Part I. Epidemiology, Historical background, Illness Phenomenology, and Diagnostic Issues:
1. Epidemiology of psychotic disorders: methodological issues and empirical findings Robert Sigström and Deborah Gustafson
2. Epidemiology of schizophrenia: patterns of care for older adults with schizophrenia Donna McAlpine and Ellen McCreedy
3. Assessment and diagnosis of psychotic symptoms in older adults Michael Reinhardt, Dina Ghoneim, Tessa Murante, Eric Nelson, Paulina Vargas and Shifra Mincer
4. A comparison of early and late-onset schizophrenia Dina Ghoneim
Part II. Biological, Neurocognitive, and Medical Aspects:
5. Biological changes in older persons with schizophrenia Michael Centorino and Susan Schultz
6. Cognitive functioning in older adults with schizophrenia Tarek Rajji
7. Medical issues in older persons with schizophrenia Frank Copeli and Carl I. Cohen
Part III. Outcome and Course:
8. Assessing outcomes in schizophrenia in later life Carl I. Cohen
9. Positive psychiatry for schizophrenia and other psychotic disorders Graham Eglit, Barton W. Palmer and Dilip V. Jeste
Part IV. Social Functioning and Mood:
10. Social functioning among older community-dwelling persons with schizophrenia Paul D. Meesters
11. Depression and suicidality in older adults with schizophrenia John Kasckow and Aninditha Vengassery
12. Community treatment needs Paul D. Meesters
13. Treatment of schizophrenia and psychoses in older adults: psychopharmacological approaches Subramoniam Madhusoodanan
14. Model programs and interventions for older adults with schizophrenia Stephen J. Bartels, Peter R. DiMilia and Heather Leutwyler
15. Changing caregiver needs with increasing age of people with schizophrenia Harriet P. Lefley and Brian R. Ghezelaiagh
16. Personal accounts of living with schizophrenia across a lifetime: coping strategies and subjective perspectives Tova Band-Winterstein, Hila Avieli and Peli Mushkin
17. The care of older adults with schizophrenia in developing countries Rujvi Kamat and Samir T. Mukherjee
Part V. Health Policy and Research: Future Directions:
18. Schizophrenia in later life: public policy issues in the United States Michael B. Friedman, Lisa Furst, Paul S. Nestadt, Kimberly A. Williams and Lina Rodriguez
19. Epilogue: controversies, conjectures, and future directions Carl I. Cohen and Paul D. Meesters.
By 2050, the number of people aged sixty years and older with schizophrenia is expected to double and affect about 10 million people worldwide. Psychoses are among the most common experiences in later life, with a lifetime risk of 23 percent. As a result, there is a looming crisis in mental health care. Schizophrenia and Psychoses in Later Life is the first major multidisciplinary reference on these important disorders. The book provides guidelines for clinical care, research and policy that are consistent with the emerging paradigmatic changes occurring with respect to schizophrenia in later life. This book features multidisciplinary contributions from experts in the fields of biological psychiatry, social psychiatry, sociology, anthropology, social work, psychology, and neuropsychology that will help professionals to integrate services and attain the best outcomes. The text will guide psychiatrists, psychologists, gerontologists, policymakers, and social scientists in creating innovative new programs to help this underserved and growing population.
- Presents the first book in over a decade on the subject, and there has since been a dramatic change in our understanding of the course and outcome of schizophrenia in later life
- Provides readers with up-to-date information, with a broad perspective on the topics that is of use to researchers and clinicians
- Focuses on new, recovery-orientated forms of care
Carl I. Cohen, SUNY Downstate Medical Center
Carl I. Cohen is SUNY Distinguished Service Professor and Director, Division of Geriatric Psychiatry at State University of New York Downstate Medical Center. He is also the founding director of the Brooklyn Alzheimer's Disease Assistance Center and the Geriatric Psychiatry Fellowship Program. He has authored over 200 articles and three books on topics in mental illness and aging.
Paul D. Meesters, Friesland Mental Health Services
Paul D. Meesters is a geriatric psychiatrist and tutor in geriatric psychiatry at Friesland Mental Health Services, Leeuwarden, the Netherlands. He has authored over twenty articles and co-edited a book on Neuropsychiatry.