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.
RCT Entities:
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.
Authors: Joseph J Gallo; Cynthia Zubritsky; James Maxwell; Michael Nazar; Hillary R Bogner; Louise M Quijano; Heidi J Syropoulos; Karen L Cheal; Hongtu Chen; Herman Sanchez; John Dodson; Sue E Levkoff Journal: Ann Fam Med Date: 2004 Jul-Aug Impact factor: 5.166
Authors: Me Domino; J Maxwell; M Cody; K Cheal; A Busch; Ww Van Stone; Sg Cooley; C Zubtritsky; Cl Estes; Y Shen; M Lynch; S Grantham; P Wohlford; Mc Aoyama; J Fitzpatrick; S Zaman; J Dodson; Se Levkoff Journal: Ageing Int Date: 2008-06-01
Authors: David W Oslin; Susan Grantham; Eugenie Coakley; James Maxwell; Keith Miles; James Ware; Frederic C Blow; Dean D Krahn; Stephen J Bartels; Cynthia Zubritsky; Ed Olsen; JoAnn E Kirchner; Sue Levkoff Journal: Psychiatr Serv Date: 2006-07 Impact factor: 3.084
Authors: Jane L Givens; Catherine J Datto; Katy Ruckdeschel; Kathryn Knott; Cynthia Zubritsky; David W Oslin; Soumya Nyshadham; Poornima Vanguri; Frances K Barg Journal: J Gen Intern Med Date: 2005-12-07 Impact factor: 5.128
Authors: Marsha N Wittink; David Oslin; Kathryn A Knott; James C Coyne; Joseph J Gallo; Cynthia Zubritsky Journal: Int J Geriatr Psychiatry Date: 2005-10 Impact factor: 3.485