Integrated Care for Depression in Older Primary Care Patients

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
Martha L Bruce, Jo Anne Sirey

Abstract

For decades, depression in older adults was overlooked and not treated. Most treatment was by primary care providers and typically poorly managed. Recent interventions that integrate mental health services into primary care have increased the number of patients who are treated for depression and the quality of that treatment. The most effective models involve systematic depression screening and monitoring, multidisciplinary teams that include primary care providers and mental health specialists, a depression care manager to work directly with patients over time and the use of guideline-based depression treatment. The article reviews the challenges and opportunities for providing high-quality depression treatment in primary care; describes the 3 major integrated care interventions, PRISM-E, IMPACT, and PROSPECT; reviews the evidence of their effectiveness, and adaptations of the model for other conditions and settings; and explores strategies to increase their scalability into real world practice.

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Citations

Jul 16, 2020·Current Psychiatry Reports·Olivia E BoguckiCraig N Sawchuk
May 23, 2020·International Journal of Environmental Research and Public Health·Beata DziedzicMariusz Wysokiski
Aug 30, 2019·Journal of Elder Abuse & Neglect·Yu-Chun HsuehCheng-Ching Lin
Jan 17, 2021·Journal of the American Geriatrics Society·J W Terri HuhChristine E Gould
Oct 16, 2019·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Daniel ShalevHarold Alan Pincus
May 14, 2020·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Jo Anne SireyHelen C Kales
May 12, 2021·Journal of Medical Internet Research·Jordi Piera-JiménezFrancisco Lupiáñez-Villanueva

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Software Mentioned

CAREPATH
PRISM
IMPACT
PROSPECT

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