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1

J, Maletta Gabe, and Pirozzolo Francis J, eds. Assessment and treatment of the elderly neuropsychiatric patient. Praeger, 1986.

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2

Reynolds, Cecil R. Clinical assessment scales for the elderly: Professional manual for the CASE and CASE-SF. Psychological Assessment Resources, 2001.

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3

Jeanne, Teresi, ed. Measurement in elderly chronic care populations. Springer Pub. Co., 1997.

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4

L, Brink T., ed. Clinical gerontology: A guide to assessment and intervention. Haworth Press, 1986.

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5

Frierson, Richard L., and Shilpa Srinivasan. Evaluation of Elderly Persons in the Criminal Justice System. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199374656.003.0020.

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The assessment of the elderly defendant presents a specific set of challenges in the forensic psychiatric evaluation process. In this special population, a neurocognitive disorder or the presence of cognitive, psychiatric, and behavioral symptoms can impair a defendant’s understanding of the legal system or their ability to work effectively with an attorney in the preparation of a defense. Therefore, assessments of capacity to stand trial may require special attention to the mental health conditions and symptoms more commonly seen in elderly persons, and the evaluation process may require modi
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6

Stewart, Hannah, and J. Paul Fedoroff. The Elderly Sex Offender. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199374656.003.0022.

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This chapter reviews the topic of problematic sexual behaviors committed by elderly men and women. Given the dearth of research done on problematic sexual behaviors in older people, references in this chapter include studies involving people as young as 55. Age-relevant findings regarding criminal sex offenses committed by elderly sex offenders and recidivism are considered along with aspects of this population that are similar to and different from younger men and women. Important ethical and sexual boundaries and their implications are discussed. Patterns of sexual offenses committed by elde
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7

Owen, Gareth, Sir Simon Wessely, and Sir Simon Wessely, eds. The psychiatric interview with adults. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199661701.003.0001.

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The chapter describes how to take a comprehensive psychiatric history with adults. It explains that the purpose of the psychiatric history is to elicit the necessary information to make sense of the presenting problems, determine whether a diagnosis can be made, and to try and understand the origins of the presenting problems in a particular individual (the ‘formulation’). It also emphasizes the role the interview has in establishing a therapeutic and psychoeducational relationship. The chapter gives practical guidance on preparing for the interview and what questions to ask. Recommendations a
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8

Holzer, Jacob C. The Psychiatric and Cognitive Mental Status Examination in the Medical-Legal Context. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199374656.003.0001.

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This chapter provides an introduction to and overview of psychiatric and cognitive mental status examination in older adults, particularly within a medical-legal context. A methodical approach to the mental status examination involves assessment of a range of areas, including behavior, alertness, mood state, affect, thought content and process, sensory input and perception, symptom experience and safety variables, and cognitive domains including attention, language, visuospatial, memory and executive cognitive functions. This assessment can be critical in a variety of forensic contexts involvi
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9

Granacher, Robert P. Neuropsychiatric Aspects Involving the Elderly and the Law. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199374656.003.0002.

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Neuropsychiatry has generally been concerned with the diagnosis and management of syndromes with productive symptoms (positive symptoms) such as hallucinations, mood changes, and delusions. This chapter focuses on the brain-based forensic issues before the law concerning the neuropsychiatry of the older patient. These include the forensic infinitives of legal cognitive capacity to be competent to be tried, enter a plea, be a witness, consent generally, enter a contract, make a will, resist undue influence, refuse treatment, give informed consent, have general competence, have specific competen
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10

Frakey, Laura L., and Donald A. Davidoff. Neuropsychological Assessment in Geriatric Forensic Psychiatry. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199374656.003.0004.

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While memory complaints are ubiquitous among elders, and memory impairment is one of the most significant aspects of cognitive dysfunction in elderly persons, deficits in other cognitive domains can also negatively impact the ability of elderly individuals to function independently and can have marked consequences in the forensic arena. Neuropsychological assessment is a critical element in identifying cognitive changes that can have a negative impact on legal capacity. Information about cognitive vulnerabilities, combined with data concerning day-to-day functioning, provides critical informat
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11

Dodds, Chris, Chandra M. Kumar, and Frédérique Servin. Anaesthesia for non-theatre environments. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198735571.003.0013.

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This chapter reviews the challenges in providing safe anaesthesia outside of the operating theatre complex and the particular risks this may pose to the elderly. Generic issues with remote sites are discussed, and key points are identified: these include patient assessment, appropriate staffing and support, safety drills, environmental safety, and anaesthetic equipment and drug provision. Sedation in the elderly is identified as an area of risk, and the chapter details the problems of providing safe sedation. The areas where sedation is administered vary from endoscopy and imaging including CT
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12

Wilkins, James M., Maureen A. Malin, and Robert Kohn. The Evolving Role of Psychiatry in Physician-Assisted Dying and Euthanasia. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199374656.003.0034.

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Physician-assisted dying and euthanasia are last-resort options for patients with unbearable suffering. In the United States, physician-assisted dying is legal in a few states and reserved for individuals with terminal medical illness. Elderly patients are disproportionately represented among those who seek physician-assisted dying and euthanasia. Psychiatric referrals are rarely made and are not mandatory in the evaluation for physician-assisted dying or euthanasia. These practices raise issues regarding capacity and mental illness, such as depression and major neurocognitive disorders, as ps
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13

Haq, Yaser, Stuart A. Anfang, and Benjamin Liptzin. Capacity in the Life Course of the Elder. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199374656.003.0010.

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Over the next few decades, there will likely be an increase in the frequency of will challenges related to testamentary capacity and undue influence, given a U.S. elderly population with a disproportionate amount of wealth. Psychiatric clinicians are likely to be called upon to advise the courts about a person’s capacity to make a will or susceptibility to undue influence. This chapter reviews the important legal and psychiatric issues involved in determinations of testamentary capacity and undue influence. It also touches on the policy considerations of promoting liberty and autonomy which se
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14

Kohn, Robert, Jessica Warner, Wendy Verhoek-Oftedahl, and Emily Murphy. Elder Abuse. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199374656.003.0021.

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There are five principal domains of elder abuse: physical abuse, psychological abuse, sexual abuse, neglect, and financial abuse. This chapter discusses the prevalence, prediction, and assessment of elder abuse as well as other factors related to abuse. The incidence of elder abuse is 24 times greater than the number of cases referred to social service, law enforcement, or other legal authorities. Caregiver factors, rather than risk factors associated with the abused elder, may be more important in predicting abuse. Lack of compliance with medical regimens, delay in seeking medical care, dispa
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15

Depression, stress, and adaptations in the elderly: Psychological assessment and intervention. Aspen Publishers, 1986.

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16

Rao, Rahul, and Ilana Crome. Assessment in the Older Patient. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199392063.003.0008.

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Increased longevity and progressive increases in substance use in older people require clinicians to be proficient in assessing substance misuse in this age group. Assessment requires age-appropriate knowledge, skills and attitudes, taking into account atypical presentations that may challenge conventional diagnostic processes. A greater focus is needed on physical and social aspects of assessment, paying special attention to the influence of comorbid psychiatric and physical disorders. Physiological and pharmacological changes in older people alter the way that substances and other drugs are
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17

Clinical Gerontology: A Guide to Assessment and Intervention. Routledge, 2014.

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18

Brink, T. L. Clinical Gerontology: A Guide to Assessment and Intervention. Taylor & Francis Group, 2014.

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