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Late-life suicide is a public health concern, yet many older adults do not have access to traditional mental health services. The present study sought to explore how suicide intervention is integrated into home-delivered meal (HDM) contexts following volunteer training in an evidence-based suicide first responder program. Using phenomenological inquiry, we examined the experiences of 20 HDM volunteers trained in ASIST. Three primary themes emerged: (a) Logistics influencing integration of Suicide Intervention into HDM Systems, describing HDM program logistics; (b) Intrapersonal Context, describing HDM volunteer characteristics influencing intervention utilization and HDM client concerns; and (c) Interpersonal Context, describing HDM relationship characteristics that influenced intervention utilization. HDM and other nutrition services have potential for addressing late life suicide, particularly when volunteers best equipped to address risk receive training and HDM policies reflect the needs of their clients. Implications for HDM services, as well as the Aging Services Network, are discussed. [ABSTRACT FROM AUTHOR]

Despite the availability, some residents choose not to participate in wellness offerings at their residential communities. Perceptions of aging can influence engagement in healthy behaviors. The purpose of this research was to examine the relationship between perceptions of aging and wellness engagement among Life Plan Community residents. A total of 447 residents (ages 59 to 97; M = 81.82, SD = 6.55) of 10 Life Plan Communities completed surveys that measured their perceptions of aging, self-reported wellness, interest in improving wellness, participation in wellness programs, and barriers to wellness participation. Multiple regression analyses revealed that more positive perceptions of aging were associated with better wellness, higher interest, more frequent participation, and fewer barriers. Follow-up analyses revealed that these effects could be accounted for by specific types of aging attitudes (i.e. psychological growth, psychosocial loss, and physical change). These findings have implications for the development, implementation, and promotion of wellness programs for older adults. [ABSTRACT FROM AUTHOR]

Older adults are at risk for mental health concerns, such as social isolation and suicide. Risk factors to suicide among older adults, such as loneliness and social isolation, may be impacted by the COVID-19 pandemic. Gatekeepers in the community are a significant source of identification and referral of older adults at risk of mental and physical health concerns. In this study, we sought to discover whether natural helpers in the Aging Service Network (ASN), including volunteers and providers (n = 93) obtain and utilize suicide-intervention skills with older adults who receive home-delivered meals (HDM) after being trained in a 14-hour evidenced based training. Paired-sample t-tests yielded significant results at pre- and post-test measures of suicide intervention response skill acquisition, and over 19% of trained participants reported using suicide intervention skills over six months. Implications for future training and research are discussed. [ABSTRACT FROM AUTHOR]

Homebound older adults may be at risk of suicide due to elevated loneliness, social isolation, and depression. The Interpersonal Theory of Suicide posits that thwarted belongingness, perceived burdensomeness, and reduced fear of death are key components of suicide risk. To better understand suicide risk among culturally diverse, homebound older adults, we collected baseline data on the prevalence of psychological distress, thwarted belongingness, perceived burdensomeness, and past/present suicidality. Standardized measures were completed by 493 adults (ages 60-103) during in-home interviews, and results were compared to existing cutoffs to assess current risk. In total, 15.62% scored above the suicide risk cutoff, 23.73% of homebound older adults reported a history of suicidal ideation or behavior, 65 adults in this sample (13.18%) indicated the possibility of attempting suicide in the future, and 2.43% described a future attempt as "likely" or "very likely." There were no differences in suicide risk, thwarted belongingness, or perceived burdensomeness based on sex and race. However, there was a significant difference in psychological distress (F(3,428) = 2.624, p =.05), with White females (M = 7.90, SD = 5.63; N = 78) scoring higher than Black males (M = 5.43, SD = 5.04; N = 81). Using Aging Network services such as nutrition services (e.g.home-delivered meal programs) to intervene with at-risk older adults represents a strategy to prevent suicide. Implications for suicide intervention, including the potential to deliver services by linking them to nutrition services programs, are discussed. [ABSTRACT FROM AUTHOR]

This study illuminates the impact of existing Medicare mental health provider policy on individuals seeking counseling services. The authors applied qualitative content analysis to data provided by members of the American Counseling Association. Two superordinate themes, current Medicare policy encumbers the Medicare-insured and creates a unique hardship on specific client populations are presented in depth in this article, in addition to several emergent themes. The results suggest that current Medicare policy has far-reaching undesirable consequences for the Medicare-insured. [ABSTRACT FROM AUTHOR]

Objectives: The purpose of the study was to compare the relative contributions of Rowe and Kahn’s definition of successful aging (SA), resilience, and the holistic wellness paradigm for predicting happiness, life satisfaction, and self-rated physical health in late life. Method: A cross-sectional research design was used to survey 200 residents across 12 senior housing sites. Criteria with strong psychometric properties representing the three constructs were operationalized using hierarchical regression within the context of relevant control variables to compare the relative strengths of the three paradigms for predicting measures of quality of life. Results: In this study, 8.5% of the sample met modified criteria for SA and were used as a comparison group with those who did not meet the criteria. Overall, holistic wellness and resilience predicted happiness, life satisfaction, and physical health better than SA alone. When predicting happiness and life satisfaction, race and holistic wellness were significant predictors. Age and holistic wellness were the best predictors of self-rated physical health. Conclusion: The criteria underlying SA poorly predicted happiness, life satisfaction, and self-rated physical health compared to the resilience and holistic wellness models. The results suggest that definitions of aging well are complex and require greater nuance. The findings have important implications for clinicians seeking translatable theoretical models that are amenable to practice with older adults, especially for those living in independent senior housing communities. [ABSTRACT FROM AUTHOR]

Resilience has been described as a paradigm for aging that is more inclusive than models that focus on physiological and functional abilities. We evaluated a novel program, Resilient Aging, designed to influence marginalized older adults’ perceptions of their resilience, self-efficacy, and wellness. The multiweek group program incorporated an inductive definition of resilience based on group members’ lived experiences. Outcomes evaluation for this pilot study included pre/postassessments on resilience, self-efficacy, and six wellness variables. Twenty-nine participants completed the program. Pre/post-assessment indicated a statistically significant multivariate change across the eight outcome variables. Increases in resilience, physical wellness, and emotional wellness, and decreases in social wellness and intellectual wellness accounted for most of the multivariate change. Resilient Aging is a participant-centered and strengths-based program that has potential for enhancing participants’ perceptions of resilience and wellness. The program can be administered within community settings to promote resilience and wellness among marginalized older adults. [ABSTRACT FROM AUTHOR]