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Centre for Policy on Ageing | |
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Integrated specialty mental health care among older minorities improves access but not outcomes
— results of the PRISMe study | | Author(s) | Patricia A Areán, Liat Ayalon, Chengshi Jin |
| Journal title | International Journal of Geriatric Psychiatry, vol 23, no 10, October 2008 |
| Pages | pp 1086-1092 |
| Source | http://www.interscience.wiley.com |
| Keywords | Ethnic groups ; Patients ; General practice ; Addiction ; Psychiatric treatment ; Coordination ; Accessibility ; United States of America. |
| Annotation | In this secondary data analysis of the US Primary Care Research in Substance Abuse and Mental Health for the Elderly (PRISMe) study, it was hypothesised that older minorities who received mental health services integrated in primary health care settings would have greater service use and better mental health outcomes than older minorities referred to community services. 2022 primary care patients aged 65+ were identified (48% minorities), who met study inclusion criteria and had either alcohol misuse, depression and/or anxiety. They were randomised to receive treatment for these disorders in the primary care clinic or to a brokerage case management model that linked patients to community-based services. Service use and clinical outcomes were collected at baseline, 3 months and 6 months post randomisation on all participants. Access to and participation in mental health substance abuse services was greater in the integrated model than in referral; there was no treatment by ethnicity effects. There were no treatment effects for any of the clinical outcomes. Whites and older minorities in both integrated and referral groups failed to show clinically significant improvement in symptoms and physical functioning at 6 months. While providing services in primary care results in better access to and use of these services, accessing these services is not enough for securing adequate clinical outcomes. (RH). |
| Accession Number | CPA-090605211 A |
| Classmark | TK: LF: L5: ET: LP: QAJ: 5CA: 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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