physical changes/resultant weaknesses of, 34, 67 protective factors <strong>and</strong>, 4, 168 psychological history/need of, 201–202 psychosocial characteristics of, 363 – 364 psychosocial interventions of, 175 –176 rescue/recovery personnel dependence by, 68 residential status of, 202 – 203, 206 resilience of, 4, 143 –144, 146 –151, 166, 197, 200 – 201 self-help tools for, 141–156 September 11 lack of support of, 276 social interactions <strong>and</strong>, 43 social support for, 127–128 sociodemographic characteristics of, 141–143, 364 – 365 in special housing, 203, 206, 208 spirituality of, 227– 228 spiritual tools for, 230 – 235 stereotype of, 31, 368 strengths/weaknesses of, 32 – 39 technology use by, 69, 76 transfer impact on, 275 as volunteers, 165 –166 vulnerability of, 197, 362 – 365 Olshaker, J. S., 365 Oxazepam, 17 P Panic attacks, as bereavement symptom, 301 Panic disorder, 17 Parkes, C. M., 298 Paroxetine, 191 Patton, G. S., 326 PCL-M assessment instrument, for PTSD, 321, 324 PCP. See Primary care physician Perphenazine, 14 Person-centered care for AD/dementia, 354 – 355 response plan for, 354 Persons with dementia (PWDS), 344, 349 – 350 PFA. See “Psychological First Aid” Pfefferbaum, B., 125 Pfefferbaum, R. L., 125 Index 417 PHAC. See Public <strong>Health</strong> Agency of Canada Philocetetes (Sophocles), 323 Phobias, as bereavement symptom, 301 Poetry/journaling therapy, 219 Points of Light Foundation <strong>and</strong> Volunteer Center National Network, 164 Population in need, of case management, 200 – 203 Portelli, I., 367 A Portrait of Seniors in Canada (Statistics Canada), 84 Postdisaster symptoms behavioral/cognitive interventions for, 188 comprehensive/individualized assessment for, 185 –189 imagery-based interventions for, 189 interpersonally-based interventions for, 188 psychodynamic interventions for, 189 Posternak, M. A., 146 Posttraumatic stress disorder (PTSD), 17–18, 185, 288 – 290 alcohol/substance abuse disorders <strong>and</strong>, 290 APA “Practice Guidelines” on, 301 bereavement v., 297–298 CPT for, 333, 338, 339 dementia <strong>and</strong>, 352 during disasters, 21 effective/individualized/integrative intervention strategies for, 192 –195 hypnotics for, 192 of Israeli Holocaust, 277 medication management of, 301 movie therapy for, 339 of Nazi Holocaust survivors, 309 older person mistreatment <strong>and</strong>, 367 PCL-M/CAPS assessment instrument for, 321, 324 pre-disaster, 274 prior history/recurrence of, 191 PRM for, 338 – 339 psychopharmacology/treatment for, 189 –192 psychosocial rehabilitation for, 320 risk factors for, 290 screening for, 370
418 Index self-care programs for, 146 symptom chronicity <strong>and</strong>, 3, 190 symptoms/classifi cation of, 320 Practice Guidelines, of APA, 301 Practitioner trauma, 106 –107, 132 Prayer wheel, 232 Prazosin, 191 Pregabalin, 17 Presidential Symposium on 2004 Tsunami <strong>and</strong> Older People, 91 Preventive Services Task Force, U.S., 10 Primary care physician (PCP), 18 PRM. See Psychosocial Rehabilitation Model Problem-solving simulations, 260 – 268 Project Liberty, 132, 344 PSA. See Public service announcement Psychodrama, 219 Psychodynamic interventions, for postdisaster symptoms, 189 “Psychological First Aid” (PFA), 184 Psychological history/need, 201– 202 Psychological impact, of disasters, 274 – 277 pre-disaster psychopathology <strong>and</strong>, 278–279 prior disaster experience <strong>and</strong>, 277 risk factors for, 276 in rural areas, 278 time limited, 275 of transfer trauma, 275 variables for, 274 Psychopathology, 277–279 Psychopharmacological treatment, 12–15 antidepressants <strong>and</strong>, 12 –13 antipsychotics <strong>and</strong>, 14 benzodiazepines <strong>and</strong>, 13 –14 dementia medications <strong>and</strong>, 15 for PTSD, 189 –192 Psychosocial characteristics, 363 – 364 Psychosocial interventions, 175 –176 Psychosocial Rehabilitation Model (PRM), 338 – 339 Psychotherapy, 15 –16, 16 PTSD. See Posttraumatic stress disorder Public <strong>Health</strong> Agency of Canada (PHAC), 91 Public Safety Canada, 83 Public service announcement (PSA), 149 Puerto Ricans, spirituality of, 229 Putnam, Robert, 164 PWDS. See Persons with dementia Q Quality of care, 250 Quality of life, xviii, xix, xx, xxi, xxii, xv, xvi, 5, 25, 120, 128, 135, 137, 138, 175, 176, 195, 227-228, 241, 242, 250, 252, 253, 269, 270, 343, 349, 354, 359 choice <strong>and</strong> choosing model, xx, 5, 176 choice <strong>and</strong> choosing process, 253 domains, 227-228, 252 evaluation, xxii, 135, 354 facilitating choice <strong>and</strong> choosing, 250, 354 restrictions, 135, 250 chronic disease model of care emphasis on, 250 interdisciplinary treatment team <strong>and</strong>, 251, 253 mental health <strong>and</strong>, 5 person centered, 354 promoting quality, xxi, 135, 353 Stroud Center for Studies of Quality of Life, 5 Quebec ice storm, 85, 87 – 88 R RAC. See Reliant Astrodome Complex Rahman, M., 86 R<strong>and</strong>omized controlled trials (RCTs), 10 Rational-emotive therapy, 303 RCTs. See R<strong>and</strong>omized controlled trials Ready America Web site, of Department of Homel<strong>and</strong> Security, 122 Red Crescent Societies Reference Center for Psychosocial Support, 43, 119, 120 Red Cross. See American Red Cross Red River Manitoba fl oods, 85, 86 – 87 Reeves, S., 250 Refl ective practice anticipatory refl ection use in, 114, 116 community benefi ts from, 113 –114 disaster response in, 109 for facilitated refl ective practice, 108 –113 planning group for, 110
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Geriatric Mental Health Disaster an
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Dedicated to Flo Aaroe, who personi
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Contributors xi Foreword by Robert
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14 Geriatric Assessment for Differe
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xii Contributors Terry Fulmer, PhD,
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xiv Contributors Douglas M. Sanders
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Foreword With the increase in the n
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Preface The rage you feel does more
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Preface xxi and (3) influence the d
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Preface xxiii as key to the prepara
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1 A Primer for Disaster and Emergen
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Chapter 1 A Primer for Disaster and
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2 Older Persons in Disasters and Em
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Chapter 2 Older Persons in Disaster
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NORMAL CHANGES WITH AGING ORGANS/SY
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Immune Function Laboratory Tests Em
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5 National and Cross-National Model
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8 Self-Help Tools for Older Persons
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VOLUNTEERS PROVIDING AND RECEIVING
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15 Bereavement and Grief: What Is N
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17 Alzheimer’s Disease and Relate
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n Do your best to remain calm. The
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