Psychiatric Assessment and Screening for the Elderly in Primary Care: Design, Implementation, and Preliminary Results

Introduction. We describe the design and implementation of a psychiatric collaborative care model in a university-based geriatric primary care practice. Initial results of screening for anxiety and depression are reported. Methods and Materials. Screens for anxiety and depression were administered t...

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Bibliographic Details
Published in:Journal of Geriatrics (Hindawi) 2015-01, Vol.2015, p.1-9
Main Authors: Abrams, Robert C., Boné, Blanca, Reid, M. Cary, Adelman, Ronald D., Breckman, Risa, Goralewicz, Ronald, Palombo, Marlena, Stern, Amy, Shengelia, Rouzi, Teresi, Jeanne
Format: Article
Language:English
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Summary:Introduction. We describe the design and implementation of a psychiatric collaborative care model in a university-based geriatric primary care practice. Initial results of screening for anxiety and depression are reported. Methods and Materials. Screens for anxiety and depression were administered to practice patients. A mental health team, consisting of a psychiatrist, mental health nurse practitioner, and social worker, identified patients who on review of screening and chart data warranted evaluation or treatment. Referrals for mental health interventions were directed to members of the mental health team, primary care physicians at the practice, or community providers. Results. Subjects (N=1505) comprised 38.2% of the 3940 unique patients seen at the practice during the 4-year study period. 37.1% (N=555) screened positive for depression, 26.9% (N=405) for anxiety, and 322 (21.4%) screened positive for both. Any positive score was associated with age (P
ISSN:2356-7414
2314-7121
DOI:10.1155/2015/792043