Improving treatment access and primary care referrals for depression in a national community-based outreach programme for the elderly

International Journal of Geriatric Psychiatry

Volumn 24, Issue 11, 2009, Pages 1267-1276

  Nyunt, Ma Shwe Zin ^a   Soo, Meng Ko ^a,b   Kumar, Rajeev ^a   Fones, Calvin C S ^a,c   Tze, Pin Ng ^a  

^a NATIONAL UNIVERSITY HOSPITAL   (Singapore)

^b RAFFLES HOSPITAL   (Singapore)

^c GLENEAGLES HOSPITAL   (Singapore)

Author keywords

Depression; Elderly; Outreach; Primary care; Referral; Screening

Indexed keywords

AGE DISTRIBUTION; ARTICLE; COMORBIDITY; CONTROLLED STUDY; DEPRESSION; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; ELDERLY CARE; FEMALE; GERIATRIC DEPRESSION SCALE; HEALTH CARE ACCESS; HEALTH CARE DELIVERY; HEALTH PROGRAM; HUMAN; MAJOR CLINICAL STUDY; MALE; PATIENT REFERRAL; PRIMARY MEDICAL CARE; PSYCHOEDUCATION; SELF REPORT; SEX DIFFERENCE; SOCIOECONOMICS; STRUCTURED INTERVIEW;

AGED; AGED, 80 AND OVER; COMMUNITY MENTAL HEALTH SERVICES; DEPRESSIVE DISORDER; FEMALE; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES FOR THE AGED; HUMANS; MALE; MIDDLE AGED; REFERRAL AND CONSULTATION; SINGAPORE;

EID: 70350741345     PISSN: 08856230     EISSN: 10991166     Source Type: Journal    
DOI: 10.1002/gps.2256     Document Type: Article

References (35)

1. Andersen R, Newman JF. 1973. Societal and individual determinants of medical care utilization in the United States. Milbank Mem Fund Q 51: 91-124.
2. Andrews G, Henderson S, Hall W. 2001. Prevalence, comorbidity, disability and service utilisation. Overview of the Australian National Mental Health Survey. Br J Psychiatry 178: 145-153. (Pubitemid 32158076)
3. Banerjee S, Shamash K, Macdonald AJ, Mann AH. 1996. Randomized controlled trial of effect of intervention by psychogeriatric team on depression in frail elderly people at home. BMJ 313: 1058-1061. (Pubitemid 26371876)
4. Bartels SJ, Dums AR, Oxman TE. 2002. Evidence-based practices in geriatric mental health care. Psychiatr Serv 53: 1419-1431. (Pubitemid 35247252)
5. Bijl RV, Ravelli A. 2000. Psychiatric morbidity, service use, and need for care in the general population: Results of the Netherlands Mental Health Survey and Incidence Study. Am J Public Health 90: 502-607.
6. Bruce M, Ten Have TR, Reynolds CF. 2004. Reducing suicidal ideation and depressive symptoms in depressed older adults: a randomized controlled trial. JAMA 291: 1081-1091. (Pubitemid 38541685)
7. Ciechanowski P, Wagner E, Schmaling K. 2004. Community-integrated home-based depression treatment in older adults: a randomized controlled trial. JAMA 291: 1569-1577. (Pubitemid 38552429)
8. Cuijpers P, Smit F, Willemse G. 2005. Predicting the onset of major depression in subjects with subthreshold depression in primary care: a prospective study. Acta Psychiatr Scand 111: 133-138. (Pubitemid 40293180)
9. Dewa CS, Rochefort DA, Rogers J, Goering P. 2003. Left behind by reform: the case for improving primary care and mental health system services for people with moderate mental illness. Appl Health Econ Health Policy 2(1): 43-54.
10. First MB, Spitzer RL, Gibbon M, Williams JBW. 1997. Structured Clinical Interview for DSM-IV Axis I Disorders-Clinician Version. American Psychiatric Press: Washington, DC.
11. Florio ER, Jensen JE, Hendryx M. 1998. One-year outcomes of older adults referred for aging and mental health services by community gatekeepers. J Case Manag 7: 74-83. (Pubitemid 28468191)
12. Gilbody S, House AO, Sheldon TA. 2005. Screening and case finding instruments for depression. Cochrane Database Syst Rev 19(4): CD002792.
13. Goldberg D, Huxley P. 1980. Mental Illness in the Community-the Pathway to Psychiatric Care. Tavistock: London.
14. Kessler RC, Zhao S, Katz SJ. 1999. Past year use of outpatient services for psychiatric problems in the National Comorbidity Survey. Am J Psychiatry 156: 115-123. (Pubitemid 29034888)
15. Klap R, Tschantz K, Unutzer J. 2003. Caring for mental illness in the United States: a focus on older adult. Am J Geriatr Psychiatr 11(5): 517-524. (Pubitemid 37093378)
16. Leaf PJ, Livingston BM, Tishle GL, Holzer CE. 1987. The relationship between demographic factors and attitudes toward mental health services. J Commun Psychol 15: 275-284.
17. Lefebvre J, Lesage A, Cyr M, Toupin J, Fournier L. 1998. Factors related to utilization of services for mental health reasons in Montreal, Canada. Soc Psychiatry Psychiatr Epidemiol 33: 291-298. (Pubitemid 28257010)
18. Lin E, Parikh SG. 1999. Sociodemographic, clinical, and attitudinal characteristics of the untreated depressed in Ontario. J Affect Disord 53: 153-162. (Pubitemid 29232355)
19. Llewellyn-Jones RH, Baikie KA, Smithers H. 1999. Multifaceted shared care intervention for late life depression in residential care: randomized controlled trial. BMJ 319: 676-682.
20. Luber MP, Meyers BS, Williams-Russo PG. 2001. Depression and service utilization in elderly primary care patients. Am J Geriatr Psychiatry 9: 169-176. (Pubitemid 32303174)
21. Lyness JM, Kim J, Tang W, et al. 2007. The clinical significance of subsyndromal depression in older primary care patients. Am J Geriatr Psychiatry 15(3): 214-223.
22. Nyunt SZ, Fones CSL, Niti M, Ng TP. (in press). Criterion-based validity and reliability of the Geriatric Depression Screening Scale (GDS-15) in a large validation sample of community-living Asian older adults. Aging Ment Health. DOI: 386274 (MO671)
23. O'Neil MK, Lance WJ, Freeman SJJ. 1984. Help-seeking behavior of depressed students. Soc Sci Med 18: 511-514.
24. Parslow RA, Jorm AF. 2000. Who uses mental health services in Australia? An analysis of data from the National Survey of Mental Health and Wellbeing. Aust N Z J Psychiatry 34(6): 997-1008.
25. Rabins PV, Black BS, Roca R. 2000. Effectiveness of a nurse-based outreach program for identifying and treating psychiatric illness in the elderly. JAMA 283: 2802-2809. (Pubitemid 30387824)
26. Rhodes A, Goering P. 1994. Gender differences in the use of outpatient mental health services. J Ment Health Admin 21: 338-346. (Pubitemid 24335129)
27. Sartorius N, Ustun TB, Costa e Silva JA, et al. 1993. An international study of psychological problems in primary care. Preliminary report from the World Health Organization Collaborative Project on 'Psychological Problems in General Health Care'. Arch Gen Psychiatry 50(10): 819-824.
28. Chuan SK, Kumar R, Niti M, Kua EH, Ng TP. 2008. Subsyndromal depression in old age: clinical significance and impact. Int Psychogeriatr 20(1): 188-200.
29. The WHO World Mental Health Survey Consortium. 2004. Prevalence, severity, and unmet need for treatment of mental disorders in theWHOWorld Mental Health Surveys. JAMA 291(21): 2581-2590.
30. Unutzer J, Katon W, Callahan CM, et al. 2002. Collaborative care management of late-life depression in the primary care setting: a randomised controlled trial. JAMA 288: 2836-2845. (Pubitemid 35425069)
31. van Citters AD, Bartels SJ. 2004. A systematic review of the effectiveness of community-based mental health outreach services for older adults. Psychiatr Serv 55: 1237-1249.
32. Waterreus A, Blanchard M, Mann A. 1994. Community psychiatric nurses for the elderly: well tolerated, few side-effects and effective in the treatment of depression. J Clin Nurs 3: 299-306.
33. Wing JK, Babor T, Brugha T, Burke J. 1994. Perceived barriers to care in St. Louis and Christchurch: reasons for not seeking professional help for psychological distress. Soc Psychiatry Psychiatr Epidemiol 29: 155-164.
34. Wrigley S, Jackson H, Judd F. 2005. Role of stigma and attitudes toward help-seeking from a general practitioner for mental health problems in a rural town. Aust N Z J Psychiatry 39: 514-521. (Pubitemid 40932630)
35. Yesavage J. 1988. Geriatric depression scale. Psychopharmacol Bull 24(4): 709-711.