Geropsychology Training in a VA Nursing Home Setting

Abstract There is a growing need for professional psychology training in nursing home settings, and nursing homes provide a rich environment for teaching geropsychology competencies. We describe the nursing home training component of our Department of Veterans Affairs (VA) Predoctoral Internship and Geropsychology Postdoctoral Fellowship programs. Our training objectives for Interns and Fellows include: increased exposure and interest in nursing home practice; increased competencies in assessment, intervention, and consultation in this setting; and increased confidence in the role of the psychologist in medically oriented, geriatric care settings. We describe the local VA nursing home training setting and our training model, including expected competencies, training activities, special issues in supervision, and evaluation of competencies. We have found group supervision and peer support to be an important component of our nursing home training program. The VA healthcare system allows great flexibility for psychologists to provide both psychological services and training in the nursing home setting.

[1]  J. Devine,et al.  Emerging Trends in Psychological Practice in Long‐Term Care , 2004, Journal of the American Geriatrics Society.

[2]  J. McCormack Handbook of Counseling and Psychotherapy with Older Adults , 2004 .

[3]  P. Roy-Byrne,et al.  Assessment and Treatment of Nursing Home Residents with Depression or Behavioral Symptoms Associated with Dementia: A Review of the Literature , 2003, Journal of the American Geriatrics Society.

[4]  J. Ouslander,et al.  Consensus Statement on Improving the Quality of Mental Health Care in U.S. Nursing Homes: Management of Depression and Behavioral Symptoms Associated with Dementia , 2003, Journal of the American Geriatrics Society.

[5]  L. Wray,et al.  Recommendations about the knowledge and skills required of psychologists working with older adults , 2003 .

[6]  M. Duffy Confidentiality and Informed Consent versus Collaboration , 2003 .

[7]  L. Hyer,et al.  Training in Long-Term Care Facilities , 2003 .

[8]  S. Bartels,et al.  Models of mental health services in nursing homes: a review of the literature. , 2002, Psychiatric services.

[9]  J. Wetherell Handbook of the Psychology of Aging, 5th Edition , 2002 .

[10]  D. Lai,et al.  Culture and Mental Health: Providing Appropriate Services for a Diverse Older Population , 2002 .

[11]  C. Buppert Professional Psychology in Long-term Care , 2001 .

[12]  N. Miller,et al.  Predicting state Medicaid home and community based waiver participants and expenditures, 1992-1997. , 2000, The Gerontologist.

[13]  C. Kovner,et al.  Experts recommend minimum nurse staffing standards for nursing facilities in the United States. , 2000, The Gerontologist.

[14]  T. Patterson,et al.  Consensus statement on the upcoming crisis in geriatric mental health: research agenda for the next 2 decades. , 1999, Archives of general psychiatry.

[15]  L. Carstensen,et al.  Taking time seriously. A theory of socioemotional selectivity. , 1999, The American psychologist.

[16]  D. Tucker Assessing Competence to Consent to Treatment: A Guide for Physicians and Other Health Professionals , 1998 .

[17]  R. Hamer,et al.  Psychiatric consultation in the nursing home. A survey of six states. , 1998, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[18]  L. Burgio,et al.  Behavioral Interventions and Motivational Systems in the Nursing Home , 1998, Annual Review of Gerontology and Geriatrics.

[19]  S. Qualls,et al.  Standards for psychological services in long-term care facilities. , 1998, The Gerontologist.

[20]  P. Roy-Byrne,et al.  Mental Illness and Nursing Home Reform: OBRA-87 Ten Years Later , 1998 .

[21]  R. Schulz,et al.  A life span model of successful aging. , 1996, The American psychologist.

[22]  Scott N. Jones An Interpersonal Approach to Psychotherapy With Older Persons With Dementia , 1995 .

[23]  M. Storandt,et al.  Neuropsychological Assessment of Dementia and Depression in Older Adults: A Clinician's Guide , 1994 .

[24]  K. Schaie The course of adult intellectual development. , 1994, The American psychologist.

[25]  M. Duffy A Multimethod Model for Practicum and Clinical Supervision in Nursing Homes , 1992 .

[26]  C. Herrick,et al.  Ethics in aging: a decision-making paradigm. , 1992, Educational gerontology.

[27]  Carol L. Philpot,et al.  Chapter 9: Psychotherapy with Older Adults , 1992 .

[28]  M. Smyer,et al.  Mental Health Consultation in Nursing Homes , 1988 .

[29]  S. Qualls,et al.  Geriatric health teams: classifying models of professional and team functioning. , 1988, The Gerontologist.

[30]  P. Lewinsohn,et al.  Training clinical psychologists for work with older adults: a working model , 1984 .

[31]  C. Ullmann The training of clinical psychologists. , 1947, American Psychologist.

[32]  L. Farrand THE AMERICAN PSYCHOLOGICAL ASSOCIATION. , 1897, Science.

[33]  S. Whitbourne Psychopathology in later adulthood , 2000 .

[34]  P. Hays Culturally responsive assessment with diverse older clients. , 1996 .

[35]  L. Teri,et al.  Mental health services for older adults: Implications for training and practice in geropsychology. , 1995 .

[36]  C. E. Watkins Psychotherapy supervision in the 1990s: some observations and reflections. , 1995, American journal of psychotherapy.

[37]  S. Finkel,et al.  Education and training of mental health service providers. , 1995 .

[38]  S. Cooley Geropsychology services and training in the U.S. Department of Veterans Affairs. , 1995 .

[39]  Watkins Ce Psychotherapy Supervision in the 1990s: Some Observations and Reflections , 1995 .

[40]  K. Wilber,et al.  PRACTICUM TRAINING IN GERONTOLOGICAL COUNSELING , 1987 .

[41]  R. Hubbard Clinical issues in the supervision of geriatric mental health trainees. , 1984 .

[42]  Denise C. Park,et al.  Handbook of the Psychology of Aging , 1979 .

[43]  Assessment of Competency and Capacity of the Older Adult : A Practice Guideline for Psychologists , 2022 .