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Titolo:
Expanding mental health services to older high-utilizing HMO patients: A pilot study
Autore:
Haas, LJ; Spendlove, DC; Silver, MP;
Indirizzi:
Univ Utah, Hlth Sci Ctr, Dept Family & Prevent Med, Salt Lake City, UT 84132 USA Univ Utah Salt Lake City UT USA 84132 t Med, Salt Lake City, UT 84132 USA St Marks Family Med Residency, Salt Lake City, UT USA St Marks Family Med Residency Salt Lake City UT USA lt Lake City, UT USA Hlth Insights Inc, Salt Lake City, UT USA Hlth Insights Inc Salt Lake City UT USA ghts Inc, Salt Lake City, UT USA
Titolo Testata:
JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS
fascicolo: 3, volume: 8, anno: 2001,
pagine: 189 - 197
SICI:
1068-9583(200109)8:3<189:EMHSTO>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
PSYCHIATRIC-DISORDERS; PREVALENCE; SYMPTOMS;
Keywords:
mental health services access and barriers; managed care; distressed high utilizers;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Haas, LJ Univ Utah, Hlth Sci Ctr, Dept Family & Prevent Med, 50 N Med Dr, Salt LakeCity, UT 84132 USA Univ Utah 50 N Med Dr Salt Lake City UT USA 84132 y, UT 84132 USA
Citazione:
L.J. Haas et al., "Expanding mental health services to older high-utilizing HMO patients: A pilot study", J CL P MED, 8(3), 2001, pp. 189-197

Abstract

Background: Expanded mental health benefits were offered to older HMO patients who were high medical utilizers. Outcomes of interest were use of services, subjective well-being, and psychopathology. Methods: Sixty-nine (25 male, 44 female) patients age 55 or above seeking frequent outpatient medical care completed the SF-36 health survey and the revised Symptom Check List(SCL-90-R). Patients were assigned to usual care, health education, or expanded mental health benefit conditions. Results: Patients showed high initial levels of psychopathology and distress. Over the 6 months of the study, patients in the expanded benefits group made a mean of 11.5 visits to mental health professionals versus a mean of 3.4 visits by usual care patients. Patients in the expanded benefits group showed significant improvement in SF-36 General Health and Mental Health well-being scores. Patients in the health education group showed no improvement. Patients in the usual care group showed improvements in Vitality scores. Psychopathology summary scores showed improvement for both usual care and enhanced benefit groups. Conclusions: Mental health treatment may improve well-being and reduce psychopathology in older high-utilizing patients. Creativity will be needed in expandingaccess to mental health services for this population.

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Documento generato il 25/01/20 alle ore 18:33:53