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Improving Access to Collaborative Behavioral Health Care for Rural-Dwelling Older Adults.
Gerlach, Lauren B; Mavandadi, Shahrzad; Maust, Donovan T; Streim, Joel E; Oslin, David W.
Afiliação
  • Gerlach LB; Dr. Gerlach and Dr. Maust are with the Department of Psychiatry, University of Michigan, Ann Arbor. Dr. Maust is also with the Department of Psychiatry, Department of Veterans Affairs (VA) Ann Arbor Healthcare System. Dr. Mavandadi, Dr. Streim, and Dr. Oslin are with the Department of Psychiatry, Co
  • Mavandadi S; Dr. Gerlach and Dr. Maust are with the Department of Psychiatry, University of Michigan, Ann Arbor. Dr. Maust is also with the Department of Psychiatry, Department of Veterans Affairs (VA) Ann Arbor Healthcare System. Dr. Mavandadi, Dr. Streim, and Dr. Oslin are with the Department of Psychiatry, Co
  • Maust DT; Dr. Gerlach and Dr. Maust are with the Department of Psychiatry, University of Michigan, Ann Arbor. Dr. Maust is also with the Department of Psychiatry, Department of Veterans Affairs (VA) Ann Arbor Healthcare System. Dr. Mavandadi, Dr. Streim, and Dr. Oslin are with the Department of Psychiatry, Co
  • Streim JE; Dr. Gerlach and Dr. Maust are with the Department of Psychiatry, University of Michigan, Ann Arbor. Dr. Maust is also with the Department of Psychiatry, Department of Veterans Affairs (VA) Ann Arbor Healthcare System. Dr. Mavandadi, Dr. Streim, and Dr. Oslin are with the Department of Psychiatry, Co
  • Oslin DW; Dr. Gerlach and Dr. Maust are with the Department of Psychiatry, University of Michigan, Ann Arbor. Dr. Maust is also with the Department of Psychiatry, Department of Veterans Affairs (VA) Ann Arbor Healthcare System. Dr. Mavandadi, Dr. Streim, and Dr. Oslin are with the Department of Psychiatry, Co
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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atenção Primária à Saúde / População Rural / Telefone / Serviços de Saúde Rural / Acessibilidade aos Serviços de Saúde / Transtornos Mentais / Serviços de Saúde Mental Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Aged / Aged80 / Female / 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
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Atenção Primária à Saúde / População Rural / Telefone / Serviços de Saúde Rural / Acessibilidade aos Serviços de Saúde / Transtornos Mentais / Serviços de Saúde Mental Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Aged / Aged80 / Female / 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