Improving Access to Collaborative Behavioral Health Care for Rural-Dwelling Older Adults.
Psychiatr Serv
; 69(1): 117-120, 2018 01 01.
Article
em En
| MEDLINE
| ID: mdl-28967325
OBJECTIVE: This study examined whether a telephone-delivered collaborative care intervention (SUpporting Seniors Receiving Treatment And INtervention [SUSTAIN]) improved access to mental health services similarly among older adults in rural areas and those in urban-suburban areas. METHODS: This cohort study of 8,621 older adults participating in the SUSTAIN program, a clinical service provided to older adults in Pennsylvania newly prescribed a psychotropic medication by a primary care or non-mental health provider, examined rural versus urban-suburban differences in rates of initial clinical interview completion, patient clinical characteristics, and program penetration. RESULTS: Participants in rural counties were more likely than those in urban-suburban counties to complete the initial clinical interview (27.0% versus 24.0%, p=.001). Program penetration was significantly higher in rural than in urban-suburban counties (p=.02). CONCLUSIONS: Telephone-based care management programs such as SUSTAIN may be an effective strategy to facilitate access to collaborative mental health care regardless of patients' geographic location.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
População Rural
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Telefone
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Serviços de Saúde Rural
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Acessibilidade aos Serviços de Saúde
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Transtornos Mentais
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Serviços de Saúde Mental
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
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Incidence_studies
/
Observational_studies
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Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Limite:
Aged
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Aged80
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Female
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Humans
/
Male
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Psychiatr Serv
Assunto da revista:
PSIQUIATRIA
Ano de publicação:
2018
Tipo de documento:
Article
País de publicação:
Estados Unidos