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Centre for Policy on Ageing | |
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| Factors associated with community mental health service use by older adults with severe mental illness | | Author(s) | Stephen J Bartels, Keith M Miles, Aricca R Dums |
| Journal title | Journal of Mental Health and Aging, vol 9 no 2, Summer 2003 |
| Pages | pp 123-135 |
| Keywords | Mental disorder ; Schizophrenia ; Depression ; Usage [services] ; Psychiatric treatment ; Correlation ; United States of America. |
| Annotation | 210 patients aged 60+ were evaluated on a multidimensional instrument including demographic, symptom, functional, cognitive and behavioural characteristics. Patients with schizophrenia comprised 21% of the sample, but used 56% of all services - 10 times the mean amount used by patients with depression. A comprehensive model including clinical needs, predisposing characteristics and enabling resources accounted for one third of the variance in the total hours of mental health service usage. Correlates of higher service use included a diagnosis of schizophrenia versus depression, more cognitive impairment, more negative symptoms, and Medicaid insurance coverage. Different patterns of service use were found for older people with schizophrenia and bipolar disorder, compared to depression and other psychiatric disorders. Future research and clinical interventions should target cognitive and negative symptoms in this rapidly growing population. (RH). |
| Accession Number | CPA-040303206 A |
| Classmark | E: ELK: ENR: QLD: LP: 49: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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