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Providing Psychotherapy to Older Adults in Home: Benefits, Challenges, and Decision-Making Guidelines
Clinical Gerontologist, 09/08/09
Yang JA et al. – Mental health service providers have begun serving older adults in their places of residence. Providing psychotherapy in an elder's home presents numerous benefits and challenges, compared with in–clinic work. Because many of these differences are complicated, clinicians must make quick decisions and can benefit from guidelines to formulate responses. Based on each of the four authors' 10 to 15 years of experience, this article presents advantages to be gained by providing services in the home, including development of rapport, accessibility of information, and participation by the client with transportation challenges. The authors present a number of challenges such as interruptions, maintenance of professional boundaries, difficult transferences and countertransferences, threats to confidentiality, and safety issues. Decision–making guidelines are offered.
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