Citation

Levkoff SE, Chen H, Coakley E, Herr EC, Oslin DW, Katz I, Bartels SJ, Maxwell J, Olsen E, Miles KM, Constantino G, Ware JH. J. Aging Health 2004; 16(1): 3-27.

Affiliation

Brigham and Women's Hospital, Harvard Medical School, USA.

Copyright

(Copyright © 2004, SAGE Publishing)

DOI

unavailable

PMID

14979308

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.

Language: en