TY - JOUR
AU - L. B. Gerlach
AU - S. Mavandadi
AU - D. T. Maust
AU - J. E. Streim
AU - D. W. Oslin
A1 - 
AB - OBJECTIVE: This study examined whether a telephone-delivered collaborative care intervention (SUpporting Seniors Receiving Treatment And INtervention [SUSTAIN]) improved access to mental health services similarly among older adults in rural areas and those in urban-suburban areas. METHODS: This cohort study of 8,621 older adults participating in the SUSTAIN program, a clinical service provided to older adults in Pennsylvania newly prescribed a psychotropic medication by a primary care or non-mental health provider, examined rural versus urban-suburban differences in rates of initial clinical interview completion, patient clinical characteristics, and program penetration. RESULTS: Participants in rural counties were more likely than those in urban-suburban counties to complete the initial clinical interview (27.0% versus 24.0%, p=.001). Program penetration was significantly higher in rural than in urban-suburban counties (p=.02). CONCLUSIONS: Telephone-based care management programs such as SUSTAIN may be an effective strategy to facilitate access to collaborative mental health care regardless of patients' geographic location.
BT - Psychiatric Services
C5 - Healthcare Disparities
CP - 1
DO - 10.1176/appi.ps.201700026
IS - 1
JF - Psychiatric Services
N2 - OBJECTIVE: This study examined whether a telephone-delivered collaborative care intervention (SUpporting Seniors Receiving Treatment And INtervention [SUSTAIN]) improved access to mental health services similarly among older adults in rural areas and those in urban-suburban areas. METHODS: This cohort study of 8,621 older adults participating in the SUSTAIN program, a clinical service provided to older adults in Pennsylvania newly prescribed a psychotropic medication by a primary care or non-mental health provider, examined rural versus urban-suburban differences in rates of initial clinical interview completion, patient clinical characteristics, and program penetration. RESULTS: Participants in rural counties were more likely than those in urban-suburban counties to complete the initial clinical interview (27.0% versus 24.0%, p=.001). Program penetration was significantly higher in rural than in urban-suburban counties (p=.02). CONCLUSIONS: Telephone-based care management programs such as SUSTAIN may be an effective strategy to facilitate access to collaborative mental health care regardless of patients' geographic location.
PY - 2018
SP - 117
EP - 120
EP - 
T1 - Improving Access to Collaborative Behavioral Health Care for Rural-Dwelling Older Adults
T2 - Psychiatric Services
TI - Improving Access to Collaborative Behavioral Health Care for Rural-Dwelling Older Adults
U1 - Healthcare Disparities
U2 - 28967325
U3 - 10.1176/appi.ps.201700026
VL - 69
Y1 - 2018
ER -