As America’s population ages, the need for mental and behavioral health services continues to increase. Recent data indicate that an estimated 20.4% of adults 65 years of age or older meet criteria for a mental disorder, and it has been found that many mental disorders can be exacerbated by chronic physical health conditions. Approximately 80% of older adults have at least 1 chronic health condition, so there is a need to address the effects of these chronic health conditions on mental and behavioral health disorders. In addition, treatment interventions for the optimal management of common mental health conditions in this population need to be identified. This activity is designed to equip HCPs with the skills to recognize the relationship between chronic illness and mental disorders and to help them manage psychological issues in older adults through treatment adherence and behavioral interventions.

Learning Objectives
At the end of this educational activity, participants should be able to

• Differentiate the common behavioral syndromes in older adults including depression and neurocognitive disorders
• Identify the impact of chronic health conditions on cognitive, behavioral and mental health
• Describe evidence-based psychotherapeutic, behavioral and pharmacological treatments for depression and neurocognitive impairment in later life
• Discuss the factors that contribute to improved adherence with recommended treatments

Presenter
Brent P. Forester, MD, MSc
Assistant Professor of Psychiatry
Harvard Medical School
Chief, Division of Geriatric Psychiatry
Director, Geriatric Mood Disorders Research Program Site Director
McLean Hospital
Boston, Massachusetts

About the Presenter
Dr. Brent Forester is currently the Chief of the Geriatric Psychiatry Division at McLean Hospital and an Assistant Professor of Psychiatry at Harvard Medical School. Dr. Forester serves as Medical Director of Behavioral Health for the Division of Population Health Management at Partners HealthCare overseeing the development and implementation of integrated psychiatric care in primary care settings throughout the Partners health care system. He also evaluates and treats patients and their families in the Memory Diagnostic Clinic at McLean Hospital and previously served as the Medical Director of the Geriatric Neuropsychiatry Unit at McLean Hospital. Dr. Forester established the Geriatric Mood Disorders Research Program at McLean Hospital and is principal investigator on projects including neuroimaging biomarkers in late life mood disorders and studies of novel treatments to manage agitation in patients with dementia. Dr. Forester served as a Member of the Board of Directors of the Alzheimer’s Association for MA and NH from 2009–2015 and Chair of their Medical and Scientific Committee from 2013–2015. He is a current Member of the Board of Directors for the American Association for Geriatric Psychiatry (AAGP) and in 2015 was elected to a 2-year term as Secretary/Treasurer for the AAGP. Finally, Dr. Forester is a Distinguished Fellow of the American Psychiatric Association. He has published numerous articles and book chapters on topics including geriatric bipolar disorder, brain biomarkers in late life depression and bipolar disorder and the behavioral and psychological symptoms of dementia and late life psychosis.

Disclosures of Relevant Financial Relationships
In accordance with the ACCME Standards for Commercial SupportSM, OptumHealth Education requires all those involved in the development of activity content to disclose their relevant financial relationships. An individual has a relevant financial relationship if such person (or their spouse/partner) has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the activity content over which the individual has control. OptumHealth Education ensures that the content is independent of commercial bias.

Faculty Disclosure
Brent P. Forester, MD, MSc has indicated the following relevant financial relationships.
Advisory Board: Eli Lily
Grant/Research Support: Biogen, Eli Lily

Activity Planners
Sarah Chart-Hart, RN
Senior Director
OptumHealth Education

Rebecca Gleason, RN
Activity Manager
OptumHealth Education

Activity Planner Disclosures
All of the planners reported that they are employees of and own stock in UnitedHealth Group.

Reviewer Disclosures
To ensure fair balance and avoid bias, the content for this activity has been reviewed by an independent medical expert with no relevant financial relationships.

Method of Participation
There are no fees for participating in or receiving credit for this activity.
For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.

Participants will receive a certificate upon successful completion of the activity, which includes the following:

• Completing the entire activity
• Completing the Pre- and Post-activity Assessments, Activity Evaluation, and Application for Certificate of Credit forms

You must be logged into your account to participate in this activity. Get started by clicking “Begin” and viewing the “CE Info”; then follow the prompts at the bottom of the screen. At the end of the activity, you will be able to view, save or print your certificate of participation. The Area of Practice you indicated in your profile corresponds with your certificate type. A complete listing of all of your activities can be found under “My Account”, “My Activities.”

Method for Calculating CE Credit
CE credit was calculated by the complexity of content.

Accreditation Statement
OptumHealth Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE) and the American Nurses Credentialing Center (ANCC) to provide continuing education for the health care team.

Credit Designation Statements
Physicians
OptumHealth Education designates this enduring activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Physician Assistants
The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME.

Nurses
The participant will be awarded up to 1.00 contact hour(s) of credit for attendance and completion of supplemental materials.

Nurse Practitioners
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.

Case Managers
The Commission for Case Manager Certification has approved this program for a maximum of 1.00 clock hour(s) for Certified Case Managers (CCM).

AAPC-Certified Coders
AAPC will honor 1-for-1 CEUs for any live event offering CME credit or AMA PRA Category 1 Credit. A certificate of attendance or completion is necessary to show participation. The certificate will give the total CMEs possible for the offering. Physicians are advised to claim only the actual hours that they were present during the education. We ask that AAPC-certified members abide by this request also. One hour of instruction is worth 1 CEU.

Social Workers
R. Cassidy Seminars, ACE provider #1082, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org through the Approved Continuing Education (ACE) Program. R. Cassidy Seminars maintains responsibility for the program. Approval: April 15, 2015-April 15, 2018. Social workers should contact their board to determine course approval. Social workers will receive 1.00 continuing education social work clock hour.

NY: R. Cassidy Seminars is recognized by the New York State Education Department's State Board for Social Work as an approved provider (#0006) of continuing education for licensed social workers. Workshop Title: Age-Related Management of Psychological Issues in Older Adults (Brent P. Forester, MD, MSc) 1.00 contact hour.

OH: Provider approved by the Ohio Counselor, Social Worker and Marriage and Family Therapist Board for 1.00 clock hour, #RCST110701

Attendance
A certificate of attendance will be provided to learners upon completion of activity requirements, enabling participants to register with licensing boards or associations that have not been pre-approved for credits. To apply for credit types not listed above, participants should use the procedure established by the specific organization with which they wish to obtain credit.

Provided By
This activity is provided by OptumHealth Education.

Commercial Support
This activity is supported by Optum CarePlus.

Hardware/Software Requirements
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