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The Literature Collection contains over 10,000 references for published and grey literature on the integration of behavioral health and primary care. Learn More
Use the Search feature below to find references for your terms across the entire Literature Collection, or limit your searches by Authors, Keywords, or Titles and by Year, Type, or Topic. View your search results as displayed, or use the options to: Show more references per page; Sort references by Title or Date; and Refine your search criteria. Expand an individual reference to View Details. Full-text access to the literature may be available through a link to PubMed, a DOI, or a URL. References may also be exported for use in bibliographic software (e.g., EndNote, RefWorks, Zotero).
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937
Age Group Differences Among Veterans Enrolled in a Clinical Service for Behavioral Health Issues in Primary Care
Type: Journal Article
Year: 2010
Abstract: OBJECTIVES:: To examine age group differences in the identification, engagement, clinical outcomes, and monitoring of older, relative to middle aged and younger, veterans with behavioral health needs enrolled in an integrated care management program. DESIGN:: Cross-sectional and longitudinal. SETTING:: Primary care clinics affiliated with two Veterans Affairs Medical Centers. PARTICIPANTS:: A total of 9,087 veterans were referred to the Behavioral Health Laboratory (BHL) for a behavioral health assessment and 7,251 completed an initial assessment. MEASUREMENTS:: Data on consult source and reason for the referral, clinical assessment outcomes, and engagement were collected during a 3-year period. Variations in process and patient-level factors were examined as a function of age group. RESULTS:: Although all age groups evidenced high rates of engagement in clinical assessment calls, older adults were slightly more likely to complete the assessments than young/middle-aged veterans. Clinical assessment outcomes revealed that although older adults were less likely to meet criteria for more complex, severe conditions, rates of disorder remained clinically significant, and comorbidity was common. Finally, older veterans receiving treatment monitoring for a newly prescribed antidepressant consistently reported high rates of antidepressant adherence during the course of the monitoring calls and showed significant reductions in depressive symptomatology during the course of monitoring. CONCLUSIONS:: Results indicate age-related variability in processes and outcomes among veterans referred to the BHL and suggest that older veterans are just as likely to benefit from a program designed to facilitate the identification, engagement, monitoring, and care management of primary care patients experiencing behavioral health issues.
Topic(s):
Healthcare Disparities
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Reference Links: 
View the DOI record for Age Group Differences Among Veterans Enrolled in a Clinical Service for Behavioral Health Issues in Primary Care
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View the PubMed citation for Age Group Differences Among Veterans Enrolled in a Clinical Service for Behavioral Health Issues in Primary Care939
Agency social workers could monitor hypertension in the community
Type: Journal Article
Year: 2010
Publication Place: England
Abstract: Uncontrolled hypertension is highly prevalent, presents without symptoms, and constitutes a major risk factor for atherosclerosis, heart disease, stroke, and diabetes. Several factors impede individuals from adhering to treatment, while others work against physician monitoring and medication adjustment as the condition changes. As family counselors and leaders of self-help and mutual aid groups, social workers are among the best positioned professionals to help individuals, couples, and families improve psychosocial dynamics associated with hypertension, secure support, and overcome barriers to lifestyle changes or medication adherence. An important case is made for training social workers from community social service agencies to engage and guide their clients in accurate self-screenings for hypertension and to refer those with elevated blood pressure for follow-up care.
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for Agency social workers could monitor hypertension in the community
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View the PubMed citation for Agency social workers could monitor hypertension in the community