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 (US) |
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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 |
Keywords
- Drinking
- Elderly
- Mental health
- Method
- Primary care
ASJC Scopus subject areas
- Geriatrics and Gerontology
- Aging
- Health(social science)
- Health Professions(all)