TY - JOUR
KW - Care management
KW - collaborative care
KW - Depression
KW - integrated care
KW - older adults
AU - M. L. Bruce
AU - J. A. Sirey
A1 - 
AB - 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.
BT - Canadian journal of psychiatry.Revue canadienne de psychiatrie
C5 - Education & Workforce; Healthcare Disparities
CP - 7
CY - United States
DO - 10.1177/0706743718760292
IS - 7
JF - Canadian journal of psychiatry.Revue canadienne de psychiatrie
N2 - 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.
PP - United States
PY - 2018
SN - 1497-0015; 0706-7437
SP - 439
EP - 446
EP - 
T1 - Integrated Care for Depression in Older Primary Care Patients
T2 - Canadian journal of psychiatry.Revue canadienne de psychiatrie
TI - Integrated Care for Depression in Older Primary Care Patients
U1 - Education & Workforce; Healthcare Disparities
U2 - 29495883
U3 - 10.1177/0706743718760292
VL - 63
VO - 1497-0015; 0706-7437
Y1 - 2018
ER -