Workshop List

Full day
Primary Care Mental Health in Older People
The 6th International Capacity Conference
Half Day, Morning Session
Improving Caregiver Interventions: New Clinical Approaches and Research Strategies
Updates/ Controversies in Alzheimer’s Disease: Risk Factors, Protective Factors and Treatments
Measurement of Challenging behavior (CB); views from different perspective
Half Day, Afternoon Session
International initiatives to address inappropriate psychotropic use in long term aged care – learning from each other
PAIN in Older Adults with Cognitive Impairment especially Dementia
Young Onset Dementia

Workshop Descriptions

JOIN TWO HALF DAY WORKSHOP AT THE SAME RATE THAT ONE FULL DAY WORKSHOP

 

 

 

 

Primary Care Mental Health in Older People (Full day)

Workshop organized in collaboration with Sociedad Española de Medicina Familiar y Comunitaria (SemFYC)

In the context of the rapid growth in numbers of the older adult population, the mental health of older adults has become a huge challenge for all concerned, especially with the high prevalence of mental health issues in this group. The ageing world population needs to be central in all policies and programmes in order to enable health systems to be more equitable, inclusive and fair. Services need to be designed to respond to the mental health needs of older adults; educational programmes need to be offered for professionals to improve their specific skills to treat and care for this important group.

At any age mental health is under-treated, even in many developed countries. With age, the problem is magnified, often because primary care settings lack confidence in addressing mental health in an aging and often frail population.

 

After the course the participants shall be able to:

  • understand the different forms of organizing care to older adults with mental disorders giving priority to build a collaboration with Primary Care teams;
  • ascertain the ethical principles that underpin the mental health care of older adults
  • manage the main mental health disorders of older adults in collaboration with the Primary Care team

 

Workshop Coordinators: Carlos A. de Mendonça Lima and Gabriel Ivbijaro

Topics/ Presenters:

  • Mental health care for older people: the scale of the problem (Carlos A. de Mendonça Lima)
  • Dignity in the care of older people with mental disorders (Gabriel Ivbijaro)
  • Building a collaboration with the Primary Care team: the experience in Spain (Juan Antonio López - Sociedad Española de Medicina Familiar y Communitaria – SemFYC)
  • Management of comorbidity and multimorbidity at Primary Care (Gabriel Ivbijaro)
  • Management of dementia at Primary Care (Carlos A. de Mendonça Lima)
  • Management of delirium at Primary Care (Horacio Firmino)
  • Management of bodily distress syndrome (BDS), bodily stress syndrome (BSS) and health anxiety in older adults (Gabriel Ivbijaro)
  • Management of bereavement of older people at Primary Care (Mercedes Fernández-Cabana, Raimundo Mateos)

 

 

 

 

The 6th International Capacity Conference (Full Day)

The 6th International Capacity Conference held in conjunction with Capacity Australia, is the culmination of over a decade of continued commitment from IPA to establishing and developing excellence in the field of capacity and human rights.  Continuing the popular tradition of previous IPA capacity programmes, we will draw together speakers from multiple regions to update us on capacity and human rights issues that confront us on a daily basis as both clinicians and medicolegal experts. We will explore complex decision-making issues related to relationships (including marriage and divorce), will-making and financial capacity, and capacity at the end of life, including capacity related to voluntary assisted dying, as well as suicide and undue influence.

 

After the course the participants shall be able to:

  1. To provide updates on capacity issues that are relevant to both everyday clinical practice as well as medicolegal practice
  2. To enhance professional networking in the area of capacity internationally
  3. To provide a forum for peer support and education in complex capacity and human rights issues
  4. To disseminate resources from the IPA capacity scholarly body

 

Topics/ Presenters:

  • An overview of new and exciting developments in capacity in voluntary assisted dying, divorce and marriage, and finances/company directorship (Professor Carmelle Peisah - Australia)
  • Capacity, artificial intelligence and home technology (Professor Jay Luxenberg - United States)
  • An update on testamentary capacity (Dr Jane Casey - New Zealand)
  • An update on capacity and sexuality (Dr Oluwatoyin Sorinmade - UK)
  • Professional capacity: health and cognitive screening for ageing doctors (Professor Betsy Williams - US)
  • Capacity issues at the end of life in Romania (Dr Nicoleta Tataru - Romania)
  • Suicide, undue influence and elder abuse (Dr Anne Wand - Australia)

 

 

 

 

Improving Caregiver Interventions: New Clinical Approaches and Research Strategies (Half Day, Morning Session)

In collaboration with the Galician Network for Dementia Research (REGIDEM):

Interventions for caregivers of persons with dementia (PwD) have, over the past 40 years, become a major focus in research and implementation in the community.  Despite considerable progress in both basic and intervention research on caregivers, treatment effects remain relatively small.  Most studies use variations of stress management and skill building strategies, which have generally been associated with positive outcomes, but the field has not addressed fundamental limitations in these approaches nor considered alternative paradigms that might yield more positive outcomes.  This workshop will briefly review the current state of the field, identify strengths and limitations, and suggest new directions in design of interventions and intervention research.  Issues to be discussed include: identifying appropriate outcome measures, use of adaptive strategies for assigning treatment modules, evaluating implementation of treatment modules and their proximal effects on caregivers’ behaviour and affect, and the critical role of respite and how to evaluate it.  The workshop will also discuss approaches that incorporate both caregiver and PwD.

 

After the course the participants shall be able to:

  1. Participants will learn to recognize mismatches between treatment procedures and outcome measures, and how to overcome this problem.
  2. Participants will learn how to evaluate implementation and proximal effects of treatment modules.
  3. Participants will learn novel research designs and strategies for evaluating effects of respite care.
  4. Participants will learn clinical and research approaches for interventions that include both caregivers and persons with dementia.

 

Topics/ Presenter:  Professor Steven Howard Zarit (USA)

  • State of the Field:Why We Need to Move Beyond the Current Paradigm for Caregiver Interventions and Research
  • The Problem of Outcomes:Why the Outcomes We Use Are not Appropriate
  • A Modular Approach to Interventions:Design, Implementation, and Selection of Appropriate Outcomes
  • Respite as a Critical Support for Caregivers
  • Design Approaches for Respite:“The Daily Stress and Health of Caregivers Study” as an Example
  • Dyadic Interventions:Caregivers and Persons with Dementia Viewing the Future Together
  • Implications for Caregiving Situations not Involving Dementia
  • Discussion of Possible Applications

 

 

 

 

Updates/ Controversies in Alzheimer’s Disease: Risk Factors, Protective Factors and Treatments (Half Day, Morning Session)

This Pre-Congress Workshop will focus on emerging consensus vs controversial data relative to risk factors and protective factors in Alzheimer’s Disease. (AD)

The promising use of various neuro-modulatory approaches will be examined.

Controversy relative to the use of various herbals, vitamins, and supplements in prevention/treatment of AD will be elucidated as well as regulatory approaches vis a vis medical foods for the treatment of AD.

Lastly, the emerging role of the brain’s glymphatic system and the use of blood products to treat advanced AD will be highlighted.

 

After the course the participants shall be able to:

  • Discuss with AD patientsand theirfamilies recent research relative to risk factors for AD and to recommend evidence-based protective factors.
  • Understand neuro-modulatory approaches of promise in treating AD
  • Discriminate among various vitamins, herbals, and supplements which may or may not be of value in patients at-risk for AD and with AD.
  • Become knowledgeable about the recently discovered glymphatic system of the brain as well as a potential blood-product therapy for advanced AD.

 

Topics/ Presenters:

  • Risk Factors and Protective Factors (George Grossberg – United States)
  • Neuro-Modulatory approaches in Alzheimer’s Disease (David Beck – United States)
  • Role for vitamins and supplements in Alzheimer’s Disease; what the evidence shows (Allan Anderson – United States)
  • Breaking Researchin Alzheimer’s Disease (Rita Khoury - Lebanon)

 

 

 

 

Measurement of Challenging behavior (CB); views from different perspectives (Half Day, Morning Session)

Sponsored by:

The behavior of people with dementia has been a focus of both research and dementia care for decades, particularly behavior that is considered ‘challenging’. This challenging behavior has appeared difficult to demarcate and define, resulting in many approaches and views about what it is, how it is called (challenging behavior, neuropsychiatric symptoms, behavioral and psychological symptoms), which consequently has resulted in many different measurement instruments. For exploring how researchers can improve their contribution to the knowledge about challenging behavior and to its treatment, we will share viewpoints towards measurement of challenging behavior from different professional disciplines. Subsequently, we will discuss possibilities for consensus on how to improve measurement of challenging behavior and what properties (e.g., severity, frequency, distress for patient and/or environment) to include, which we aim to publish as an editorial.

 

After the course the participants shall possess:

  • Insight into different approaches towards challenging behavior
  • Insight into different professional perspectives towards challenging behavior and its measurement
  • Insight into the importance of various properties of challenging behavior in its measurement

 

Topics/ Presenters:

  • Debby Gerritsen (the Netherlands) will introduce the subject and discuss a psychologist’s view
  • Rebecca Palm (Germany) will discuss a nurse’s view
  • Carmelle Peisah (Australia) will discuss a psychiatrist’s view
  • Patricia de Vriendt (Belgium) will discuss a social worker’s/occupational therapist’s view

 

 

 

 

International initiatives to address inappropriate psychotropic use in long term aged care – learning from each other (Half-Day, Afternoon Session)

Sponsored by:

Mental health conditions are very common in long-term aged care, with incidence increasing. Over half of residents have dementia. The majority will experience behavioural and psychological symptoms, including agitation, psychosis and sleep disturbance. Although professional guidelines endorse detailed assessment of these symptoms and non-pharmacological strategies as the first treatment approach, many residents are treated with psychotropic medication despite modest effectiveness alongside substantial risk of adverse effects such as falls and stroke. Many residents without dementia also suffer from anxiety and sleep disturbance. Again, non-pharmacological strategies are recommended as initial treatment yet psychotropics are often prescribed.

This workshop will outline and contrast intervention approaches of several countries, the Netherlands, Australia, the U.K and the U.S. to reduce inappropriate psychotropic use in long term care. The benefits and barriers associated with each intervention approach will be identified and discussed, with the ultimate aim of integrating key learnings from international researchers to address this important issue.

 

After the course the participants shall be able to:

  • describe the long-term care systems of different countries
  • provide evidence of inappropriate use of psychotropic medication in this setting
  • outline the approaches from different countries to ensure appropriate psychotropic use in long term care, with the aim of writing a review paper for ‘International Psychogeriatrics’

 

Topics/ Presenters:

  • The RID (Reduction of Innappropriate Psychotropic Drug Use study). A randomized cluster controlled stepped wedge study of the implementation of facility tailored complex interventions to reduce inappropriate drugs (Claudia Groot Kormelinck and Charlotte van Teunenbroek)
  • The psychotropic drug monitor web application. A simplified version of the APID to measure appropriateness of psychotropic drugs (Sarah Janus/ Naomi Rasing)
  • The PROPER study (Raymond Koopmans)
  • Discontinuing inappropriate medication in nursing residents/ DIM-NHR study (TBD)
  • The national expansion of the RedUSe programme. A quality improvement strategy approach to reduce psychotropic reliance in 150 aged care homes around the country (Juanita Westbury)
  • Clinical outcome sub-study of the RedUSe programme (Daniel Hoyle)
  • The HALT trial (TBD)
  • The Empowered Initiative (Carmelle Peisah)
  • The WHELD/FITS initiative (TBD)

 

 

 

 

PAIN in Older Adults with Cognitive Impairment especially Dementia (Half Day, Afternoon Session)

The number of older adults will increase considerably in the next decades. Since age is the main risk factor for dementia and pain, the number of patients with both dementia and pain will also grow. It seems already now evident that pain is grossly under-diagnosed and under-treated in dementia. When dementia and pain concur, their impact on the European society multiplies and asks for transnational solutions. The workshop is presented by a panel of speakers representing EU COST-Action TD1005 "Pain assessment in cognitive impairment, especially dementia”. It is a training activity for health professional and researchers in the field of psychogeriatry aimed to improve their knowledge on guidelines and current use of tools available, and their capacity in the assessment and management of pain in elderly people with cognitive impairment, especially in the dementias.

 

After the course the participants shall be able to:

  • obtain the theoretical-practical framework to solve the current difficulties in the evaluation, diagnosis, treatment and management of pain in people with cognitive impairment, especially dementia
  • acquire basic knowledge, abilities, techniques and procedures necessary to improve professional training in "pain in people with cognitive impairment, especially dementias"
  • get updated with the state-of-the-art of the translational and clinical research on pain in cognitive impairment, especially dementia
  • understand the concept of “total pain” and its relevance to dying with dementia and to explore the impact of pain on the person with dementia but also on family carers and staff

 

Topics/ Presenters:

  • Current practices, use of tools, guidelines and policies for pain in cognitive impairment, especially dementia (Patricia Schofield)
  • Clinical challenges in pain assessment and management in older and cognitively impaired adults (Wilco Achterberg)
  • Nociceptive evoked responses as a tool to explore pain pathways in cognitive impairment (Marina de Tomaso)
  • The evolutive pathway between pain and olfactory perception (Sara Invitto)
  • Translational research modelling pain in aging, cognitive impairment and dementia (Lydia Giménez-Llort and Chaim g. Pick)
  • A palliative care approach to pain management for people with dementia towards the end of life (Elisabeth Sampsom)

 

 

 

 

Young Onset Dementia (Half Day, Afternoon Session)

People with their first symptoms of dementia before the age of 65 years are often referred to as people with Young Onset Dementia (YOD). It is estimated that 6-9% of people with dementia are diagnosed with YOD. People living with YOD have specific needs and characteristics for which tailored care is needed. In this workshop presenters from different countries (Netherlands, Germany, Norway, United Kingdom, Brazil) will share research on a broad range of issues regarding definition and nomenclature of YOD, palliative care, coping with transitions in life, lived experience of receiving a diagnosis and accuracy of diagnosis, and differences in the clinical profile between carers of people with young and late onset Alzheimer’s disease.

 

Topics/ Presenters:

  • Give Young Onset Dementia a face: A Delphi-study on definition and nomenclature of YOD (Dennis van de Veen)
  • Special features of palliative care in people with advanced young onset dementia: results from the German EPYLOGE-study (Janine Diehl-Schmid)
  • Coping with transitions in life along the progression of dementia: A four-year longitudinal narrative study of lived experiences of single younger people with dementia (Aud Johannessen)
  • Improving diagnosis and post-diagnostic support for younger people living with dementia (Janet Carter)
  • Differences in the clinical profile between carers of people with young and late onset Alzheimer’s disease (Marcia Cristina Nascimento Dourado)

 

Although the Delphi-study as part of the PRECODE study (presentation of Dennis van de Veen) resulted in agreement of the majority of the statements on terminology and definition of Young Onset Dementia, four statements remained without consensus. This interactive session has the aim to discuss in person these statement with experts in the field in a World Café session. Participants will discuss in a group of 6-8 persons every statement during about 10-15 minutes. The session will end with a wrap-up of the outcomes.