Journal of geriatrics最新文献

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Community-Based Supports and Services for Older Adults: A Primer for Clinicians. 以社区为基础的老年人支持和服务:临床医生入门。
Journal of geriatrics Pub Date : 2015-01-01 DOI: 10.1155/2015/678625
Eugenia L Siegler, Sonam D Lama, Michael G Knight, Evelyn Laureano, M Carrington Reid
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引用次数: 57
Psychiatric assessment and screening for the elderly in primary care: design, implementation, and preliminary results. 初级保健中老年人的精神病学评估和筛查:设计、实施和初步结果。
Journal of geriatrics Pub Date : 2015-01-01 DOI: 10.1155/2015/792043
Robert C Abrams, Blanca Boné, M Cary Reid, Ronald D Adelman, Risa Breckman, Ronald Goralewicz, Marlena Palombo, Amy Stern, Rouzi Shengelia, Jeanne Teresi
{"title":"Psychiatric assessment and screening for the elderly in primary care: design, implementation, and preliminary results.","authors":"Robert C Abrams,&nbsp;Blanca Boné,&nbsp;M Cary Reid,&nbsp;Ronald D Adelman,&nbsp;Risa Breckman,&nbsp;Ronald Goralewicz,&nbsp;Marlena Palombo,&nbsp;Amy Stern,&nbsp;Rouzi Shengelia,&nbsp;Jeanne Teresi","doi":"10.1155/2015/792043","DOIUrl":"https://doi.org/10.1155/2015/792043","url":null,"abstract":"<p><strong>Introduction: </strong>We describe the design and implementation of a psychiatric collaborative care model in a University-based geriatric primary care practice. Initial results of screening for anxiety and depression are reported.</p><p><strong>Methods and materials: </strong>Screens for anxiety and depression were administered to practice patients. A mental health team, consisting of a psychiatrist, mental health nurse practitioner and social worker, identified patients who on review of screening and chart data warranted evaluation or treatment. Referrals for mental health interventions were directed to members of the mental health team, primary care physicians at the practice, or community providers.</p><p><strong>Results: </strong>Subjects (N=1505) comprised 38.2% of the 3940 unique patients seen at the practice during the 4-year study period. 37.1% (N=555) screened positive for depression, 26.9 % (N=405) for anxiety, and 322 (21.4%) screened positive for both. Any positive score was associated with age (p<0.033), female gender (p<0.006), and a non-significant trend toward living alone (p<0.095). 8.87% had suicidal thoughts.</p><p><strong>Conclusions: </strong>Screening captured the most affectively symptomatic patients, including those with suicidal ideation, for intervention. The partnering of mental health professionals and primary care physicians offers a workable model for addressing the scarcity of expertise in geriatric psychiatry.</p>","PeriodicalId":90899,"journal":{"name":"Journal of geriatrics","volume":"2015 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2015/792043","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33285751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
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