Committee on the Mental Health Workforce for Geriatric Populations; Board on Health Care Services; Institute of Medicine

This issue assesses the needs of population and the workforce that serves it. The breadth and magnitude of inadequate workforce training and personnel shortages have grown to such proportions, says the committee, that no single approach, nor a few isolated changes in disparate federal agencies or programs, can adequately address the issue.

At least 5.6 million to 8 million--nearly one in five--older adults in America have one or more mental health and substance use conditions, which present unique challenges for their care. With the number of adults age 65 and older projected to soar from 40.3 million in 2010 to 72.1 million by 2030, the aging of America holds profound consequences for the nation.

CONTENTS

SUMMARY

1 INTRODUCTION

Study Scope

Methods of the Study

Context for This Report

Federal Influence on the Geriatric MH/SU Workforce

Organization of the Report

References

2 ASSESSING THE SERVICE NEEDS OF OLDER ADULTS WITH MENTAL HEALTH AND SUBSTANCE USE CONDITIONS

Mental Health and Substance Use Conditions in Older Adults

Prevalence of MH/SU Conditions in Older Adults

Prevalence of Mental Health and Substance Use Conditions in Six Subgroups of the Older Population

Coexisting Physical Health Conditions and Cognitive Impairment

Impact of Mental Health and Substance Use Conditions

Use of MH/SU Services by Older Adults

Factors That Could Affect the Future Mental Health and Substance Use Service Needs of Older Adults

Summary of Findings and Implications for the Geriatric Mental Health Workforce

References

3 THE GERIATRIC MENTAL HEALTH AND SUBSTANCE USE WORKFORCE

Defining the Geriatric MH/SU Workforce

Estimating Workforce Supply and Demand

Review of the Geriatric MH/SU Workforce

Shortage of Geriatric MH/SU Providers

Recruitment of Geriatric MH/SU Specialists

Inadequate Preparation of the Geriatric MH/SU Workforce

Training the Geriatric MH/SU Workforce

Promoting the Role of Direct Care Workers in Geriatric MH/SU Care

Empowering Older Adults and Their Families

Findings and Conclusions

References

4 WORKFORCE IMPLICATIONS OF MODELS OF CARE FOR OLDER ADULTS WITH MENTAL HEALTH AND SUBSTANCE USE CONDITIONS

Organization of the Chapter

The Chronic Care Model

Care Delivery Models for Geriatric MH/SU

Models of MH/SU Care for Older Nursing Home Residents

Implications for the Geriatric Mental Health Workforce

Conclusions

References

5 IN WHOSE HANDS? RECOMMENDATIONS FOR STRENGTHENING THE MENTAL HEALTH AND SUBSTANCE USE WORKFORCE FOR OLDER AMERICANS

Locus of Responsibility

Investment in Human Capital

Building Blocks of Informed Workforce Planning

References

APPENDIXES

A Abbreviations and Acronyms

B Public Workshop Agenda

C Required Knowledge, Skills, and Training for Mental Health, Substance Use, and Geriatric Care Providers

D IOM Recommendations from Retooling for an Aging America: Building the Health Care Workforce (2008)

E Committee Biographies

with TOC BookMarkLinks

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