Design and Sample Characteristics of the PRISM-E Multisite Randomized Trial to Improve Behavioral Health Care for the Elderly

Sue E. Levkoff, Hongtu Chen, Eugenie Coakley, Elizabeth C. McDonel Herr, David W. Oslin, Ira Katz, Stephen J. Bartels, James Maxwell, Edwin Olsen, Keith M. Miles, Giuseppe Costantino, James H. Ware

Research output: Contribution to journalArticle

72 Scopus citations

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 languageEnglish (US)
Pages (from-to)3-27
Number of pages25
JournalJournal of Aging and Health
Volume16
Issue number1
DOIs
StatePublished - 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)

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    Levkoff, S. E., Chen, H., Coakley, E., McDonel Herr, E. C., Oslin, D. W., Katz, I., Bartels, S. J., Maxwell, J., Olsen, E., Miles, K. M., Costantino, G., & Ware, J. H. (2004). Design and Sample Characteristics of the PRISM-E Multisite Randomized Trial to Improve Behavioral Health Care for the Elderly. Journal of Aging and Health, 16(1), 3-27. https://doi.org/10.1177/0898264303260390