This intermediate-level course offers research-based practical information on dementia among elders in diverse ethnic and racial populations in the United States. It outlines how practitioners who work with individuals and families from diverse non-European backgrounds must take into account acculturation levels, family norms, education, linguistic diversity, religious beliefs, and cultural beliefs about health and illness in order to build trusting relationships. The course begins with a review of the major types of dementia and various treatment options, including pharmacological and nonpharmacological interventions and complementary and alternative treatment. The course provides evidence on differences in risks for various types of dementia in diverse populations and discusses the possible roles of genetics, education, and literacy as risk factors. Issues in neuropsychiatric and neuropsychological assessment are reviewed, and participants will learn specifically about the evaluation of African American, Asian, Latino, and American Indian elders.
Discussion focuses on the ways that tools such as cognitive measures and assessment scales affect evaluations in these populations. The importance of language is discussed, and participants will gain tips for working with interpreters. The course provides an overview of the family as the unit of intervention and underscores the significance of culturally competent practice. It also discusses barriers to healthcare service use among lesbian, gay, bisexual, and transgender (LGBT) caregivers. This course is intended for behavioral health professionals, including social workers, mental health counselors, marriage and family therapists, psychologists, and advanced practice and psychiatric nurses. Physicians, gerontologists, and staff in long-term care and care management programs may also benefit from this course.
Ivey, S. L., Laditka, S. B., Price, A. E., Tseng, W., Beard, R. L., Liu, R., . . . Logsdon, R. G. (2013). Experiences and concerns of family caregivers providing support to people with dementia: A cross-cultural perspective. Dementia,
12(6), 806–820. Abstract retrieved from http://dem.sagepub.com/content/12/6/806
Katz, M. J., Lipton, R. B., Hall, C. B., Zimmerman, M. E., Sanders, A. E., Verghese, J., . . . Derby, C. A. (2012). Age and sex specific prevalence and incidence of mild cognitive impairment, dementia and Alzheimer’s dementia in blacks and whites: A report from the Einstein Aging Study. Alzheimer Disease & Associated Disorders, 26(4), 335–343. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3334445/?tool=pubmed
Llanque, S. M., & Enriquez, M. (2012). Interventions for Hispanic caregivers of patients with dementia. American Journal of Alzheimer’s Disease & Other Dementias, 27(1), 23–32. Abstract retrieved from http://aja.sagepub.com/content/27/1/23.short
National Institute of Neurological Disorders and Stroke. (2014). Dementia: Hope through research. Retrieved from http://www.ninds.nih.gov/disorders/dementias/detail_dementia.htm
Paniagua, F. A., & Yamada, A. (2013). Handbook of multicultural mental health: Assessment and treatment of diverse populations (2nd ed.). San Diego, CA: Academic Press.
Romero, H. R., Welsh-Bohmer, K. A., Gwyther, L. P., Edmonds, H. L., Plassman, B. L., Germain, C. M., . . . Roses, A. D. (2014). Community engagement in diverse populations for Alzheimer disease prevention trials. Alzheimer Disease & Associated Disorders, 28(3), 269–274. Abstract retrieved from http://www.ncbi.nlm.nih.gov/pubmed/24614272#
Sayegh, P., & Knight, B. G. (2013). Cross-cultural differences in dementia: The sociocultural health belief model. International Psychogeriatrics, 25(4), 517–530. Abstract retrieved from http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=8840682&fileId=S104161021200213X
Sun, F., Ong, R., & Burnette, D. (2012). The influence of ethnicity and culture on dementia caregiving: A review of empirical studies on Chinese Americans. American Journal of Alzheimer’s Disease & Other Dementias, 27(1), 13–22. Abstract retrieved from http://aja.sagepub.com/content/27/1/13.short
Whitmer, R. A., Mayeda, E. R., Quesenberry, C. P., Jr., Lu, W., & Glymour, M. (2014). Ethnic and racial disparities in ten-year cumulative prevalence of dementia and Alzheimer’s disease. Alzheimer’s and Dementia, 10(4), P152. doi:10.1016/j.jalz.2014.04.121
Yaffe, K., Falvey, C., Harris, T., Newman, A., Satterfield, S., Koster, A., . . . Kaup, A. (2013). Do socioeconomic disparities explain higher dementia incidence among black older adults? Alzheimer’s and Dementia, 9(4), P343–P344. doi:10.1016/j.jalz.2013.04.209