Stephen Bartels

..HOPES includes 1 year of intensive skills training and health management, followed by a 1-year maintenance phase...

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..Both groups receiving HM demonstrated increased use of preventive health services and identification of previously undetected medical disorders...

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..The author identified three healthcare themes, including 1) access and continuity of services; 2) quality; and 3) workforce and caregiver capacity. From among these areas, 10 policy issues and recommendations were proposed...

..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...

..The authors describe characteristics, treatment, and acute service use associated with agitation and depression in dementia...

..The anticipated growth in the population of older persons with mental disorders underscores the need for a strategy to facilitate the systematic and effective implementation of evidence-based practices in geriatric mental health care...

..Extrinsic mental health services are those delivered in the nursing home by specialists who are not full-time staff of the nursing home...

..Accordingly, targeted assessment and preventive services should be emphasized for geriatric outpatients with co-occurring depression and anxiety, social isolation, younger age, and Asian or Caucasian race...

..There was also significant improvement in the specificity of treatment planning within the intervention condition. Implications for quality improvement are discussed...

..Cautions and limitations regarding the reliance on randomized, controlled trials, meta-analyses, and systematic reviews also are presented...

..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...

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..Health-promotion programs that target these areas may have better success in achieving health benefits for persons with SMI...

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..This pilot study compared preferences for involvement in decision-making between older and younger adults with serious mental illness...

..This study describes nursing home entrance over a 10-year period among community residing Medicaid enrollees with schizophrenia compared with Medicaid enrollees with no mental illness...

..Based on these promising results, randomized controlled trials of the In SHAPE program are necessary to establish its effectiveness compared with usual care and alternative approaches to enhancing fitness...

..We review health outcomes of the seriously mentally ill and models designed to improve these outcomes. We propose specific strategies for Family Medicine clinicians and researchers to address this problem...

..This selective overview highlights recent reports addressing psychosocial functioning and interventions for older adults with SMI...

..7% to 30.0%). The increase in multiple agent therapy appears to be broad-based. Data are needed on the effectiveness and cost-effectiveness of these practices to inform clinical decision making and health policy...

..These principles have important implications for the adoption of evidence-based practices in mental health care...

..Studies are needed that apply more rigorous methods evaluating the efficacy of case identification models and subsequent treatment for older persons with a variety of psychiatric diagnoses...

..org). This report discusses implications of and principles for disseminating these programs, including examples of replications in fields besides GMH research...

..CONCLUSIONS: Middle-aged and older homeless people with schizophrenia received less primary and preventive health care and were treated for fewer chronic medical problems than a comparison group with depression...

..We examined cardiometabolic disease and mortality over 8 years among individuals with and without schizophrenia...

..Programs aimed at helping people with SMI make lifestyle changes may increase their effectiveness by involving significant others. Mobilizing social support networks for health behavior change is an ideal role for social workers...

..Among patients with at-risk drinking, there was a higher preponderance of younger ages, Whites, and men. Discussion: These findings indicate the need for screening in primary care and for engaging older adults in treatment...

..This study examined preferences regarding medical advance care planning among persons with serious mental illness, specifically, experience, beliefs, values, and concerns about health care proxies and end-of-life issues...

..The goal of this study was to ascertain preferences for end-of-life care among persons with serious mental illness...

..The potential downstream impact on morbidity and mortality has public health implications for large numbers of persons with SMI. ..

..We propose to track the outcomes of this state program so that useful lessons can be drawn for similar, future efforts in other states. ..

..The potential downstream impact on morbidity and mortality has public health implications for large numbers of persons with SMI. ..

..The potential downstream impact on morbidity and mortality has public health implications for large numbers of persons with SMI. ..

..This application addresses a profound lack of research on effective services for the rapidly growing population of aging persons with serious mental illness. ..

..If found to be effective, ISL will provide a practical approach to improving health, independent functioning, and longevity in disabled persons with SMI. ..

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..The potential downstream impact on morbidity and mortality has public health implications for large numbers of persons with SMI. ..

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..We propose to track the outcomes of this state program so that useful lessons can be drawn for similar, future efforts in other states. ..