Conducting Wellness Groups for Veterans and Older Adults: The Legacy Model offers an innovative wellness group model for mental health practitioners. Two curricula developed by the authors are explored, the Process-Focused Legacy Group curriculum for members who are high functioning and motivated adults, and the Activity-Based Legacy Group curriculum tailored for persons with disabilities and/or cognitive impairments. Detailed steps, prompts, and legacy activities are provided for each stage for both curriculum formats. This book provides clinical examples from the facilitator’s group experiences using the Legacy Model. The appendices provide further detailed resource materials that include descriptions of potential legacy projects and a vast assortment of legacy activities. This book is essential for mental health practitioners: mental health counselors, marriage and family therapists, social workers, and psychologists interested in conducting Legacy Groups with veterans and older adults.

Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.

"A reproducible workbook created for facilitators to use with returning veterans and their families"--t.p.

How Change Happens in Equine-Assisted Interventions gives clinicians and researchers an intervention theory on the mechanisms of change during psychotherapy and other interventions that incorporate horses. Chapters introduce the concept of intervention theory, present a theory of the problem (what the client comes with), theories explaining the intervention (what is done during a session), and theories of change (what happens in the mind of a client), with each theory’s function described. Using an autoethnographic approach, the authors describe, deconstruct, and analyze personal experiences as clients during an equine-assisted intervention. Then the authors present and apply a unique intervention theory by linking it to the thoughts and experiences of clients in and after a session. Practitioners will come away from this book with a unique perspective on the field and with an increased understanding of what their clients are thinking both in and out of session. Researchers will have an explanatory theory from which to draw testable hypotheses when studying interventions incorporating horses.

At least 5.6 million to 8 million-nearly one in five-older adults in America have one or more mental health and substance use conditions, which present unique challenges for their care. With the number of adults age 65 and older projected to soar from 40.3 million in 2010 to 72.1 million by 2030, the aging of America holds profound consequences for the nation. For decades, policymakers have been warned that the nation's health care workforce is ill-equipped to care for a rapidly growing and increasingly diverse population. In the specific disciplines of mental health and substance use, there have been similar warnings about serious workforce shortages, insufficient workforce diversity, and lack of basic competence and core knowledge in key areas. Following its 2008 report highlighting the urgency of expanding and strengthening the geriatric health care workforce, the IOM was asked by the Department of Health and Human Services to undertake a complementary study on the geriatric mental health and substance use workforce. The Mental Health and Substance Use Workforce for Older Adults: In Whose Hands? assesses the needs of this population and the workforce that serves it. The breadth and magnitude of inadequate workforce training and personnel shortages have grown to such proportions, says the committee, that no single approach, nor a few isolated changes in disparate federal agencies or programs, can adequately address the issue. Overcoming these challenges will require focused and coordinated action by all.

This book provides insight into the primary issues faced by older adults; the services and benefits available to them; and the knowledge base, techniques, and skills necessary to work effectively in a therapeutic relationship. Dr. Kampfe offers empirically and anecdotally based strategies and interventions for dealing with clients' personal concerns and describes ways counselors can advocate for older people on a systemic level. Individual and group exercises are incorporated throughout the book to enhance its practicality. Topics covered include an overview of population demographics and characteristics; counseling considerations and empowering older clients; successful aging; mental health and wellness; common medical conditions; multiple losses and transitions; financial concerns; elder abuse; veterans issues; sensory loss; changing family dynamics; managing Social Security and Medicare; working after retirement age; retirement transitions, losses, and gains; residential options; and death and dying.