Skip to main content
×
Home
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 10
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Gum, Amber M. Dautovich, Natalie D. Greene, Jennifer Hirsch, Anne and Schonfeld, Lawrence 2015. Improving home-based providers’ communication to primary care providers to enhance care coordination. Aging & Mental Health, Vol. 19, Issue. 10, p. 921.


    Van Orden, Kimberly A. O’Riley, Alisa A. Simning, Adam Podgorski, Carol Richardson, Thomas M. and Conwell, Yeates 2015. Passive Suicide Ideation: An Indicator of Risk Among Older Adults Seeking Aging Services?: Table 1.. The Gerontologist, Vol. 55, Issue. 6, p. 972.


    Van Orden, Kimberly A. Li, Yan Podgorski, Carol A. and Conwell, Yeates 2015. The association between higher social support and lower depressive symptoms among aging services clients is attenuated at higher levels of functional impairment. International Journal of Geriatric Psychiatry, Vol. 30, Issue. 10, p. 1085.


    Kim, Min-Jeong Seo, Sang Won Kim, Geon Ha Kim, Sung Tae Lee, Jong-Min Qiu, Anqi and Na, Duk L. 2013. Less depressive symptoms are associated with smaller hippocampus in subjective memory impairment. Archives of Gerontology and Geriatrics, Vol. 57, Issue. 1, p. 110.


    Mills, Peter D. Watts, Bradley Vince Huh, Terri J.W. Boar, Shoshana and Kemp, Janet 2013. Helping Elderly Patients to Avoid Suicide. The Journal of Nervous and Mental Disease, Vol. 201, Issue. 1, p. 12.


    Pérez-Zepeda, Mario Ulises Arango-Lopera, Victoria Eugenia Wagner, Fernando A. Gallo, Joseph J. Sánchez-García, Sergio Juárez-Cedillo, Teresa and García-Peña, Carmen 2013. Factors associated with help-seeking behaviors in Mexican older individuals with depressive symptoms: a cross-sectional study. International Journal of Geriatric Psychiatry, Vol. 28, Issue. 12, p. 1260.


    Sirey, Jo Anne Greenfield, Alexandra Weinberger, Mark I. and Bruce, Martha L. 2013. Medication Beliefs and Self-Reported Adherence Among Community-Dwelling Older Adults. Clinical Therapeutics, Vol. 35, Issue. 2, p. 153.


    Huh, Joung T. Weaver, Christopher M. Martin, Jennifer L. Caskey, Nicholas H. O'Riley, Alisa and Kramer, Betty Josea 2012. Effects of a Late-Life Suicide Risk-Assessment Training on Multidisciplinary Healthcare Providers. Journal of the American Geriatrics Society, Vol. 60, Issue. 4, p. 775.


    Injeong Lee, 2012. The Level and Correlates of Depression in Home Care Elders: Focused on Comparison with Community Dwelling Elders Who Do Not Use Home Care. Health and Social Welfare Review, Vol. 32, Issue. 4, p. 31.


    Simning, Adam van Wijngaarden, Edwin Fisher, Susan G. Richardson, Thomas M. and Conwell, Yeates 2012. Mental Healthcare Need and Service Utilization in Older Adults Living in Public Housing. The American Journal of Geriatric Psychiatry, Vol. 20, Issue. 5, p. 441.


    ×

Mental distress and service utilization among help-seeking, community-dwelling older adults

  • Adam Simning (a1), Thomas M. Richardson (a1) (a2), Bruce Friedman (a1) (a2), Lisa L. Boyle (a2), Carol Podgorski (a2) and Yeates Conwell (a2)
  • DOI: http://dx.doi.org/10.1017/S104161021000058X
  • Published online: 18 May 2010
Abstract
ABSTRACT

Background: This study aimed to characterize healthcare and human services utilization among mentally distressed and non-distressed clients receiving in-home care management assessment by aging services provider network (ASPN) agencies in the U.S.A.

Methods: A two-hour research interview was administered to 378 English-speaking ASPN clients aged 60+ years in Monroe County, NY. A modified Cornell Services Index measured service utilization for the 90 days prior to the ASPN assessment. Clients with clinically significant anxiety or depressive symptoms were considered distressed.

Results: ASPN clients utilized a mean of 2.93 healthcare and 1.54 human services. The 42% of subjects who were distressed accessed more healthcare services (e.g. mental health, intensive medical services) and had more outpatient visits and days hospitalized than the non-distressed group. Contrary to expectations, distressed clients did not receive more human services. Among those who were distressed, over half had discussed their mental health with a medical professional in the past year, and half were currently taking a medication for their emotional state. A far smaller proportion had seen a mental health professional.

Conclusions: In the U.S.A., aging services providers serve a population with high medical illness burden and medical service utilization. Many clients also suffer from anxiety and depression, which they often have discussed with a medical professional and for which they are receiving medications. Few, however, have seen a mental health specialist preceding intake by the ASPN agency. Optimal care for this vulnerable, service intensive group would integrate primary medical and mental healthcare with delivery of community-based social services for older adults.

Copyright
Corresponding author
Correspondence should be addressed to: Yeates Conwell, MD, University of Rochester School of Medicine and Dentistry, 300 Crittenden Blvd., Rochester, NY 14642, U.S.A. Phone: +1 (585) 275-6739; Fax: +1 (585) 273-1066. Email: yeates_conwell@urmc.rochester.edu.
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

G. S. Alexopoulos and M. L. Bruce (2009). A model for intervention research in late-life depression. International Journal of Geriatric Psychiatry, 24, 13251334.

A. T. Beekman (2002). The natural history of late-life depression: a 6-year prospective study in the community. Archives of General Psychiatry, 59, 605611.

M. L. Bruce (2004). Reducing suicidal ideation and depressive symptoms in depressed older primary care patients: a randomized controlled trial. JAMA, 291, 10811091.

M. L. Bruce (2007). A randomized trial of depression assessment intervention in home health care. Journal of the American Geriatrics Society, 55, 17931800.

C. M. Callahan , F. W. Unverzagt , S. L. Hui , A. J. Perkins and H. C. Hendrie (2002). Six-item screener to identify cognitive impairment among potential subjects for clinical research. Medical Care, 40, 771781.

P. Ciechanowski (2004). Community-integrated home-based depression treatment in older adults: a randomized controlled trial. JAMA, 291, 15691577.

R. Crabb and J. Hunsley (2006). Utilization of mental health care services among older adults with depression. Journal of Clinical Psychology, 62, 299312.

D. Goldberg , K. Bridges , P. Duncan-Jones and D. Grayson (1988). Detecting anxiety and depression in general medical settings. BMJ, 297, 897899.

P. E. Greenberg (1999). The economic burden of anxiety disorders in the 1990s. Journal of Clinical Psychiatry, 60, 427435.

P. E. Greenberg (2003). The economic burden of depression in the United States: how did it change between 1990 and 2000? Journal of Clinical Psychiatry, 64, 14651475.

A. M. Gum , A. Petkus , S. J. McDougal , M. Present , B. King-Kallimanis and L. Schonfeld (2009). Behavioral health needs and problem recognition by older adults receiving home-based aging services. International Journal of Geriatric Psychiatry, 24, 400408.

W. J. Katon (2005). Cost-effectiveness of improving primary care treatment of late-life depression. Archives of General Psychiatry, 62, 13131320.

D. Kessler , K. Lloyd , G. Lewis and D. P. Gray (1999). Cross sectional study of symptom attribution and recognition of depression and anxiety in primary care. BMJ, 318, 436439.

K. Kroenke , R. L. Spitzer and J. B. Williams (2001). The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606613.

E. Licht-Strunk , A. T. Beekman , M. de Haan and H. W. van Marwijk (2009). The prognosis of undetected depression in older general practice patients: a one year follow-up study. Journal of Affective Disorders, 114, 310315.

M. P. Luber (2001). Depression and service utilization in elderly primary care patients. American Journal of Geriatric Psychiatry, 9, 169176.

T. V. Perneger (1998). What's wrong with Bonferroni adjustments. BMJ, 316, 12361238.

L. M. Quijano (2007). Healthy IDEAS: a depression intervention delivered by community-based case managers serving older adults. Journal of Applied Gerontology, 26, 139156.

P. P. Roy-Byrne , W. Katon , D. S. Cowley and J. Russo (2001). A randomized effectiveness trial of collaborative care for patients with panic disorder in primary care. Archives of General Psychiatry, 58, 869876.

K. Rummery and A. Coleman (2003). Primary health and social care services in the U.K.: progress towards partnership? Social Science and Medicine, 56, 17731782.

J. Schuurmans (2005). The outcome of anxiety disorders in older people at 6-year follow-up: results from the Longitudinal Aging Study Amsterdam. Acta Psychiatrica Scandinavica, 111, 420428.

J. A. Sirey (2005). The Cornell Service Index as a measure of health service use. Psychiatric Services, 56, 15641569.

L. E. Steinman (2007). Recommendations for treating depression in community-based older adults. American Journal of Preventive Medicine, 33, 175181.

R. W. Toseland , P. McCallion , T. Gerber , C. Dawson , S. Gieryic and V. Guilamo-Ramos (1999). Use of health and human services by community-residing people with dementia. Social Work, 44, 535548.

J. Unützer , G. Simon , T. R. Belin , M. Datt , W. Katon and D. Patrick (2000). Care for depression in HMO patients aged 65 and older. Journal of the American Geriatrics Society, 48, 871878.

J. Unützer (2002). Collaborative care management of late-life depression in the primary care setting: a randomized controlled trial. JAMA, 288, 28362845.

D. Vink , M. J. Aartsen and R. A. Schoevers (2008). Risk factors for anxiety and depression in the elderly: a review. Journal of Affective Disorders, 106, 2944.

P. S. Wang , M. Lane , M. Olfson , H. A. Pincus , K. B. Wells and R. C. Kessler (2005). Twelve-month use of mental health services in the United States: results from the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 629640.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

International Psychogeriatrics
  • ISSN: 1041-6102
  • EISSN: 1741-203X
  • URL: /core/journals/international-psychogeriatrics
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords: