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Mental health in older adult recipients of primary care services: is depression the key issue?
 — identification, treatment and the general practitioner
Author(s)S C Watts, G E Bhutani, I H Stout
Journal titleInternational Journal of Geriatric Psychiatry, vol 17, no 5, May 2002
Pagespp 427-437
KeywordsMental disorder ; Depression ; Services ; Psychiatric treatment ; General practice ; Evaluation ; Salford.
AnnotationA study conducted at a general practice in Salford, Greater Manchester aimed to identify the nature and extent of mental health problems in older people in inner city areas. Screening tools included the General Health Questionnaire (GHQ-28), the Hospital Anxiety and Depression Scale (HADS), and the Mini-Mental State Examination (MMSE). The primary health care team (PHCT) used a brief checklist to rate participants for presence of mental health problems. Follow-up interviews used the Geriatric Mental State (GMSA), and Cambridge Examination for Mental Disorders in the Elderly (CAMDEX) - cognitive subscale (CAMCOG). A high level of psychological morbidity was identified at screening (48%). However, the study found lower levels of severe mental health problems, especially depression, than reported elsewhere, but higher levels of psychological distress. High levels of physical and mental health co-morbidity were found, suggesting that planning for primary health care services needs to adopt a flexible assessment model. (RH).
Accession NumberCPA-020529205 A
ClassmarkE: ENR: I: LP: L5: 4C: 83D

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