PRISM-E: Comparison of Integrated Care and Enhanced Specialty Referral Models in Depression Outcomes

Dean D. Krahn · Stephen J. Bartels · Eugenie H. Coakley · David W. Oslin · Hongtu Chen · Jack McIntyre +4 more

105 citations0/0 files storedPsychiatric Services

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Mental Health Treatment and Access Psychiatric care and mental health services Healthcare Systems and Technology

Abstract

OBJECTIVE: This study, entitled Primary Care Research in Substance Abuse and Mental Health for the Elderly, examined six-month outcomes for older primary care patients with depression who received different models of treatment. METHODS: Clinical outcomes were compared for patients who were randomly assigned to integrated care or enhanced specialty referral. Integrated care consisted of mental health services co-located in primary care in collaboration with primary care physicians. Enhanced specialty referral consisted of referral to physically separate, clearly identified mental health or substance abuse clinics. RESULTS: A total of 1,531 patients were included; their mean age was 73.9 years. Remission rates and symptom reduction for all depressive disorders were similar for the two models at the three- and six-month follow-ups. For the subgroup with major depression, the enhanced specialty referral model was associated with a greater reduction in depression severity than integrated care, but rates of remission and change in function did not differ across models of care for major depression. CONCLUSIONS: Six-month outcomes were comparable for the two models. For the subgroup with major depression, reduction in symptom severity was superior for those randomly assigned to the enhanced specialty referral group.

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1977The CES-D Scale 1992The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection.1992The MOS 36-ltem Short-Form Health Survey (SF-36)1998The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10 2003SF-36 health survey: Manual and interpretation guide 2002Collaborative Care Management of Late-Life Depression in the Primary Care Setting 1995Collaborative management to achieve treatment guidelines. Impact on depression in primary care 2004Reducing Suicidal Ideation and Depressive Symptoms in Depressed Older Primary Care Patients

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2012Implementation of Primary Care-Mental Health Integration Services in the Veterans Health Administration: Program Activity and Associations with Engagement in Specialty Mental Health Services 2010The White River model of colocated collaborative care: A platform for mental and behavioral health care in the medical home.2010Suicide risk and prevention in veteran populations 2018Integrated Care for Depression in Older Primary Care Patients

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