ABSTRACT
This chapter discusses issues mental health clinicians meet when beginning psychotherapy with older adults in their homes. Using clinical examples from their experience in a community clinic, the authors describe challenges as well as benefits, including rapport establishment, addressing client ambivalence, collaborating with community partners, showing respect, making use of the home environment, setting the professional framework, maintaining confidentiality, responding to offers of food, informed consent, treatment direction, addressing changes in rapport over time, and addressing countertransference. Suggestions are made for how to respond to these matters.
