Satisfaction With Mental Health Services in Older Primary Care Patients

Chen, Hongtu; Coakley, Eugenie; Cheal, Karen; Maxwell, James; Costantino, Giuseppe; Krahn, Dean D.; Malgady, Robert G.; Durai, U. Nalla B.; Quijano, Louise M.; Zaman, Saminaz; Miller, Christopher J.; Ware, James H.; Chung, Henry; Aoyama, Carolyn; Stone, William W. Van; Levkoff, Sue E.

doi:10.1097/01.jgp.0000196632.65375.b9

Cited by 61 publications

(40 citation statements)

References 40 publications

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“…[1][2][3][4][5][6][7][8][9][10][11] Behavioral health care, in this context, encompasses care for mental disorders, substance use problems, psychosocial and family problems, and health behavior change. 12,13 However, the adoption of integrated care 14 has been slow because of challenges implementing it in community settings, and relatively little research is available on context-specific implementation strategies.…”

mentioning

confidence: 99%

Outcomes of Integrated Behavioral Health with Primary Care

et al. 2017

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Background:Integrating behavioral health and primary care is beneficial to patients and health systems. However, for integration to be widely adopted, studies demonstrating its benefits in community practices are needed. The objective of this study was to evaluate effect of integrated care, adapted to local contexts, on depression severity and patients' experience of care.Methods: This study used a convergent mixed-methods design, merging findings from a quasi-experimental study with patient interviews conducted as part of Advancing Care Together, a community demonstration project that created an innovation incubator for practices implementing evidence-based integration strategies. The study included 475 patients with a 9-item Patient Health Questionnaire (PHQ-9) score >10 at baseline, from 5 practices.Results: Statistically significant reductions in mean PHQ-9 scores were observed in all practices, ranging from 2.72 to 6.46 points. Clinically, 50% of patients had a >5-point reduction in PHQ-9 score and 32% had a >50% reduction.

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confidence: 99%

Outcomes of Integrated Behavioral Health with Primary Care

et al. 2017

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“…In the US, the presence of collaborative care between mental health services and primary care clinics has been shown to result in a faster and sustained improvement in patients' mental health status (Hedrick et al, 2003). Moreover, satisfaction of older adult patients with mental health services has been reported to be higher when integrated in primary care settings (Chen et al, 2006). In Kuwait, where mental disorders such as depression are prevalent in patients attending primary care centers, family physicians recognize that primary care is a suitable place for managing these illnesses and are unsatisfied with the lack of mental health facilities at these centers (Al-Otaibi et al, 2007; Ben-nakhi et al, 2008).…”

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confidence: 99%

“Integrating Kuwait’s Mental Health System to end stigma: a call to action”

Almazeedi¹,

Alsuwaidan

2014

Journal of Mental Health

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“…Mental health stigma can lead individuals to feel ashamed, think of themselves as weak, and lose self-respect-all of which can increase distress and social problems and decrease willingness to seek treatment [24]. Stigma related to mental health diagnoses and treatment is particularly salient within the older adult population and has been associated with decreased satisfaction with mental health treatment [25][26].…”

Section: Introductionmentioning

confidence: 99%

Health status and treatment-seeking stigma in older adults with trauma and posttraumatic stress disorder

Kaiser¹,

Seligowski²,

Spiro³

et al. 2016

J Rehabil Res Dev

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Abstract-This study compared health status across four trauma/posttraumatic stress disorder (PTSD) groups of older adults with depression, anxiety, and/or at-risk drinking who attended primary care appointments (N = 1,199; mean age = 73.5 yr), mostly at Department of Veterans Affairs hospitals. The trauma and PTSD categories were PTSD (n = 81), partial PTSD (n = 127), trauma only (n = 323), and no trauma (n = 668). Physical and mental health-related quality of life (HQL), indices of social and economic impairment and stigma regarding treatment-seeking were compared among groups. Group differences were found for several indicators of functional impairment; the PTSD group had fewer close friends and higher treatment-seeking stigma beliefs related to having a disorder. Linear mixed modeling examined associations between trauma/PTSD group and HQL. After accounting for covariates, the trauma/PTSD groups differed across the Medical Outcome Study Short Form-36 scales and component scores (indicated by significant group by scale interaction). Differences among groups were confined to mental health measures; those with PTSD had worse HQL. Post hoc analyses examined the number of comorbid psychiatric diagnoses by trauma/PTSD group. Overall, findings indicate that mental HQL varies among older adults with trauma and PTSD and that although treatmentrelated stigma does not differ among groups, it does affect HQL.

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Satisfaction With Mental Health Services in Older Primary Care Patients

Cited by 61 publications

References 40 publications

Outcomes of Integrated Behavioral Health with Primary Care

Outcomes of Integrated Behavioral Health with Primary Care

“Integrating Kuwait’s Mental Health System to end stigma: a call to action”

Health status and treatment-seeking stigma in older adults with trauma and posttraumatic stress disorder

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