wk 11 SG mental health for older adults

What are the five agenda topics for this small group?

Fieldwork debrief, suicide screening and response, depression interventions, PEARLS overview, and PEARLS practice.

What is the first class norm?

What's said here stays here; what's learned here leaves here.

What should students avoid sharing?

Someone else's story without their consent.

How should students communicate during discussion?

Practice respectful honesty.

Is it acceptable not to share during discussion?

Yes.

What should students do while others are speaking?

Stay present and let others feel heard.

What emotions should be acknowledged?

Emotions and discomfort.

How should students participate in discussions?

Speak one at a time, say just enough, and avoid dominating discussions.

What was the first fieldwork debrief prompt?

Share updates since the last fieldwork debrief.

What was the second fieldwork debrief prompt?

Tips for the next group of students.

What was the third fieldwork debrief prompt?

What you wish you knew before geriatric fieldwork.

What was the fourth fieldwork debrief prompt?

Skills to carry into Level IIA.

What sensitive topics are included in the content warning?

Depression, death, and suicide.

Why is this content still taught?

Future practitioners need competency in these areas.

What should students do if they need another way to engage?

Tell the teaching team.

What is the first group of older adults discussed?

Individuals with serious, persistent mental illness who are aging.

What is the second group discussed?

Older adults developing mental health conditions later in life.

Examples of later-life mental health conditions?

Dementia, late-onset schizophrenia, alcohol/prescription drug abuse, anxiety, depression.

What is the third group discussed?

Older adults facing developmental challenges of aging.

Examples of developmental challenges?

Loneliness, role changes, loss of loved ones, declining function.

What is the overall focus?

Mental health promotion and prevention.

What screening tool is introduced?

Columbia-Suicide Severity Rating Scale (C-SSRS).

Why is the C-SSRS useful?

It uses simple, plain-language questions anyone can ask.

What does the C-SSRS determine?

Suicide risk, severity, immediacy, and needed support.

What does the C-SSRS help clinicians gauge?

The level of support the person needs.

If a client answers YES to questions 2 or 3 on the C-SSRS, what should happen?

Seek behavioral healthcare for further evaluation.

If a client answers YES to questions 4, 5, or 6?

Obtain immediate help.

What crisis number is listed?

988.

Besides 988, what emergency options are listed?

Call 911 or go to the nearest emergency room.

Should every facility follow the same protocol?

No. Follow your organization's protocol.

Should the client ever be left alone after a high-risk response?

No.

Where is Client A receiving OT?

Home health.

Does Client A live alone?

Yes, but has a nearby friend.

What is Client A's primary diagnosis?

Fibromyalgia.

What secondary diagnosis does Client A have?

Depression.

What important history does Client A have?

Previous suicidal ideation.

What is students' first task with Client A?

Introduce the C-SSRS appropriately.

During practice, should students use their own personal experiences?

No.

What should classmates do after practicing?

Reflect on what worked and what should improve.

Which C-SSRS questions did Client A answer YES to?

Questions 2 and 5.

After Client A's responses, what should students practice?

Responding and determining next action steps.

Where is Client B receiving OT?

A PACE Center.

Who does Client B live with?

Their spouse.

Why is Client B overwhelmed?

Caring for a spouse with late-stage Alzheimer's disease.

Client B's primary diagnoses?

Hypertension, rheumatoid arthritis, and diabetes.

Does Client B have a history of suicidal ideation?

Yes.

Which C-SSRS question did Client B answer YES to?

Question 2.

What is the purpose of the Case B activity?

Practice responding appropriately and determining next steps.

What topic begins after the break?

Depression interventions.

What is depression?

A mood disorder causing persistent sadness and loss of interest.