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Collaborative care management of late-life depression in the primary care setting: a randomized controlled trial.
The IMPACT collaborative care model appears to be feasible and significantly more effective than usual care for depression in a wide range of primary care practices. Expand
Effectiveness of collaborative care for older adults with Alzheimer disease in primary care: a randomized controlled trial.
Collaborative care for the treatment of Alzheimer disease resulted in significant improvement in the quality of care and in behavioral and psychological symptoms of dementia among primary care patients and their caregivers without significantly increasing the use of antipsychotics or sedative-hypnotics. Expand
Six-Item Screener to Identify Cognitive Impairment Among Potential Subjects for Clinical Research
The six-item screener is a brief and reliable instrument for identifying subjects with cognitive impairment and its diagnostic properties are comparable to the full MMSE. Expand
Monitoring Depression Treatment Outcomes With the Patient Health Questionnaire-9
The PHQ-9 has now proven to be a responsive and reliable measure of depression treatment outcomes and an attractive tool for gauging response to treatment in individual patient care as well as in clinical research. Expand
Geriatric care management for low-income seniors: a randomized controlled trial.
Integrated and home-based geriatric care management resulted in improved quality of care and reduced acute care utilization among a high-risk group and future studies are needed to determine whether more specific targeting will improve the program's effectiveness and whether reductions in acute care usage will offset program costs. Expand
Depression and Bipolar Support Alliance consensus statement on the unmet needs in diagnosis and treatment of mood disorders in late life.
There is an immediate need for collaboration among patients, families, researchers, clinicians, governmental agencies, and third-party payers to improve diagnosis, treatment, and delivery of services for elderly persons with mood disorders. Expand
Implementing a screening and diagnosis program for dementia in primary care
Dementia is common and undiagnosed in primary care; Screening instruments alone have insufficient specificity to establish a valid diagnosis of dementia when used in a comprehensive screening program; these results may not be generalized to older adults presenting with cognitive complaints. Expand
Comorbidity Profile of Dementia Patients in Primary Care: Are They Sicker?
- Cathy C. Schubert, M. Boustani, +6 authors H. Hendrie
- Journal of the American Geriatrics Society
- 1 January 2006
To compare the medical comorbidity of older patients with and without dementia in primary care, a large number of patients with dementia and those without dementia are treated in the same primary care unit. Expand
Documentation and Evaluation of Cognitive Impairment in Elderly Primary Care Patients
The prevalence of cognitive impairment was determined by screening a group of urban, elderly, primary care patients using the Short Portable Mental Status Questionnaire (SPMQ) and the clinical utility of routine diagnostic investigations are still being debated. Expand
Cost-effectiveness of improving primary care treatment of late-life depression.
- W. Katon, M. Schoenbaum, +7 authors J. Unützer
- Archives of general psychiatry
- 1 December 2005
The IMPACT intervention is a high-value investment for older adults; it is associated with high clinical benefits at a low increment in health care costs. Expand