ARTHUR E. JONGSMA, JR., PHD, is the Series Editor for the bestselling PracticePlanners¯®. Since 1971, he has provided professional mental health services to both inpatient and outpatient clients. He was the founder and director of Psychological Consultants, a group private practice in Grand Rapids, Michigan, for 25 years. He is the author or coauthor of over 50 books on treatment planning and has conducted training workshops for mental health professionals around the world. DEBORAH W. FRAZER, PHD, is a licensed clinical psychologist who has worked with older adults for more than thirty years as a clinician, teacher, administrator, and consultant. Dr. Frazer is the author of more than thirty articles and book chapters related to work with older adults. She has written, taught, and developed programs in public, nonprofit, and corporate settings, and is currently an independent practitioner and consultant. GREGORY A. HINRICHSEN, PHD, is a geropsychologist with thirty-five years of experience in the field of aging. During his career, he has provided clinical services to older adults, conducted gerontology research, directed geropsychology training programs, and contributed to aging public policy. Dr. Hinrichsen is Associate Clinical Professor of Psychiatry and Behavioral Sciences at the Albert Einstein College of Medicine.

PracticePlanners Series Preface xi

Acknowledgments xiii

Introduction 1

Sample Treatment Plan 9

Activities of Daily Living (ADL/IADL) Deficits 13

Anxiety 20

Caregiver Distress 31

Communication Deficits 40

Decisional Incapacity 49

Depression 57

Disruptive Behaviors of Dementia 66

Driving Deficit 73

Elder Abuse and Neglect 79

Falls 87

Grief/Loss Unresolved 93

Interpersonal Disputes 101

Life Role Transition 108

Loneliness/Interpersonal Deficits 114

Mania/Hypomania 121

Medical/Medication Issues Unresolved 129

Memory Impairment 137

Nutritional Deficits Unresolved 144

Obsessive-Compulsive Disorder 152

Panic/Agoraphobia 159

Paranoid Ideation 167

Persistent Pain 175

Phobia 183

Residential Issues Unresolved 191

Sexually Inappropriate Behavior 199

Sleep Disturbance 206

Somatization 212

Spiritual Confusion 220

Substance Abuse/Dependence 228

Suicidal Ideation/Behavior 236

Appendix A: Bibliotherapy Suggestions 244

Appendix B: Professional References for Evidence-Based Chapters 252

Appendix C: Recommended Assessment Measures for Non-Evidence-Based Chapters 263

Appendix D: Recovery Model Objectives and Interventions 264