School of Psychological Science, University of Western Australia, Perth, Australia.
Perth Voices Clinic, Murdoch, Australia.
Schizophr Bull. 2020 Dec 1;46(6):1382-1395. doi: 10.1093/schbul/sbaa073.
Older adults experience hallucinations in a variety of social, physical, and mental health contexts. Not everyone is open about these experiences, as hallucinations are surrounded with stigma. Hence, hallucinatory experiences in older individuals are often under-recognized. They are also commonly misunderstood by service providers, suggesting that there is significant scope for improvement in the training and practice of professionals working with this age group. The aim of the present article is to increase knowledge about hallucinations in older adults and provide a practical resource for the health and aged-care workforce. Specifically, we provide a concise narrative review and critique of (1) workforce competency and training issues, (2) assessment tools, and (3) current treatments and management guidelines. We conclude with a brief summary including suggestions for service and training providers and future research.
老年人在各种社会、身体和心理健康环境中会出现幻觉。由于幻觉带有污名，并非每个人都会公开这些经历。因此，老年人的幻觉常常未被识别。服务提供者也常常对其产生误解，这表明在为这一年龄段工作的专业人员的培训和实践方面有很大的改进空间。本文的目的是增加对老年人幻觉的了解，并为卫生和老年护理人员提供实用的资源。具体来说，我们对（1）劳动力能力和培训问题、（2）评估工具以及（3）当前的治疗和管理指南进行了简明的叙述性综述和批评。最后我们进行了简要总结，包括对服务和培训提供者的建议以及未来的研究。
