2024
Ageism in the Mental Health Setting
Dix E, Van Dyck L, Adeyemo S, Blazek M, Lehmann S, Singh E, Wilkins K. Ageism in the Mental Health Setting. Current Psychiatry Reports 2024, 26: 583-590. PMID: 39278983, DOI: 10.1007/s11920-024-01531-2.Peer-Reviewed Original ResearchMental health settingsMental health care settingsHealth care settingsHealth settingsCare settingsOlder adultsCombat ageismLong-term careAge-friendly practicesHealthcare traineesHealthcare providersPsychosocial consequencesHealthcare systemPublic policy strategiesHealthcareAgeismReviewThis paperAdultsSetsCareProvidersPolicy strategiesTraineesPrevalenceMental
2023
Distinguishing Distress in the Context of Aging: Demoralization vs. Depression
Kaneriya S, Mendonca C, Singh E, Wilkins K. Distinguishing Distress in the Context of Aging: Demoralization vs. Depression. Current Geriatrics Reports 2023, 12: 128-137. DOI: 10.1007/s13670-023-00390-8.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsAnxiety disordersOlder adultsAge-related challengesPotential protective factorsInterpersonal attachmentSense of hopelessnessReviewOlder adultsPsychotherapeutic interventionsPsychological conditionsLoss of meaningContext of agingBetter tailor treatmentsPhysical symptom burdenClinical constructProtective factorsExistential conflictFamily supportSocial isolationDemoralizationStrongest predictorPrevalence of demoralizationChronic medical illnessSuicidal ideationMoodDepressionA New Solution to an Age-old Problem: A Review of Ketamine and Esketamine for Treatment-resistant Depression in Late Life
Balaram K, van Dyck L, Wilkins K, Maruca-Sullivan P. A New Solution to an Age-old Problem: A Review of Ketamine and Esketamine for Treatment-resistant Depression in Late Life. Current Geriatrics Reports 2023, 12: 93-102. DOI: 10.1007/s13670-023-00389-1.Peer-Reviewed Original ResearchTreatment-resistant major depressive disorderUse of ketamineOlder adultsKetamine/esketamineTreatment-resistant depressionAnti-depressant effectsEfficacy of ketamineLate-onset depressionOnset of actionCurrent treatment strategiesLate-life depressionCase series dataMajor depressive disorderTypes of patientsDegree of disabilityPotential long termOpen labelAntidepressant effectsOnset depressionOverall mortalityHealthcare utilizationTreatment algorithmCase reportCaregiver burdenClinical trials
2022
Insomnia and Other Sleep Disorders in Older Adults
Cohen Z, Eigenberger P, Sharkey K, Conroy M, Wilkins K. Insomnia and Other Sleep Disorders in Older Adults. Psychiatric Clinics Of North America 2022, 45: 717-734. PMID: 36396275, DOI: 10.1016/j.psc.2022.07.002.Peer-Reviewed Original Research
2021
Emergent and Non-Emergent Agitation in the Older Adult: Evaluation and Management
Subramanian S, Fahed M, Dix E, Wilkins K. Emergent and Non-Emergent Agitation in the Older Adult: Evaluation and Management. Current Geriatrics Reports 2021, 10: 73-81. DOI: 10.1007/s13670-021-00358-6.Peer-Reviewed Original ResearchCohen-Mansfield Agitation InventoryElectroconvulsive therapyOlder adultsPsychiatric disordersNon-pharmacological managementAlcohol withdrawalDistressing symptomsBenzodiazepine usePharmacological treatmentTreatment optionsExcited catatoniaHeterogenous presentationSuccessful treatmentSignificant disabilitySubstance intoxicationNeuropsychiatric conditionsMotor behaviorCognitive enhancersPolypharmacyAdultsDeliriumPatientsCatatoniaReviewThis paperTreatmentEvaluation and Management of Alcohol use Disorder among Older Adults
Joshi P, Duong KT, Trevisan LA, Wilkins KM. Evaluation and Management of Alcohol use Disorder among Older Adults. Current Geriatrics Reports 2021, 10: 82-90. PMID: 34336549, PMCID: PMC8308079, DOI: 10.1007/s13670-021-00359-5.Peer-Reviewed Original ResearchAlcohol use disorderOlder adultsUse disordersTreatment of AUDPatient screening resultsScreening resultsStandardized screening toolsMost older adultsReviewThe prevalenceSUD treatmentPsychosocial treatmentsAlcohol misuseSubstance misuseBrief interventionScreening toolSubstance useMutual help groupsAdultsCOVID-19 pandemicTreatmentPhysical distancingDisordersLaboratory testsScreeningIncreased isolationSocial Connections for Seniors During COVID-19: An Online Psychoeducation and Peer Support Program
van Dyck L, Wilkins K, Mecca M, Lane C, Conroy M. Social Connections for Seniors During COVID-19: An Online Psychoeducation and Peer Support Program. American Journal Of Geriatric Psychiatry 2021, 29: s135. DOI: 10.1016/j.jagp.2021.01.130.Peer-Reviewed Original ResearchOlder adultsSocial isolationPeer supportSignificant negative health outcomesCOVID-19 programsNegative health outcomesPeer support programMajority of participantsHealth outcomesPsychosocial needsGeriatric psychiatristsSocial connectednessImproved feelingsVulnerable populationsOngoing pandemicOnline psychoeducationAdultsEnhanced mindfulnessPsychoeducationCOVID-19COVID-19 pandemicYale Department
2019
Integrated Primary and Mental Health Care for Older Adults: Successes, Challenges, and Recommendations
Gupta M, Ali H, Savo D, Conroy M, Wilkins K. Integrated Primary and Mental Health Care for Older Adults: Successes, Challenges, and Recommendations. Current Geriatrics Reports 2019, 8: 137-147. DOI: 10.1007/s13670-019-00285-7.Peer-Reviewed Original ResearchMental health careOlder adultsHealth careIntegrated careNurse care managersMental health conditionsEffective treatment modelMental health resourcesBehavioral health careRegular screeningPrimary careIntegrated PrimaryBetter outcomesPatient experienceCare programClinical practiceReviewThis reviewClinical collaborationHealth resourcesHealth conditionsCareCare managersTreatment modelNew modalityAdultsTHE STATE OF GERIATRIC PSYCHIATRY TRAINING IN GENERAL PSYCHIATRY RESIDENCY: DATA FROM A NATIONAL SURVEY OF U.S. PROGRAM DIRECTORS
Meyen R, Conroy M, Forester B, Hobbs K, Kirwin P, Schillerstrom J, Wilkins K. THE STATE OF GERIATRIC PSYCHIATRY TRAINING IN GENERAL PSYCHIATRY RESIDENCY: DATA FROM A NATIONAL SURVEY OF U.S. PROGRAM DIRECTORS. American Journal Of Geriatric Psychiatry 2019, 27: s163. DOI: 10.1016/j.jagp.2019.01.116.Peer-Reviewed Original ResearchMental healthPsychiatry residency programsAnonymous multiple-choice surveySubstance use disordersProgram directorsResidency programsGeriatric psychiatry trainingUnited States populationU.S. program directorsElderly patientsSubspecialty careMultiple-choice surveyNeurocognitive disordersAmerican Medical Association's FellowshipUse disordersElderly adultsGeriatric psychiatristsMedicine reportIOM reportGeriatric psychiatryGeriatric trainingOlder adultsSubspecialty trainingSubstance useGeriatric psychiatry fellowship
2017
Pharmacology of Geriatric Substance Use Disorders: Considerations and Future Directions
Hassell C, Wilkins K, Trevisan L. Pharmacology of Geriatric Substance Use Disorders: Considerations and Future Directions. Current Treatment Options In Psychiatry 2017, 4: 102-115. DOI: 10.1007/s40501-017-0107-z.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsSubstance use disordersEvidence-based treatmentsUse disordersGeriatric populationEvidence-based pharmacological treatment optionsAvailable evidence-based treatmentsHigh-quality clinical trialsOlder adultsAvailable pharmacological treatmentsPharmacological treatment optionsLimitations of treatmentPharmacological treatmentTreatment optionsClinical trialsCertain drugsYoung adultsAdverse effectsDisordersTreatmentAdultsHigh rateUnique needsPopulationBaby boomer generationDysfunctionPoster Number: NR 26 Evidence for Using rTMS among Older Adults with Psychiatric Disorders: A Systematic Review
Cherlopalle S, Tampi R, Manikkara G, Nanda A, Wilkins K. Poster Number: NR 26 Evidence for Using rTMS among Older Adults with Psychiatric Disorders: A Systematic Review. American Journal Of Geriatric Psychiatry 2017, 25: s139. DOI: 10.1016/j.jagp.2017.01.160.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus Statements