Cognitive Mental Health SIG
The purpose of the CMHSIG shall be to provide a forum and preferred channel for sharing information and resources, and promoting professional networking and advocacy efforts related to cognitive and mental health issues and behaviors in the area of geriatric physical therapy.
The CMHSIG will foster the creation and collaboration of relationships among individuals with a common interest in physical therapy for older adults with cognitive and mental health issues and behaviors in order to advance the knowledge and skills of geriatric physical therapy practice. There are many opportunities for participation, so please consider getting involved! To participate or learn more about current SIG activities and projects, contact the SIG chair.
SIG LEADERSHIP
- CHAIR: Alexandra Alexander, PT, DPT
- VICE CHAIR: Rashelle Marie Hoffman, PT, DPT, PhD
- SECRETARY: Katherine Calvert, PT, DPT
- RESEARCH LIAISON: Amie Rosenfeld, PT, DPT
- STUDENT LIAISON: Riley Hogge
Welcome!
Dear New/existing CMHSIG Member(s):
Welcome to the APTA Geriatrics Cognitive and Mental Health Special Interest Group (CMHSIG)! The purpose of the CMHSIG is to provide a forum through which individuals having a common interest in older adults with dementia and other cognitive-based conditions and mental health issues can learn from each other.
I am extremely excited to take the lead over the CMHSIG and amp up the excitement about cognitive and mental health. I think following COVID-19, all of us, including our patients and caregivers need to focus on cognitive and mental health as it has taken a toll on everyone personally or professionally. I think with the changes in healthcare due to COVID-19 and changes in the way our society operates, cognitive and mental health needs to be put at the forefront and focused on especially with our geriatric population. You can think of it as a call to action on behalf of our patients!
My goal is to rejuvenate this SIG and place a fresh perspective on the direction this SIG is to go. I would like to recruit more members into the SIG, allow members place to share ideas amongst each other and encourage volunteerism.
If you are interested in volunteering in this SIG whether it be for a task force or helping with journal club, etc. please let me know. If you do decide to volunteer, you will be met with a great amount of support and opportunities for growth professionally.
I have an open-door policy. Please email me at alexpiersanti52209@gmail.com with any questions and/or concerns you have or any ideas for projects/activities. This is a SIG for everyone, so feedback is greatly appreciated!
I look forward to your participation in the CMHSIG!
Sincerely,
Alex Alexander, PT, DPT, GCS
CMH SIG Chair
CMH SIG News
CMH SIG Depression Screening
It is recommended that any adults, including older adults over the age of 65, be screened for depression to reduce depression-associated morbidity. Learn more.
CMH SIG Anxiety Screening
It is recommended that adults under the age of 64, including pregnant and postpartum persons, be screened for anxiety by their doctor. Learn more.
Publication from JGPT on Dementia Now Available
Tackling Dementia: A Systematic Review of Interventions Based on Physical Activity
Liu, Lu MSc1; Dong, Hua PhD2; Jin, Xiaoneng DC3; Brooke-Wavell, Katherine PhD44. Tackling Dementia: A Systematic Review of Interventions Based on Physical Activity. Journal of Geriatric Physical Therapy: October/December 2022 – Volume 45 – Issue 4 – p E169-E180
Cognitive and Mental Health SIG Fact Sheet: Delirium
Download this resource Fact Sheet Here: Delirium
CMH SIG Events
CMH SIG Newsletters
CMH SIG MINUTES
CMH FACT SHEETS
- Anxiety Fact Sheet
- Brief Cognitive Rating Scale Pocket Guide
- CAM Pocket Guide
- Caregiver Strategies - Dementia
- Cognitive Training
- Delirium Fact Sheet
- GDS Pocket Guide
- HADS Pocket Guide
- Long COVID Fact Sheet
- Mental Health Provider Fact Sheet
- Mini-Cog Pocket Guide
- PHQ-9 Pocket Guide
- Reversible Dementia Fact Sheet
- SLUMS Pocket Guide
Cognitive & Mental Health SIG Member Resources
Cognitive and Mental Health Special Interest Group Toolkit
This toolkit has been developed by members of the Cognitive and Mental Health Special interest group (CMHSIG), a part of APTA Geriatrics, to assist clinicians with quick screening tools for individuals demonstrating cognitive deficits.
The toolkit provides an outline of the different cognitive domains, how deficits in each domain are manifested in the clients, and a guideline of which domain is most affected in certain diagnosis. The toolkit looks at screening tools to assist the clinician in determining the presence and severity of cognitive impairment and/or dementia and screens to determine which of the domains are affected. It also provides advice on adaptations to treatment and communication styles based on the affected domain.
This toolkit should be used as a starting point for clinicians to choose appropriate screenings for their clients.
Research Resources from CMH
Thank you for visiting the research portion of the CMH SIG website!
As the research liaisons, one of our goals is to meet the needs of the members by providing research that would be of interest to you. Please send suggestions regarding topics of interest to the SIG listserv and we will be happy to search for and hopefully find literature about that topic.
Here are some articles that we find interesting and helpful in our understanding of clinical practice in the area of Cognitive and Mental Health.
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Lowery, David, et al. “The effect of exercise on behavioural and psychological symptoms of dementia: the EVIDEM-E randomised controlled clinical trial.” International journal of geriatric psychiatry (2013)
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Suttanon, Plaiwan, et al. “Feasibility, safety and preliminary evidence of the effectiveness of a home-based exercise programme for older people with Alzheimer’s disease: a pilot randomized controlled trial.” Clinical rehabilitation 27.5 (2013): 427-438.
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Yao, Lan, et al. “Fall risk-relevant functional mobility outcomes in dementia following dyadic Tai Chi exercise.” Western journal of nursing research 35.3 (2013): 281-296
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Cacchione PZ, Eible L, Gill LL, Huege SF. “Person-Centered Care for Older Adults With Serious Mental Illness and Substance Misuse Within a Program of All-Inclusive Care for the Elderly”. Journal Gerontological Nursing. 2016 May 1;42(5):11-7.
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Edlund BJ. “Unconscious Bias”. Journal of Gerontological Nursing. 2016 May 1;42(5):3-4.
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Morris MC. “Nutrition and risk of dementia: overview and methodological issues.” Ann N Y Acad Sci. 2016 Mar;1367(1):31-7
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Pieper, Marjoleine JC, et al. “Effects of a Stepwise Multidisciplinary Intervention for Challenging Behavior in Advanced Dementia: A Cluster Randomized Controlled Trial.” Journal of the American Geriatrics Society (2016).
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Salagre E, Fernandes BS, Dodd S, Brownstein DJ, Berk M. “Statins for the treatment of depression: A meta-analysis of randomized, double-blind, placebo-controlled trials.” Journal of Affective Disorders. 2016 Aug;200:235-42.
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Schuch FB, Vancampfort D, Rosenbaum S, Richards J, Ward PB, Stubbs B. “Exercise improves physical and psychological quality of life in people with depression: A meta-analysis including the evaluation of control group response”. Psychiatry Res. 2016 Jul 30;241:47-54.
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Toots, A., et al. “Effects of a High-Intensity Functional Exercise Program on Dependence in Activities of Daily Living and Balance in Older Adults with Dementia.” Journal of the American Geriatrics Society 64.1 (2016): 55-64.
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Zhang Y, Han B. “Positive affect and mortality risk in older adults: A meta-analysis.” PsyCH Journal. 2016 Jun;5(2):125-38.
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Bahureksa L, Najafi B, Saleh A, Sabbagh M, Coon D, Mohler MJ, Schwenk M. “The Impact of Mild Cognitive Impairment on Gait and Balance: A Systematic Review and Meta-Analysis of Studies Using Instrumented Assessment.” Gerontology. 2017;63(1):67-83.
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Howard Litwin, PhD, Ella Schwartz, MA, Noam Damri, MA. “Cognitively Stimulating Leisure Activity and Subsequent Cognitive Function: A SHARE-based Analysis.” The Gerontologist, Volume 57, Issue 5, October 2017, Pages 940–948.
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Gomes-Osman J, Cabral DF, Morris TP, McInerney K, Cahalin LP, Rundek T, Oliveira A, Pascual-Leone A. “Exercise for cognitive brain health in aging: A systematic review for an evaluation of dose.” Neurol Clin Pract. 2018 Jun;8(3):257-265.
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Cabral DF, Rice J, Morris TP, Rundek T, Pascual-Leone A, Gomes-Osman J. “Exercise for Brain Health: An Investigation into the Underlying Mechanisms Guided by Dose.” Neurotherapeutics. 2019 Jul;16(3):580-599.
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Tomas-Carus P, Biehl-Printes C, Pereira C, Veiga G, Costa A, Collado-Mateo D. “Dual task performance and history of falls in community-dwelling older adults.” Exp Gerontol. 2019 Jun;120:35-39.
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De la Rosa A, Olaso-Gonzalez G, Arc-Chagnaud C, Millan F, Salvador-Pascual A, García-Lucerga C, Blasco-Lafarga C, Garcia-Dominguez E, Carretero A, Correas AG, Viña J, Gomez-Cabrera MC. “Physical exercise in the prevention and treatment of Alzheimer’s disease.” J Sport Health Sci. 2020 Sep;9(5):394-404.
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Demurtas J, Schoene D, Torbahn G, Marengoni A, Grande G, Zou L, Petrovic M, Maggi S, Cesari M, Lamb S, Soysal P, Kemmler W, Sieber C, Mueller C, Shenkin SD, Schwingshackl L, Smith L PhD, Veronese N; European Society of Geriatric Medicine Special Interest Group in Systematic Reviews and Meta-Analyses, Frailty, Sarcopenia, and Dementia. “Physical Activity and Exercise in Mild Cognitive Impairment and Dementia: An Umbrella Review of Intervention and Observational Studies.” J Am Med Dir Assoc. 2020 Oct;21(10):1415-1422.e6.
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Bishnoi A, Hernandez ME. “Dual task walking costs in older adults with mild cognitive impairment: a systematic review and meta-analysis.” Aging Ment Health. 2021 Sep;25(9):1618-1629.
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Ghoraani B, Boettcher LN, Hssayeni MD, Rosenfeld A, Tolea MI, Galvin JE. “Detection of Mild Cognitive Impairment and Alzheimer’s Disease using Dual-task Gait Assessments and Machine Learning.” Biomed Signal Process Control. 2021 Feb;64:102249.
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Petrigna L, Gentile A, Mani D, Pajaujiene S, Zanotto T, Thomas E, Paoli A, Palma A, Bianco A. “Dual-Task Conditions on Static Postural Control in Older Adults: A Systematic Review and Meta-Analysis.” J Aging Phys Act. 2021 Feb 1;29(1):162-177.
Citation Links of Interest
- Braz de Oliveira MP, Moreira Padovez RFC, Serrão PRMDS, de Noronha MA, Cezar NOC, Andrade LP. Effectiveness of physical exercise at improving functional capacity in older adults living with Alzheimer’s disease: a systematic review of randomized controlled trials. Disabil Rehabil. 2023;45(3):391-402. doi:10.1080/09638288.2022.2037744
- Kouloutbani K, Venetsanou F, Karteroliotis KE, Politis A. Physical Exercise as a Nonpharmacological Intervention for the Treatment of Neuropsychiatric Symptoms in Persons With Dementia: A Meta-analysis of Randomized Controlled Trials. Alzheimer Dis Assoc Disord. 2023;37(1):73-81. doi:10.1097/WAD.0000000000000544
- Li B, Tang H, He G, et al. Tai Chi enhances cognitive training effects on delaying cognitive decline in mild cognitive impairment. Alzheimers Dement. 2023;19(1):136-149. doi:10.1002/alz.12658
Cognition Links of Interest
- Alzheimer’s Association
- Alzheimer’s and Dementia
- Person Centered Care by the Dementia Action Alliance
- Family Caregiver Alliance
- American Delirium Society
- Critical Illness, Brain Dysfunction, and Survivorship (CIBS) Center
- Cognitive Assessment Toolkit
- Cognitive Tests
- MoCA Cognitive Assessment
- Lewy Body Dementia Association
Mental Health Links of Interest
- National Institute on Aging: Depression and Older Adults
- Substance Abuse and Mental Health Services Association: Resources for Older Adults
- Behavioral Health Treatment Services Locator
- Administration on Aging
- Health in Aging: Care For The Mind
- Mental Health
- National Council on Aging: Behavioral Health for Older Adults
- National Institute of Mental Health: Older Adults and Mental Health
- Mental Health America: Anxiety in Older Adults