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This book reviews important neuropsychological measures currently used in the assessment of dementia by the principal clinicians and researchers associated with the test, offering practical guidance on each test along with an analysis of its limitations.
The CAMDEX-DS-II is a fully updated second edition of a validated assessment for diagnosing dementia in people with Down Syndrome (a group known to be at particular risk of dementia), as well as others with intellectual disabilities. In order to differentiate decline due to dementia or other mental health issues from pre-existing impairment, particular emphasis has been placed on establishing change from the individual's best level of functioning. The CAMDEX-DS-II comprises a comprehensive manual including guidance for diagnosis, a structured informant interview to collect information about presenting symptoms and clinical history, a direct participant assessment (CAMCOG-DS-II), and a picture book to use in conjunction with the participant assessment. The CAMDEX-DS-II may be used in community settings by health professionals as part of the diagnostic process, or to formalise diagnosis in the context of research. The picture book is to be used alongside the CAMCOG-DS-II, and provides photos and illustrations to aid the direct assessment of the person with Down Syndrome or other intellectual disabilities.
The Frith Prescribing Guidelines for People with Intellectual Disability provides comprehensive guidance on prescribing for patients with intellectual disability as well as general information on the clinical care of this important population. The guidelines have been conceived and developed by clinicians working in intellectual disability services. They are based on both the latest evidence and expert opinion to provide a consensus approach to prescribing as part of a holistic package of care, and include numerous case examples and scenarios. New to this third edition is improved coverage of children and the role of primary care teams. The Frith Prescribing Guidelines for People with Intellectual Disability remains a practical guide for busy clinicians and a valuable reference for all primary and secondary health care professionals caring for people with intellectual disability.
This textbook provides a state of the art of the knowledge on the prevalence, risk and etiological factors, clinical features, assessment procedures and tools, diagnostic criteria, treatment, and prognosis of the psychiatric disorders encountered in people with intellectual disability (ID) and low-functioning autism spectrum disorder (ASD). ID and ASD represent two meta-syndromic groups of several different conditions, each with particular cognitive and communication features. People with ID/ASD display an increased prevalence of a variety of psychiatric disorders, including psychotic disorders, mood disorders, anxiety and stress-related disorders, somatoform disorders, and obsessive-compulsive disorder, as well behavioral syndromes, personality disorders, and disorders due to psychoactive substance use. This book will enable readers to understand the specificities of psychiatric disorders in the context of ID/ASD. It explains clearly how diagnostic criteria and assessment procedures for psychiatric disorders that were created for the general population have to be modified for use with ID/ASD. Above all, it will enable clinicians to overcome difficulties in diagnosis and to deliver more effective care that meets the particular needs of patients with ID/ASD.
CAMDEX-DS is a comprehensive assessment tool for diagnosing dementia in people with Down's syndrome (a group known to be at particular risk of dementia). Based upon CAMDEX-R, CAMDEX-DS has been modified for use with intellectual disability. In order to differentiate decline due to dementia or other mental disorders from pre-existing impairment, particular emphasis has been placed on establishing change from the individual's best level of functioning. The pack is comprised of a structured informant interview, a direct assessment of the patient/participant (CAMCOG), and guidance for diagnosis and post-diagnosis intervention, providing a reliable way to identify dementia (and to differentiate it from other common disorders). It may be used in community settings by mental health professionals as part of the diagnostic process, or to formalize diagnosis in the context of research. Use of the CAMCOG provides the means for ongoing neuropsychological evaluation and informs future support and intervention strategies.
Published in association with the Estia Centre, this guide provides a comprehensive introduction to working with people who have autism spectrum conditions (ASC). The book addresses the needs of people with ASC across the lifespan and range of intellectual functioning. Though the content is grounded in evidence-based practice and recent research, the text is intended to be as practical as possible, offering insight into the everyday lives of people with ASC and how staff can best support them.
Broad in scope and with global appeal The Oxford Textbook of Old Age Psychiatry, second edition is the definitive resource on old age psychiatry. It comprehensively provides the latest knowledge on the science and practice of treating later life mental disorders, focusing on the health and social issues that arise around ageing, dementia, co-morbidity, dependency, and the end of life in progressively ageing societies across the world. Published in previous incarnations as the much loved Psychiatry in the Elderly, this core resource for all old age psychiatrists, trainees, and other clinical professionals treating older people's mental health, has been fully revised, updated, and significantly expanded. Twelve months inclusive access to the online version, including the full text (which can be browsed by the contents list, index, or searched), links from references to external sources (via PubMed, ISI, and CrossRef), and the ability to download all figures and illustrations into PowerPoint ensures that it remains the leading text on old age psychiatry in the field. Maintaining the classic combination of comprehensive coverage, clear writing style, and the provision of authoritative and up-to-date information from earlier editions, this highly respected volume covers the underpinning basic science, both the neurobiological and social varieties, clinical practice, and specific disorders, as well as providing information on psychiatric services for older people, and medico-legal and ethical issues that often present hard challenges for those treating older patients. Taking a global approach by highlighting both the common burdens and the differences in management from country to country and with a much expanded cast of contributors providing a truly international perspective, The Oxford Textbook of Old Age Psychiatry, second edition includes information on all the latest improvements and changes in the field. New chapters are included to reflect the development of old age care; covering palliative care, the ethics of caring, and living and dying with dementia. Existing chapters have also been revised and updated throughout and additional information is included on brain stimulation therapies, memory clinics and services, and capacity, which now includes all mental capacity and decision making. Providing extensive coverage and written by experts the field, the second edition of the Oxford Textbook of Old Age Psychiatry is an essential resource; no old age psychiatrist, trainee, or anyone working in the field of mental health care for older people should be without a copy on their bookshelf.
To a certain extent the dementias have been forgotten diseases until just recen tly when they were brought to the attention of the general public and health authorities as a result of the increasing number of cases in the aging popula tion, especially among famous people, and because of the efforts of private foundations. The goals of the present volume are to present the dementias to health prac titioners, to provide some basic information on their epidemiology and biolo gical basis and to discuss the diagnostic and clinical problems that physicians and institutions face when caring for demented patients. This book explores the various types of dementias and is not limited to Alzheimer's disease although, as expected, more information is available and presented on this pathology. On the other hand, a few fundamental questions on dementia can only be answe red through a comparison of the various forms. Examples of such questions are the following: Is the loss of cerebral tissue sufficient to cause dementia? Are there thresholds or is there a continuous progression toward the irreversible development of dementia? Are there common pathways in the dementing pro cess? Are there common risk factors? Comparative analysis allows the common and distinctive patterns of the various dementias to be defined, ultimately lea ding to more focused therapeutic interventions.
This revised and updated second edition provides a practical and structured overview of some of the most commonly used and easily available cognitive screening instruments applicable in the outpatient clinic and bedside setting. It now includes additional chapters on AD8 and also methodological aspects of systematic cognitive screening instrument assessment from the Cochrane Dementia and Cognitive Improvement Group. Expert authors from around the world equip the reader with clear instructions on the usage of each screening instrument, its strengths and weaknesses, and the time required for administration. Rules on scoring are also provided, such as how to correct for variations in the patient’s age or education, and suggested cut-off scores. Cognitive Screening Instruments: A Practical Approach, Second Edition is aimed at both clinicians and professionals in disciplines allied to medicine who are called upon to assess patients with possible cognitive disorders, including neurologists, old age psychiatrists, neuropsychologists, primary care physicians, dementia support workers, and members of memory assessment teams.
The PAS-ADD clinical interview has been designed to meet the particular problems of assessment in people with intellectual disability (mental retardation), but is equally valid for use with the general population. It provides full diagnoses under both ICD 10 and DSM IV(TR), and also provides a framework for producing a wider case formulation using other assessment frameworks, behavioural, ecological, psychodynamic etc. The interview is designed to maximise the possibility of conducting a clinical interview, even if the client's level of language is poor. Questions are also provided for informants, so that the interviews can be conducted with a client and informant, or just with an informant if the client is non-verbal . Information can be collected, not just on current mental state, but also on a second representative episode.The interview provides full diagnoses under both ICD 10 and DSM IV(TR), including: ICD 10 Agoraphobia Social phobia Specific phobia Panic disorder Generalized anxiety disorder Obsessive compulsive disorder Depressive episode Depressive episode with psychotic features Manic episode Manic episode with psychotic features Schizophrenia Other non-organic psychosis Other persistent delusional disorder Delusional disorder Psychosis unspecified Autistic Spectrum Disorder* *Screening only DSM IV (TR) Agoraphobia Social phobia Specific phobia Panic disorder Generalized anxiety disorder Obsessive compulsive disorder Depressive episode Depressive episode with psychotic features Manic episode Manic episode with psychotic features Schizophrenia Schizophreniform disorder Delusional disorder Psychotic disorder NOS Brief psychotic disorder ADHD Autistic Spectrum Disorder* The PAS-ADD clinical interview uses a scoring system that is transparent to the user, making it very clear to see not just the criteria that have been fulfilled but also those that are close to fulfilment. This makes the process of clinical interpretation easier and based on clear evidence.There are two parts to the PAS-ADD Clinical Interview The handbook, which includes guidance to the user, notes on the diagnostic algorithms, and the semi-structured interview 1.The score forms, for recording the ratings, determining which diagnostic criteria have been met, and bringing together other relevant information to make a comprehensive case formulation. 2.Vital information for: psychologists, psychiatrists and qualified professionals in community mental health teams, mental health trusts, acute health trusts, universities and students