Psychotherapy with older adult nursing home residents will likely be carrie
d out with two groups of patients. the chronically mentally ill, ana the me
dical rehabilitation patients. A typology of patients with mental illness i
s described: the mild cognitively impaired and behaviorally disturbed, the
cognitively intact but interpersonally troubled, and the mentally iii patie
nts who have lost their support systems. Unique inpatient methods of assess
ing and treating depression and alcohol abuse are explored for rehabilitati
on patients. For both groups there is a focus on functioning and behavioral
outcomes. (C) 1999 John Wiley & Sons, Inc.