Psychiatric services : a journal of the American Psychiatric Association
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Randomized Controlled Trial Multicenter Study Comparative Study
Service use and outcomes among elderly persons with low incomes being treated for depression.
Older adults with low incomes rarely use mental health care, and untreated depression is a serious problem in this population. This study examined whether a collaborative care model for depression in primary care would increase use of depression treatment and treatment outcomes for low-income elderly adults as well as for higher-income older adults. ⋯ Lower-income older adults can experience benefits from collaborative management of depression in primary care similar to those of higher-income older adults, although they may require up to a year to reap physical health benefits.
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This study explored sociodemographic and mental health correlates of intensity of mental health care use in two large-scale surveys, aiming to discover the set of correlates with the greatest predictive capacity. ⋯ These findings extend research on correlates of mental health care use, addressing intensity of use, suggesting that sociodemographic factors and presence of a psychiatric disorder and associated disability drive the initial use of services, whereas presence of a psychiatric disorder and associated disability are associated with continued service use.
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Recovery has emerged over the past decade as a dominant theme in public mental health care. ⋯ The recommendations identify areas for change that can be accomplished through individual psychiatrist action and organized group efforts.