AJGP
HOME HELP FEEDBACK SUBSCRIPTIONS ALL ISSUES SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Am J Geriatr Psychiatry 14:371-379, April 2006
© 2006 American Association for Geriatric Psychiatry
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a Colleague
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Chen, H.
Right arrow Articles by Levkoff, S. E.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Chen, H.
Right arrow Articles by Levkoff, S. E.

Article

Satisfaction With Mental Health Services in Older Primary Care Patients

Hongtu Chen, Ph.D., Eugenie H. Coakley, M.A., M.P.H., Karen Cheal, M.P.H., James Maxwell, Ph.D., Giuseppe Costantino, Ph.D., Dean D. Krahn, M.D., M.S., Robert G. Malgady, Ph.D., U. Nalla B. Durai, M.D., Louise M. Quijano, Ph.D., M.S.W., Saminaz Zaman, B.A., Christopher J. Miller, B.A., James H. Ware, Ph.D., Henry Chung, M.D., Carolyn Aoyama, C.N.M., M.P.H., William W. Van Stone, M.D., and Sue E. Levkoff, Sc.D., M.S.W.

From the Department of Psychiatry, Harvard Medical School, Boston, MA (HC, KC, CJM, SEL); JSI Research and Training Institute, Boston, MA (EHC, JM, SZ); Lutheran Medical Center, Sunset Park Family Health Center, Brooklyn, NY (GC); Wm. S. Middleton Memorial Veterans Hospital and Department of Psychiatry, University of Wisconsin, Madison, WI (DDK); the Department of Teaching and Learning, NY University, New York, NY (RGM); VA Chicago Health Care Systems and the Department of Psychiatry, University of Illinois, Chicago, IL (UNBD); the Huffington Center on Aging, Baylor College of Medicine, Houston, TX (LMQ); the Department of Biostatistics, Harvard School of Public Health, Boston, MA (JHW); the Department of Psychiatry, NY University School of Medicine, New York, NY (HC); the Health Resources and Services Administration, Washington, DC (CA); and the Mental Health Strategic Healthcare Group, VA Central Office, Washington, DC (WWVS).

Objective: This study examines whether older adult primary care patients are satisfied with two intervention models designed to ameliorate their behavioral health problems.

Methods: A total of 1,052 primary care patients aged 65 and older with depression, anxiety, or at-risk drinking were randomly assigned to and participated in either integrated care (IC) or enhanced specialty referral (ESR) model and completed the Client Satisfaction Questionnaire (CSQ) administered at three-month follow-up assessment.

Results: Older adult patients' satisfaction with IC (mean: 3.4, standard deviation [SD]: 0.60) was significantly higher than that with ESR (mean: 3.2, SD: 0.78), but the absolute difference was modest. Regression results showed that patients who used the IC model, attended the treatment service twice or more, or showed clinical improvement were more likely to express greater satisfaction. Stigma toward mental illness was negatively associated with satisfaction with mental health services.

Conclusions: Older adults are more likely to have greater satisfaction with mental health services integrated in primary care settings than through enhanced referrals to specialty mental health and substance abuse clinics.

Key Words: Satisfaction • elderly • service • primary care






HOME HELP FEEDBACK SUBSCRIPTIONS ALL ISSUES SEARCH TABLE OF CONTENTS
Copyright © 2006 American Association for Geriatric Psychiatry