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Behavior Modification
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0145445508314269v1
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Extending Cognitive-Behavioral Therapy for Late-Life Anxiety to Home Care

Program Development and Case Examples

Gretchen J. Diefenbach

Institute of Living, Hartford Hospital

David F. Tolin

Institute of Living, Hartford Hospital

Christina M. Gilliam

Institute of Living, Hartford Hospital

Suzanne A. Meunier

Institute of Living, Hartford Hospital

Data suggesting that cognitive-behavioral therapy (CBT) is efficacious for late-life anxiety are accumulating; however, effectiveness has not been well established. Incorporating CBT for anxiety into home care is needed to facilitate access to evidenced-based treatment for a growing population of community-dwelling, functionally impaired elderly people. In this article, the authors describe the development of a home-based CBT program for late-life anxiety, outlining their experience partnering with a community care management organization. They also describe the CBT protocol and present data form two participants who completed the treatment. The two case examples illustrate multiple barriers to achieving successful treatment outcomes with this population. Future research needs to determine the extent to which adaptations are necessary to optimize the success of CBT for anxiety in a home care setting.

Key Words: geriatric • anxiety • home health • cognitive-behavioral therapy

This version was published on September 1, 2008

Behavior Modification, Vol. 32, No. 5, 595-610 (2008)
DOI: 10.1177/0145445508314269


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The GerontologistHome page
G. J. Diefenbach, D. F. Tolin, S. A. Meunier, and C. M. Gilliam
Assessment of Anxiety in Older Home Care Recipients
Gerontologist, April 1, 2009; 49(2): 141 - 153.
[Abstract] [Full Text] [PDF]