TY - JOUR
KW - Aged
KW - Aged, 80 and over
KW - Attitude of Health Personnel
KW - Clinical Competence
KW - Community Mental Health Services/standards
KW - Decision Support Systems, Clinical
KW - Delivery of Health Care, Integrated
KW - Female
KW - Geriatric Assessment/methods
KW - Humans
KW - Intervention Studies
KW - Male
KW - Mental Disorders/diagnosis/therapy
KW - Middle Aged
KW - New England
KW - Patient Care Planning/organization & administration/standards
KW - Quality Assurance, Health Care/methods
KW - Questionnaires
AU - S. J. Bartels
AU - K. M. Miles
AU - A. D. Van Citters
AU - B. P. Forester
AU - M. J. Cohen
AU - H. Xie
A1 - 
AB - This study evaluated the effectiveness of a guided assessment and service planning intervention in improving the clinical practices of non-physician community mental health providers caring for older persons. Thirteen agencies, 44 clinicians, and 100 consumers (age 60 and older) were assigned to the intervention or a comparison group receiving usual care. Baseline interviews of clinicians and chart reviews found that clinicians' routine evaluation and service planning practices showed inattention to key domains such as substance abuse (over 33% of clinicians), suicide risk and dangerous behaviors (over 40%), and caregiver burden and risk of neglect or abuse (over 75%). At 1-year follow-up, the intervention was associated with increased rates of routine assessments of major symptom, functioning, and support domains. There was also significant improvement in the specificity of treatment planning within the intervention condition. Implications for quality improvement are discussed.
BT - Mental health services research
C5 - Education & Workforce
CP - 4
CY - United States
DO - 10.1007/s11020-005-7453-4
IS - 4
JF - Mental health services research
N2 - This study evaluated the effectiveness of a guided assessment and service planning intervention in improving the clinical practices of non-physician community mental health providers caring for older persons. Thirteen agencies, 44 clinicians, and 100 consumers (age 60 and older) were assigned to the intervention or a comparison group receiving usual care. Baseline interviews of clinicians and chart reviews found that clinicians' routine evaluation and service planning practices showed inattention to key domains such as substance abuse (over 33% of clinicians), suicide risk and dangerous behaviors (over 40%), and caregiver burden and risk of neglect or abuse (over 75%). At 1-year follow-up, the intervention was associated with increased rates of routine assessments of major symptom, functioning, and support domains. There was also significant improvement in the specificity of treatment planning within the intervention condition. Implications for quality improvement are discussed.
PP - United States
PY - 2005
SN - 1522-3434; 1522-3434
SP - 213
EP - 223
EP - 
T1 - Improving mental health assessment and service planning practices for older adults: A controlled comparison study
T2 - Mental health services research
TI - Improving mental health assessment and service planning practices for older adults: A controlled comparison study
U1 - Education & Workforce
U2 - 16320104
U3 - 10.1007/s11020-005-7453-4
VL - 7
VO - 1522-3434; 1522-3434
Y1 - 2005
ER -