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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)
Alcohol misuse is a growing public health concern for older adults, particularly among primary care patients. To determine alcohol consumption patterns and the characteristics associated with at-risk drinking in a large sample of elderly primary care patients. Cross-sectional analysis of multisite screening data from 6 VA Medical Centers, 2 hospital-based(More)
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)
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)
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)
Stigma of mental illness is a major obstacle to its diagnosis and treatment and may be worse among Asians than Caucasians. This study compared the stigma of depression in 50 Chinese Americans (CA) and 50 Caucasian Americans (WA). Subjects were asked to read 5 case vignettes in the following order: diabetes mellitus (DB), major depressive disorder (MDD),(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)