Clinical Topics in Old Age Psychiatry

Julian C. Hughes is Honorary Professor of Old Age Psychiatry at the University of Bristol, and Visiting Professor of Philosophy of Ageing at the Policy, Ethics and Life Sciences (PEALS) Research Centre, Newcastle University, UK. During his time as a fellow of both the Royal College of Psychiatrists and the Royal College of Physicians of Edinburgh, he has also advised various national and international bodies and served as deputy chair of the Nuffield Council on Bioethics. With Toby Williamson, he wrote The Dementia Manifesto (Cambridge, 2019). Philippa Lilford is an ST5 General Adult and Old Age Registrar in the Severn Deanery (Severn Postgraduate Medical Education School of Psychiatry) and Honorary Research Fellow at the University of Bristol. She has worked as a psychiatrist in Malawi in 2015 and has recently been awarded a Wellcome Trust-funded clinical primer with Cardiff University, researching the genetic epidemiology of psychiatric illness. She has an interest in global mental health, and healthcare law and ethics.

'Although Professor Hughes and Dr Lilford are clear that this is not a textbook, it could usefully be viewed as one, with an extraordinary breadth of contributors. As a consultant old age psychiatrist I found the up to date and readable summaries of a wide range of topics really helpful, from help in day to day diagnosis and management to thought-provoking meditations on personhood and ethics. As a clinician I was also introduced to a number of new concepts in both neuropsychiatric investigations and social care. It is a collection of essays that I can thoroughly recommend to all old age psychiatrists, or those who would wish to be so.' Dr Matt Jelley MBChB FRCPsych, Consultant Liaison Psychiatrist for Older People, Royal United Hospital, Bath

• Preface; Acknowledgement; Editors' note; Abbreviations; Introductory comments by Julian C. Hughes; Part I. Epidemiology and Types of Disorders: 1. Epidemiology and mental health in old age Philippa Lilford and Julian C Hughes; 2. Vascular dementia Hugh Series and Margaret Esiri; 3. Young-onset dementias Kate Jefferies and Niruj Agrawal; 4. Rare and unusual dementias Susham Gupta, Olivia Fiertag, Thanakumar Thanulingam, Elena Ros, Bryan Strange and James Warner; 5. Mania in late life Felicity Richards and Martin Curtice; 6. Alcohol misuse in older people Rahul Rao and Ilana B. Crome; 7. Drug misuse in older people: old problems and new challenges Ajay Wagle and Vellingiri Raja Badrakalimuthu; 8. Mental health in Parkinson's disease Shoned Jones, Kelli M. Torsney, Lily Scourfield, Katie Berryman and Emily J. Henderson; Part II. Assessment and Investigations: 9. The home assessment in old age psychiatry: a practical guide Bradley Ng and Martin Atkins; 10. Driving in dementia: a clinician's guide Sarah Wilson and Gill Pinner; 11. Mini-mental state examination for the detection and prediction of Dementia in people with and without mild cognitive impairment Alex J. Mitchell; 12. Biomarkers and the diagnosis of preclinical Alzheimer's disease Philippa Lilford and Julian C. Hughes; 13. To scan or not to scan: neuroimaging in mild cognitive impairment and dementia Victoria Sullivan, Biswadeep Majumdar, Anna Richman and Sobhan Vinjamuri; Part III. Approaches to Management: 14. Supporting self-management in early dementia: a contribution towards 'living well'? Jo Cheffey, Laura Hill and Glenn Roberts; 15. What can person-centred care in dementia learn from the recovery movement? Laura Hill, Glenn Roberts and Rachel Perkins; 16. Psychosocial interventions in dementia Andrew Kiridoshi; 17. Palliative care in dementia: issues and evidence Julian C Hughes, David Jolley, Alice Jordan and Elizabeth L. Sampson; 18. Review of treatment for late-life depression Katherine Hay, Will Stageman and Charlotte L. Allan; 19. Reducing the healthcare burden of delirium: the challenge of developing more cognitive-friendly services David J. Meagher, Henry O'Connell, Walter Cullen and Dimitrios Adamis; 20. Controlling the confusion: using barrier analysis in the care home sector Robert Colgate, Alison Turner and Danika Rafferty; Part IV. Law, Ethics, and Philosophy: 21. Mental health laws from all UK jurisdictions Carole Burrell and Charlotte Emmett; 22. Deprivation of liberty: where are we now? Nick Brindle and Christian Walsh; 23. Residence capacity: its nature and assessment Julian C. Hughes, Marie Poole, Stephen J. Louw, Helen Greener and Charlotte Emmett; 24. Understanding the person with dementia: a clinico-philosophical case discussion Julian C. Hughes and Aileen Beatty; Concluding reflections by Philippa Lilford; Index.