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Centre for Policy on Ageing | |
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| Community mental health service use by older adults in California | | Author(s) | B Kaskie, R Van Gilder, D Gregory |
| Journal title | Aging & Mental Health, vol 12, no 1, January 2008 |
| Publisher | Taylor & Francis, January 2008 |
| Pages | pp 134-143 |
| Source | http://www.tandfonline.com |
| Keywords | Psychiatric treatment ; Living in the community ; Usage [services] ; Social surveys ; United States of America. |
| Annotation | The apparent lack of interest regarding the role of community mental health centres (CMHCs) in care to older people with mental disorders in California was considered. The authors estimated treated prevalence rates, identified repeat service users, depicted service mix patterns, and tested for differences between these service process outcomes. They observed 36230 older Californians who used at least one service between 1999 and 2002. Logistic regressions estimated the effects of time, geographic region, age, diagnosis and insurance status on service process outcomes across 49 county mental health departments. The numbers of older people who used services increased significantly during the observation period. Odds of accessing care were higher in the state's northern region, for those diagnosed with mood disorders and Medi-Cal beneficiaries. Repeat service use increased over time, and odds were higher for mood disorders and Medi-Cal beneficiaries. Odds of one-time service use were higher for those with dementia and other psychiatric diagnoses, mood disorders and Medi-Cal beneficiaries, but higher odds of consistent and continuous service use. The counties entered a period of diversification between 1999 and 2002, and varied significantly across treated prevalence rates, service continuity and service rate patterns. The authors considered how these differences may relate to administrative policies, service management practices, local market conditions and individual characteristics, and called for future research to determine how the public mental health system can assume a more critical role in providing care to older people. (RH). |
| Accession Number | CPA-080409217 A |
| Classmark | LP: K4: QLD: 3F: 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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