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Centre for Policy on Ageing | |
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Costs of community-based public mental health services for older adults
— variations related to age and diagnosis | | Author(s) | Todd Gilmer, Victoria D Ojeda, David Folsom |
| Journal title | International Journal of Geriatric Psychiatry, vol 21, no 12, December 2006 |
| Pages | pp 1121-1126 |
| Source | http://www.interscience.wiley.com |
| Keywords | Mental disorder ; Diagnosis ; Psychiatric treatment ; Geriatric out-patients clinics ; Costs [care] ; Cross sectional surveys ; United States of America. |
| Annotation | Several studies have examined service use by older people. This study examined use and costs of mental health services to determine how expenditure and modes of service varied by age cohort and psychiatric diagnosis. Data from the San Diego County Adult and Older Adult Mental Health Services (AOAMHS) were used to identify older people (aged 60+) receiving services in the community during the 2003/04 financial year. Cost data were derived from detailed examination of cost reports and Medicaid fee schedules. Trends in demographic and clinical characteristics by six age cohorts were described. Multivariate models were used to estimate the relationship between costs, age and clinical diagnosis while controlling for other demographic and clinical characteristics. Total expenditures declined from age cohorts 60-64 to age 85+. Expenditures were similar, and greatest, for clients with schizophrenia and bipolar disorder, while outlays were lower for those with major depression, other psychotic disorder, other depression, anxiety, substance use disorder, and cognitive disorders. Clients diagnosed had high use of emergency services and little connection to outpatient services. Expenditures were related to age and clinical diagnosis. Future efforts should investigate older people's pathways to care, and should determine whether older older people presenting to emergency services would benefit from a specialised case management programme providing linkage to community-based resources. (RH). |
| Accession Number | CPA-070131208 A |
| Classmark | E: LK7: LP: L6G: QDC: 3KB: 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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