Interdisciplinary Geriatric Mental Health Resilience Interventions

  • Donna CohenEmail author
  • Andrew Krajewski


Surviving and prevailing during adult development and aging is a function of many biopsychosocial factors, one of the most significant of which may be resilience. Resilience is a concept generally framed as an “alluring and deceptively simple yet complex construct that is riddled with complexities, contradictions, and ambiguities” (Kaplan, 2005; Smith & Hayslip, 2012). The American Psychological Association (APA) defines resilience as “the process of adapting well in the face of adversity, trauma, and tragedy, threats, or significant stress,” or “bouncing back” from difficult experiences (American Psychological Association, 2004). The underlying assumption of the APA definition is that resilience is an active process of increasing functional effectiveness and positive adaptation in the context of substantial risks associated with adverse circumstances, and it can be used to characterize the hardiness of individuals, families, as well as social systems and communities.


Interdisciplinary care Mental health Resilience Geriatric assessment Behavioral health 


  1. Adams, J. L., Gaynes, B. N., McGuinness, T., Modi, R., Willig, J., & Pence, B. W. (2012). Treating depression within the HIV “medical home”: A guided algorithm for antidepressant management by HIV clinicians. AIDS Patient Care and STDs, 26(11), 647–654.PubMedPubMedCentralGoogle Scholar
  2. Akincigil, A., Olfson, M., Siegel, M., Zurlo, K. A., Walkup, J. T., & Crystal, S. (2012). Racial and ethnic disparities in depression care in community-dwelling elderly in the United States. American Journal of Public Health, 102(2), 319–328.PubMedPubMedCentralGoogle Scholar
  3. Alexopoulos, G. S., Reynolds, III C. F. M. D., Bruce, M. L., Katz, I. R., Raue, P. J., Mulsant, B. H., et al. (2009). Reducing suicidal ideation and depression in older primary care patients: 24-month outcomes of the PROSPECT study. American Journal of Psychiatry, 166(8), 882–890.PubMedGoogle Scholar
  4. American Psychological Association. (2004). The road to resilience. Retrieved from
  5. Andreescu, C., Mulsant, B. H., Houck, P. R., Whyte, E. M., Mazumdar, S., Dombrovski, A. Y., et al. (2008). Empirically derived decision trees for the treatment of late-life depression. American Journal of Psychiatry, 165(7), 855–862.PubMedGoogle Scholar
  6. Areán, P., & Huh, T. (2006). Problem-solving therapy with older adults. In S. H. Qualls & B. G. Knight (Eds.), Psychotherapy for depression in older adults (pp. 133–151). New York: Wiley & Sons.Google Scholar
  7. Baltes, P. B., & Baltes, M. M. (1990). Psychological perspectives on successful aging: The model of selective optimization with compensation. Successful Aging: Perspectives from the Behavioral Sciences, 1(1), 1–34.Google Scholar
  8. Bartels, S. J., Dums, A. R., Oxman, T. E., Schneider, L. S., Areán, P. A., Alexopoulos, G. S., et al. (2002). Evidence-based practices in geriatric mental health care. Psychiatric Services, 53(11), 1419–1431.PubMedGoogle Scholar
  9. Bartels, S. J., & Naslund, J. A. (2013). The underside of the silver tsunami—older adults and mental health care. New England Journal of Medicine, 368(6), 493–496.PubMedGoogle Scholar
  10. Blazer, D. G. (2003). Depression in late life: Review and commentary. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 58(3), M249–M265.Google Scholar
  11. Bogner, H. R., Morales, K. H., de Vries, H. F., & Cappola, A. R. (2012). Integrated management of type 2 diabetes mellitus and depression treatment to improve medication adherence: a randomized controlled trial. The Annals of Family Medicine, 10(1), 15–22.PubMedGoogle Scholar
  12. Bonanno, G. A., Westphal, M., & Mancini, A. D. (2012). Loss, trauma, and resilience in adulthood. Annual Review of Gerontology and Geriatrics, 32(1), 189–210.Google Scholar
  13. Briggs, R., McDonough, A., Ellis, G., Bennett, K., O’Neill, D., & Robinson, D. (2017). Comprehensive Geriatric Assessment for community‐dwelling, high‐risk, frail, older people. The Cochrane Library.Google Scholar
  14. Brown, N. J. (2014). A critical examination of the US Army’s Comprehensive Soldier Fitness program. The Winnower, 2, e143751.Google Scholar
  15. Bruce, M. L., & Pearson, J. L. (1999). Designing an intervention to prevent suicide: PROSPECT (Prevention of suicide in primary care elderly: Collaborative trial). Dialogues in Clinical Neuroscience, 1(2), 100–112.PubMedPubMedCentralGoogle Scholar
  16. Brunwasser, S. M., Gillham, J. E., & Kim, E. S. (2009). A meta-analytic review of the Penn Resiliency Program’s effect on depressive symptoms. Journal of Consulting and Clinical Psychology, 77(6), 1042–1054.PubMedPubMedCentralGoogle Scholar
  17. Cartier, J. M. (2013). A team-based approach to the care of depression in later life: Where are we now? Psychiatric Clinics of North America, 36(4), 651–660.PubMedGoogle Scholar
  18. Casey, G. W. (2011). Comprehensive soldier fitness: A vision for psychological resilience in the US Army. American Psychologist, 66(1), 1–3.PubMedGoogle Scholar
  19. Cornum, R., Matthews, M. D., & Seligman, M. E. P. (2011). Comprehensive soldier fitness: building resilience in a challenging institutional context. American Psychologist, 66(1), 4–9.PubMedGoogle Scholar
  20. Davis, T. D., Deen, T., Bryant-Bedell, K., Tate, V., & Fortney, J. (2011). Does minority racial-ethnic status moderate outcomes of collaborative care for depression? Psychiatric Services, 62(11), 1282–1288.PubMedGoogle Scholar
  21. Ell, K., Xie, B., Kapetanovic, S., Quinn, D. I., Lee, P.-J., Wells, A., et al. (2011). One-year follow-up of collaborative depression care for low-income, predominantly Hispanic patients with cancer. Psychiatric Services, 62(2), 162–170.PubMedGoogle Scholar
  22. Ellis, G., Whitehead, M. A., O’Neill, D., Langhorne, P., & Robinson, D. (2011). Comprehensive geriatric assessment for older adults admitted to hospital. The Cochrane Library.Google Scholar
  23. Emery, E. E., Lapidos, S., Eisenstein, A. R., Ivan, I. I., & Golden, R. L. (2012). The BRIGHTEN program: implementation and evaluation of a program to bridge resources of an interdisciplinary geriatric health team via electronic networking. The Gerontologist, 52, 857–865.PubMedGoogle Scholar
  24. Gallo, J., Fulmer, T., Paveza, G., & Reichel, W. (Eds.). (2006). Handbook of geriatric assessment (3rd ed.). Gaithersburg, MA: Aspen Publication.Google Scholar
  25. Gilbody, S., Bower, P., Fletcher, J., Richards, D., & Sutton, A. J. (2006). Collaborative care for depression: a cumulative meta-analysis and review of longer-term outcomes. Archives of Internal Medicine, 166(21), 2314–2321.PubMedGoogle Scholar
  26. Harms, P. D., Herian, M., Krasikova, D. V, Vanhove, A. J., & Lester, P. B. (2013). The comprehensive soldier and family fitness program evaluation. Report# 4: Evaluation of resilience training and mental and behavioral health outcomes. Retrieved from
  27. Hayslip, B., & Smith, G. (Eds.). (2012). Annual review of gerontology and geriatrics: Emerging perspectives on resilience in adulthood and later life (Vol. 32). Springer Publishing Company.Google Scholar
  28. Hunkeler, E. M., Katon, W., Tang, L., Williams, J. W., Kroenke, K., Lin, E. H. B., et al. (2006). Long term outcomes from the IMPACT randomised trial for depressed elderly patients in primary care. BMJ, 332(7536), 259–263.PubMedPubMedCentralGoogle Scholar
  29. Institute of Medicine. (2012). The mental health and substance abuse workforce for older adults: In whose hands?. Washington, D.C.: The National Academies Press.Google Scholar
  30. Jeste, D. V., Savla, G. N., Thompson, W. K., Vahia, I. V., Glorioso, D. K., Martin, A. S., et al. (2013). Association between older age and more successful aging: critical role of resilience and depression. American Journal of Psychiatry, 170(2), 188–196.PubMedGoogle Scholar
  31. Kaplan, H. B. (2005). Understanding the concept of resilience. In S. Goldstein & R. B. Brooks (Eds.), Handbook of resilience in children (pp. 39–47). Boston, MA: Springer.Google Scholar
  32. Lavretsky, H. (2014). Resilience and aging: Research and practice. JHU Press.Google Scholar
  33. Lin, E. H. B., Von Korff, M., Ciechanowski, P., Peterson, D., Ludman, E. J., Rutter, C. M., et al. (2012). Treatment adjustment and medication adherence for complex patients with diabetes, heart disease, and depression: A randomized controlled trial. The Annals of Family Medicine, 10(1), 6–14.PubMedGoogle Scholar
  34. Luptak, M., Kaas, M. J., Artz, M., & McCarthy, T. (2008). Project ADAPT: A program to assess depression and provide proactive treatment in rural areas. The Gerontologist, 48, 542–548.PubMedGoogle Scholar
  35. Machado, R. J., & Tomlinson, V. (2011). Bridging the gap between primary care and mental health. Journal of Psychosocial Nursing and Mental Health Services, 49(11), 24–29.PubMedGoogle Scholar
  36. Maddi, S. R. (2012). Hardiness: Turning stressful circumstances into resilient growth. New York: Springer.Google Scholar
  37. Oslin, D. W., Grantham, S., Coakley, E., Maxwell, J., Miles, K., Ware, J., et al. (2006). PRISM-E: Comparison of integrated care and enhanced specialty referral in managing at-risk alcohol use. Psychiatric Services, 57(7), 954–958.PubMedGoogle Scholar
  38. Osterweil, D., Brummel-Smith, K., & Beck, J. (Eds.). (2000). Comprehensive geriatric assessment. New York: McGraw Hill Professional.Google Scholar
  39. Peterson, C., Park, N., & Castro, C. A. (2011). Assessment for the US army comprehensive soldier fitness program: The global assessment tool. American Psychologist, 66(1), 10–18.PubMedGoogle Scholar
  40. Resnick, B. A., & Inguito, P. L. (2011). The Resilience Scale: Psychometric properties and clinical applicability in older adults. Archives of Psychiatric Nursing, 25(1), 11–20.PubMedGoogle Scholar
  41. Rothschild, S. K., & Lapidos, S. (2003). Virtual integrated practice: integrating teams and technology to manage chronic disease in primary care. Journal of Medical Systems, 27(1), 85–93.PubMedGoogle Scholar
  42. Rowe, J. W., & Kahn, R. L. (1997). Successful aging. The Gerontologist, 37(4), 433–440.PubMedGoogle Scholar
  43. Rubenstein, L. Z. (1981). Specialized geriatric assessment units and their clinical implications. Western Journal of Medicine, 135(6), 497.PubMedPubMedCentralGoogle Scholar
  44. Schulz, R., & Heckhausen, J. (1996). A life span model of successful aging. American Psychologist, 51(7), 702–714.PubMedGoogle Scholar
  45. Seligman, M. E. P., Steen, T. A., Park, N., & Peterson, C. (2005). Positive psychology progress: empirical validation of interventions. American Psychologist, 60(5), 410–421.PubMedPubMedCentralGoogle Scholar
  46. Smith, G. C. (2009). From consultation–liaison psychiatry to integrated care for multiple and complex needs. Australian and New Zealand Journal of Psychiatry, 43(1), 1–12.PubMedGoogle Scholar
  47. Smith, G. C., & Hayslip, B. (2012). Resilience in adulthood and later life: What does it mean and where are we heading? Annual Review of Gerontology & Geriatrics, 32, 3–28.Google Scholar
  48. Smith, J. L., & Hollinger-Smith, L. (2015). Savoring, resilience, and psychological well-being in older adults. Aging & Mental Health, 19(3), 192–200.Google Scholar
  49. Thota, A. B., Sipe, T. A., Byard, G. J., Zometa, C. S., Hahn, R. A., McKnight-Eily, L. R., et al. (2012). Collaborative care to improve the management of depressive disorders: a community guide systematic review and meta-analysis. American Journal of Preventive Medicine, 42(5), 525–538.PubMedGoogle Scholar
  50. Unützer, J., Katon, W., Callahan, C. M., Williams, J. W., Jr., Hunkeler, E., Harpole, L., et al. (2002). Collaborative care management of late-life depression in the primary care setting: A randomized controlled trial. JAMA, 288(22), 2836–2845.PubMedGoogle Scholar
  51. Van Craen, K., Braes, T., Wellens, N., Denhaerynck, K., Flamaing, J., Moons, P., et al. (2010). The effectiveness of inpatient geriatric evaluation and management units: A systematic review and meta-analysis. Journal of the American Geriatrics Society, 58(1), 83–92.PubMedGoogle Scholar
  52. van Eck van der Sluijs, J., Castelijns, H., Eijsbroek, V., Cees, A. T., van Marwijk, H. W. J., & van der Feltz-Cornelis, C. M. (2018). Illness burden and physical outcomes associated with collaborative care in patients with comorbid depressive disorder in chronic medical conditions: A systematic review and meta-analysis. General Hospital Psychiatry, 50, 1–14.PubMedGoogle Scholar
  53. Ward, K., & Reuben, D. (2013). Comprehensive geriatric assessment. UpToDate2013. Retrieved from www.Uptodate.Com/contents/comprehensive-Geriatric-Assessment.
  54. Wieland, D. (2003). The effectiveness and costs of comprehensive geriatric evaluation and management. Critical Reviews in Oncology/hematology, 48(2), 227–237.PubMedGoogle Scholar
  55. Wieland, D., Hedrick, S. C., Rubenstein, L. Z., Buchner, D. M., Reuben, D. B., & Harker, J. O. (1994). Inpatient geriatric evaluation and management units: Organization and care patterns in the Department of Veterans Affairs. The Gerontologist, 34, 652–657.PubMedGoogle Scholar

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© Springer Nature Switzerland AG 2018

Authors and Affiliations

  1. 1.Department of Child & Family StudiesCollege of Behavioral & Community Science, University of South FloridaTampaUSA
  2. 2.Department of Sociology and CriminologyCollege of the Liberal Arts, Pennsylvania State UniversityState CollegeUSA

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