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OBJECTIVE The authors sought to determine whether integrated mental health services or enhanced referral to specialty mental health clinics results in greater engagement in mental health/substance abuse services by older primary care patients. METHOD This multisite randomized trial included 10 sites consisting of primary care and specialty mental(More)
The authors identified correlates of active suicidal ideation and passive death ideation in older primary care patients with depression, anxiety, and at-risk alcohol use. Participants included 2,240 older primary care patients (age 65+), who were identified in three mutually exclusive groups on the basis of responses to the Paykel suicide questions: No(More)
BACKGROUND Alcohol misuse is a growing public health concern for older adults, particularly among primary care patients. OBJECTIVES To determine alcohol consumption patterns and the characteristics associated with at-risk drinking in a large sample of elderly primary care patients. DESIGN Cross-sectional analysis of multisite screening data from 6 VA(More)
This paper examines the issue of dynamically scheduling applications on a wide-area network computing system. We construct a simulation model for wide-area task allocation problem and study the performance of the proposed algorithm under different conditions. The simulation results indicate that the wide-area scheduling algorithm is sensitive to several(More)
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)(More)
Asian American communities have important and unmet mental health needs, but there is comparatively little research data on process and outcomes that can guide evidence-based approaches to mental health care. This paper describes our experience of building research programs in a community-based health care facility, some of the challenges we faced, and(More)
OBJECTIVE This study, entitled Primary Care Research in Substance Abuse and Mental Health for the Elderly, examined six-month outcomes for older primary care patients with depression who received different models of treatment. METHODS Clinical outcomes were compared for patients who were randomly assigned to integrated care or enhanced specialty referral.(More)
OBJECTIVE To describe the design of the Primary Care Research in Substance Abuse and Mental Health for Elderly (PRISM-E) study and baseline characteristics of the randomized primary care patients with mental health problems and at-risk alcohol use. METHOD Adults aged 65 and older were screened at primary care clinics from 10 study sites throughout the(More)
OBJECTIVES To examine psychological impact of the September 11th disaster on the immediate neighborhood of the New York World Trade Center. METHODS 555 residents from the local Chinatown community participated in the study. They were surveyed retrospectively on their emotional-distress immediately after the tragedy and five months later. RESULTS(More)
BACKGROUND Recent studies have shown that integrated behavioral health services for older adults in primary care improves health outcomes. No study, however, has asked the opinions of clinicians whose patients actually experienced integrated rather than enhanced referral care for depression and other conditions. METHOD The Primary Care Research in(More)