Abstract
Objective: To describe the design of the Primary Care Research in Substance Abuse and Mental Health for Elderly (PRISM-E) study and baseline characteristics of the randomized primary care patients with mental health problems and at-risk alcohol use. Method: Adults aged 65 and older were screened at primary care clinics from 10 study sites throughout the United States. Those diagnosed for depression, anxiety, and/or at-risk alcohol consumption were randomized to either integrated or enhanced referral care. Results: Of the 23,828 participants, 14% had a positive assessment for depressive and/or anxiety disorders, and 6% had at-risk alcohol consumption diagnoses. Among patients with mental health diagnoses, there was a higher preponderance of younger ages, women, and ethnic minorities. Among patients with at-risk drinking, there was a higher preponderance of younger ages, Whites, and men. Discussion: These findings indicate the need for screening in primary care and for engaging older adults in treatment.
| Original language | English |
|---|---|
| Pages (from-to) | 3-27 |
| Number of pages | 25 |
| Journal | Journal of Aging and Health |
| Volume | 16 |
| Issue number | 1 |
| DOIs | |
| State | Published - Feb 1 2004 |
| Externally published | Yes |
Fingerprint
Keywords
- Drinking
- Elderly
- Mental health
- Method
- Primary care
ASJC Scopus subject areas
- Geriatrics and Gerontology
- Aging
- Health(social science)
- Health Professions(all)
Cite this
Design and Sample Characteristics of the PRISM-E Multisite Randomized Trial to Improve Behavioral Health Care for the Elderly. / Levkoff, Sue E.; Chen, Hongtu; Coakley, Eugenie; McDonel Herr, Elizabeth C.; Oslin, David W.; Katz, Ira; Bartels, Stephen J.; Maxwell, James; Olsen, Edwin; Miles, Keith M.; Costantino, Giuseppe; Ware, James H.
In: Journal of Aging and Health, Vol. 16, No. 1, 01.02.2004, p. 3-27.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Design and Sample Characteristics of the PRISM-E Multisite Randomized Trial to Improve Behavioral Health Care for the Elderly
AU - Levkoff, Sue E.
AU - Chen, Hongtu
AU - Coakley, Eugenie
AU - McDonel Herr, Elizabeth C.
AU - Oslin, David W.
AU - Katz, Ira
AU - Bartels, Stephen J.
AU - Maxwell, James
AU - Olsen, Edwin
AU - Miles, Keith M.
AU - Costantino, Giuseppe
AU - Ware, James H.
PY - 2004/2/1
Y1 - 2004/2/1
N2 - Objective: To describe the design of the Primary Care Research in Substance Abuse and Mental Health for Elderly (PRISM-E) study and baseline characteristics of the randomized primary care patients with mental health problems and at-risk alcohol use. Method: Adults aged 65 and older were screened at primary care clinics from 10 study sites throughout the United States. Those diagnosed for depression, anxiety, and/or at-risk alcohol consumption were randomized to either integrated or enhanced referral care. Results: Of the 23,828 participants, 14% had a positive assessment for depressive and/or anxiety disorders, and 6% had at-risk alcohol consumption diagnoses. Among patients with mental health diagnoses, there was a higher preponderance of younger ages, women, and ethnic minorities. Among patients with at-risk drinking, there was a higher preponderance of younger ages, Whites, and men. Discussion: These findings indicate the need for screening in primary care and for engaging older adults in treatment.
AB - Objective: To describe the design of the Primary Care Research in Substance Abuse and Mental Health for Elderly (PRISM-E) study and baseline characteristics of the randomized primary care patients with mental health problems and at-risk alcohol use. Method: Adults aged 65 and older were screened at primary care clinics from 10 study sites throughout the United States. Those diagnosed for depression, anxiety, and/or at-risk alcohol consumption were randomized to either integrated or enhanced referral care. Results: Of the 23,828 participants, 14% had a positive assessment for depressive and/or anxiety disorders, and 6% had at-risk alcohol consumption diagnoses. Among patients with mental health diagnoses, there was a higher preponderance of younger ages, women, and ethnic minorities. Among patients with at-risk drinking, there was a higher preponderance of younger ages, Whites, and men. Discussion: These findings indicate the need for screening in primary care and for engaging older adults in treatment.
KW - Drinking
KW - Elderly
KW - Mental health
KW - Method
KW - Primary care
UR - http://www.scopus.com/inward/record.url?scp=9144254480&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=9144254480&partnerID=8YFLogxK
U2 - 10.1177/0898264303260390
DO - 10.1177/0898264303260390
M3 - Article
C2 - 14979308
AN - SCOPUS:9144254480
VL - 16
SP - 3
EP - 27
JO - Journal of Aging and Health
JF - Journal of Aging and Health
SN - 0898-2643
IS - 1
ER -