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Marx KA, Duffort N, Scerpella DL, et al. Evidence-based Non-pharmacologic Interventions for Managing Neuropsychiatric Symptoms and Mental Health Issues in Residents in Assisted Living. Seniors Hous Care J. 2017;25(1):71-83
Marx, K. A., Duffort, N., Scerpella, D. L., Samus, Q. M., & Gitlin, L. N. (2017). Evidence-based Non-pharmacologic Interventions for Managing Neuropsychiatric Symptoms and Mental Health Issues in Residents in Assisted Living. Seniors housing & care journal, 25(1), 71-83.
Marx, Katherine A, et al. "Evidence-based Non-pharmacologic Interventions for Managing Neuropsychiatric Symptoms and Mental Health Issues in Residents in Assisted Living." Seniors housing & care journal vol. 25,1 (2017): 71-83.
Marx KA, Duffort N, Scerpella DL, Samus QM, Gitlin LN. Evidence-based Non-pharmacologic Interventions for Managing Neuropsychiatric Symptoms and Mental Health Issues in Residents in Assisted Living. Seniors Hous Care J. 2017;25(1):71-83. PMID: 30271525; PMCID: PMC6159901.
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Seniors Hous Care J. 2017;25(1):71-83.

Evidence-based Non-pharmacologic Interventions for Managing Neuropsychiatric Symptoms and Mental Health Issues in Residents in Assisted Living.

Seniors housing & care journal

Katherine A Marx, Naomi Duffort, Daniel L Scerpella, Quincy Miles Samus, Laura N Gitlin

Affiliations

  1. Research Associate, Johns Hopkins School of Nursing.
  2. Research Assistant, Center for Innovative Care in Aging, Johns Hopkins School for Nursing, 525 North Wolfe Street, Suite 472-I, Baltimore, MD 21205.
  3. Research Assistant, Center for Innovative Care in Aging, Johns Hopkins School of Nursing, 525 N. Wolfe Street, Suite 472-K, Baltimore, MD 21205.
  4. Associate Professor Director of the Translational Aging, Services Core Psychiatry & Behavioral Sciences, Johns Hopkins School of Medicine Core Faculty/Johns, Hopkins Center for Innovations in Aging, 5300 Alpha Commons Drive, 4th Floor, Baltimore, MD 21224.
  5. Director & Professor, Center for Innovative Care in Aging, Johns Hopkins School of Nursing, Department of Community-Public Health, Johns Hopkins School of Medicine, Department of Psychiatry (Joint Appointment), 525 N. Wolfe Street, Suite 316, Baltimore, MD 21205.

PMID: 30271525 PMCID: PMC6159901

Abstract

THE PROBLEM: Mental health issues such as depression and neuropsychiatric symptoms (NPS) (e.g. agitation, aggression, rejection of care, wandering) are prevalent among residents in Assisted Living Facilities (ALF). Historically, these issues have only been treated with medications that can have a high risk of adverse effects in this population. This paper presents a scoping review of nonpharmacological interventions tested in ALFs for two of the most prevalent mental health issues: depression and NPS.

KEY FINDINGS: Thirteen studies met inclusion criteria. Of those, eight (61.5%) found positive outcomes. Activity based and music therapy that utilize customization to interests and abilities showed the most promise.

TIPS FOR SUCCESS: Based on findings we offer five recommendations: 1) adopt evidence-based or evidence-informed interventions; 2) use tailored activity as a therapeutic modality; 3) adopt new training approaches for staff; 4) use emerging technologies for training and intervention; and 5) participate in practice based research.

Keywords: Assisted Living Facility; dementia; depression; mental health

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