TY - JOUR
KW - Adult
KW - Age Factors
KW - Aged
KW - Attitude of Health Personnel
KW - Delivery of Health Care, Integrated
KW - Female
KW - Health Services for the Aged
KW - Humans
KW - Male
KW - Mental Disorders/therapy
KW - Mental Health Services
KW - Middle Aged
KW - Physicians, Family/psychology
KW - Randomized Controlled Trials as Topic
KW - Referral and Consultation
AU - J. J. Gallo
AU - C. Zubritsky
AU - J. Maxwell
AU - M. Nazar
AU - H. R. Bogner
AU - L. M. Quijano
AU - H. J. Syropoulos
AU - K. L. Cheal
AU - H. Chen
AU - H. Sanchez
AU - J. Dodson
AU - S. E. Levkoff
AU - PRISM-E Investigators
A1 - 
AB - BACKGROUND: Recent studies have shown that integrated behavioral health services for older adults in primary care improves health outcomes. No study, however, has asked the opinions of clinicians whose patients actually experienced integrated rather than enhanced referral care for depression and other conditions. METHOD: The Primary Care Research in Substance Abuse and Mental Health for the Elderly (PRISM-E) study was a randomized trial comparing integrated behavioral health care with enhanced referral care in primary care settings across the United States. Primary care clinicians at each participating site were asked whether integrated or enhanced referral care was preferred across a variety of components of care. Managers also completed questionnaires related to the process of care at each site. RESULTS: Almost all primary care clinicians (n = 127) stated that integrated care led to better communication between primary care clinicians and mental health specialists (93%), less stigma for patients (93%), and better coordination of mental and physical care (92%). Fewer thought that integrated care led to better management of depression (64%), anxiety (76%), or alcohol problems (66%). At sites in which the clinicians were rated as participating in mental health care, integrated care was highly rated as improving communication between specialists in mental health and primary care. CONCLUSIONS: Among primary care clinicians who cared for patients that received integrated care or enhanced referral care, integrated care was preferred for many aspects of mental health care.
BT - Annals of family medicine
C5 - Education & Workforce; Key & Foundational
CP - 4
CY - United States
IS - 4
JF - Annals of family medicine
N2 - BACKGROUND: Recent studies have shown that integrated behavioral health services for older adults in primary care improves health outcomes. No study, however, has asked the opinions of clinicians whose patients actually experienced integrated rather than enhanced referral care for depression and other conditions. METHOD: The Primary Care Research in Substance Abuse and Mental Health for the Elderly (PRISM-E) study was a randomized trial comparing integrated behavioral health care with enhanced referral care in primary care settings across the United States. Primary care clinicians at each participating site were asked whether integrated or enhanced referral care was preferred across a variety of components of care. Managers also completed questionnaires related to the process of care at each site. RESULTS: Almost all primary care clinicians (n = 127) stated that integrated care led to better communication between primary care clinicians and mental health specialists (93%), less stigma for patients (93%), and better coordination of mental and physical care (92%). Fewer thought that integrated care led to better management of depression (64%), anxiety (76%), or alcohol problems (66%). At sites in which the clinicians were rated as participating in mental health care, integrated care was highly rated as improving communication between specialists in mental health and primary care. CONCLUSIONS: Among primary care clinicians who cared for patients that received integrated care or enhanced referral care, integrated care was preferred for many aspects of mental health care.
PP - United States
PY - 2004
SN - 1544-1709; 1544-1709
SP - 305
EP - 309
EP - 
T1 - Primary care clinicians evaluate integrated and referral models of behavioral health care for older adults: Results from a multisite effectiveness trial (PRISM-e)
T2 - Annals of family medicine
TI - Primary care clinicians evaluate integrated and referral models of behavioral health care for older adults: Results from a multisite effectiveness trial (PRISM-e)
U1 - Education & Workforce; Key & Foundational
U2 - 15335128
VL - 2
VO - 1544-1709; 1544-1709
Y1 - 2004
ER -