Table of Contents

Contributors v

Preface vii

1 Introduction to End-of-Life Care for Mental Health Professionals 1
Julia E. Kasl-Godley

2 Trajectories of Chronic Illnesses 26
Michelle S. Gabriel

3 The Cultural Context of Spirituality and Meaning 43
E. Alessandra Strada

4 Working With Family Caregivers of Persons With Terminal Illness 64
David B. Feldman and Jasmin Llamas

5 Serious Mental Illness 85
Julia E. Kasl-Godley

6 Advance Care Planning 116
Michelle S. Gabriel and Sheila Kennedy

7 Pharmacologic Management of Pain 128
W. Nat Timmins

8 Nonpharmacological Approaches to Pain and Symptom Management 148
Stephanie C. Wallio and Robert K. Twillman

9 Grief and Bereavement Care 168
Shirley Otis-Green

10 Complicated Grief 181
E. Alessandra Strada

11 Health-Care Teams 201
Julia E. Kasl-Godley and Donna Kwilosz

12 End-of-Life Care in Long-Term Care Settings 229
Mary M. Lewis

13 Advocating for Policy Change: The Role of Mental Health Providers 252
Robert K. Twillman and Mary M. Lewis

14 Physician-Assisted Suicide in the United States: Issues, Challenges, Roles, and Implications for Clinicians 263
Silvia Sara Canetto

15 Creating Ethics Conversations in Community 285
Malham M. Wakin

16 Professional Self-Care 294
E. Alessandra Strada

17 Embracing the Existential Invitation to Examine Care at the End of Life 310
Shirley Otis-Green

Author Index 325

Subject Index 335

About the Author

SARA H. QUALLS, P H D, is Professor of Psychology, Director of Clinical Training in Geropsychology, and Director of the Gerontology Center at the University of Colorado at Colorado Springs. She has twenty years of academic, clinical, and continuing education training experience and is the co-chair of the Adult Development and Aging Division of the American Psychological Association (APA). JULIA E. KASL-GODLEY, P H D, is Coordinator of Psychology Training at the Palo Alto Veterans Affairs Interprofessional Palliative Care Fellowship Program in California. She has published on interventions for anticipatory grief and end-of-life care and is the recipient of the APA's 2003 Theodore Blau Early Career Award for Outstanding Contribution to Professional Clinical Psychology.