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Wednesday, July 29 • 1:00pm - 5:00pm
19: Teaching a Psychotherapy Designed for Elders: The CARE Model (Half-Day Workshop, PM)

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Teaching a Psychotherapy Designed for Elders: The CARE Model

Speakers: Andy Roth MD, Jimmie Holland MD, Christian J. Nelson PhD and Elizabeth Harvey PhD

This workshop proposes to teach attendees how to deliver a psycotherapy intervention designed specifically for elders with cancer, the CARE (Cancer and Aging: Refections for Elders) Model. Based on Erikson's developmental concepts, Folkman’s meaning based model of coping, and from interviews with "expert" elders, this five session intervention has been developed, and its feasibility and tolerability tested in a telephone format. Data from the randamized pilot study with 65 patients, followed at 2 and 4 months after the intervention, showed that those who received the intervention, as compared to standard care, had reduced depression and anxiety, demoralization and loneliness with an increase in coping and spiritual well being. Effect sizes were small to moderate (d=.2 to .5). The CARE Model concepts are applied to an on going clinical group, the Cancer and Aging Group, where innovations can be tried and tested. A subgroup now participate in the Vintage Readers Book Club, in which classics from literature (ie, the Harvard Classics of World Literature) are being read and discussed as a way to stimulate an activity at home and integrate into current personal and social issues, from a broader historical perspective. We anticipate the workshop will have two parts.

Part 1: Background for psychotherapies for elders and a description of the CARE Model with presentation of pilot results from 65 patients.

Part 2: Presentation of the manual and the content of each session with role play to illustrate how to conduct the key sessions. Innovations and other formats for delivery will be discussed, as well as opportunities for collaboration.

Workshop Objectives:

  • The participants in this workshop will learn the common psychosocial problems faced by elders with cancer, the Eriksonian theoretical base for the model, the Folkman model of meaning based coing, and the CARE clinical implementation with patients.
  • The audience will learn how to deliver the CARE Model: delivered by telephone or group; how to use the manual as a guide; and how to conduct key sessions on loss and isolation with role play.


Wednesday July 29, 2015 1:00pm - 5:00pm
Capitol Hill Meeting Level 3

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