Managing depressed and suicidal geriatric patients: differences among primary care physicians

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Managing depressed and suicidal geriatric patients: differences among primary care physicians

MS Kaplan, ME Adamek and A Calderon
School of Community Health, Portland State University, OR 97207-0751, USA. [email protected]

This study examined differences by specialty of primary care physicians in managing suicidal and depressed geriatric patients. A probability sample of 300 Illinois physicians drawn from the American Medical Association Physician Masterfile was surveyed. Significant differences were found between specialties in estimates of the prevalence of psychiatric disorders; use of assessment procedures, treatment approaches, and referrals; perceptions of obstacles to providing mental health care; and confidence in diagnosing and treating depression and suicidality. Meeting the mental health needs of the rapidly growing older population will require a greater emphasis on geriatric mental health and consistency across primary care specialties.

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S. J. Bartels, E. H. Coakley, C. Zubritsky, J. H. Ware, K. M. Miles, P. A. Arean, H. Chen, D. W. Oslin, M. D. Llorente, G. Costantino, L. Quijano, J. S. McIntyre, K. W. Linkins, T. E. Oxman, J. Maxwell, S. E. Levkoff, and PRISM-E Investigators
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S. J. Bartels
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J. R. Sharkey and P. S. Haines
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[Abstract] [Full Text] [PDF]

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All GSA journals

Journals of Gerontology Series A: Biological Sciences and Medical Sciences

Journals of Gerontology Series B: Psychological Sciences and Social Sciences

				S. J. Bartels, E. H. Coakley, C. Zubritsky, J. H. Ware, K. M. Miles, P. A. Arean, H. Chen, D. W. Oslin, M. D. Llorente, G. Costantino, L. Quijano, J. S. McIntyre, K. W. Linkins, T. E. Oxman, J. Maxwell, S. E. Levkoff, and PRISM-E Investigators Improving Access to Geriatric Mental Health Services: A Randomized Trial Comparing Treatment Engagement With Integrated Versus Enhanced Referral Care for Depression, Anxiety, and At-Risk Alcohol Use Am J Psychiatry, August 1, 2004; 161(8): 1455 - 1462. [Abstract] [Full Text] [PDF]

				S. J. Bartels Improving the United States' System of Care for Older Adults With Mental Illness: Findings and Recommendations for The President's New Freedom Commission on Mental Health Am J Geriatr Psychiatry, October 1, 2003; 11(5): 486 - 497. [Abstract] [Full Text] [PDF]

				J. R. Sharkey and P. S. Haines The Feasibility of Using a Telephone-Administered Survey for Determining Nutritional Service Needs of Noninstitutionalized Older Adults in Rural Areas: Time and Costs Gerontologist, August 1, 2001; 41(4): 546 - 552. [Abstract] [Full Text] [PDF]