Detection and management of mental health problems of older patients by primary care providers

P. S. German, S. Shapiro, E. A. Skinner, M. Von Korff, L. E. Klein, R. W. Turner, M. L. Teitelbaum, J. Burke, B. J. Burns

Research output: Contribution to journalArticle

Abstract

Evidence is accruing that older individuals receive little attention for mental health problems and that any attention that is given is most often within the primary care setting. A randomized clinical trial was carried out at a primary care clinic of the Johns Hopkins University, Baltimore, testing the ability of feedback of the results of a screening instrument (the General Hospital Questionnaire) to increase awareness in clinicians of the emotional and psychological problems of their patients. This report contrasts those aged 65 years and older with younger patients. Detection and management of mental morbidity were lower for older individuals, but the feedback intervention increased the likelihood of attention to these problems. This was not true for younger patients. Detection was significantly higher for older patients when screening data were made available, as was management, although the latter difference was not statistically significant. There was evidence as well that the intervention moved clinicians to greater congruence with their older patients in the perception that current mental health problems existed. These findings have important implications for primary care.

Original languageEnglish (US)
Pages (from-to)489-493
Number of pages5
JournalJournal of the American Medical Association
Volume257
Issue number4
DOIs
StatePublished - 1987

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Primary Health Care
Patient Care
Mental Health
Baltimore
Aptitude
General Hospitals
Randomized Controlled Trials
Psychology
Morbidity

ASJC Scopus subject areas

  • Medicine(all)

Cite this

German, P. S., Shapiro, S., Skinner, E. A., Von Korff, M., Klein, L. E., Turner, R. W., ... Burns, B. J. (1987). Detection and management of mental health problems of older patients by primary care providers. Journal of the American Medical Association, 257(4), 489-493. https://doi.org/10.1001/jama.257.4.489

Detection and management of mental health problems of older patients by primary care providers. / German, P. S.; Shapiro, S.; Skinner, E. A.; Von Korff, M.; Klein, L. E.; Turner, R. W.; Teitelbaum, M. L.; Burke, J.; Burns, B. J.

In: Journal of the American Medical Association, Vol. 257, No. 4, 1987, p. 489-493.

Research output: Contribution to journalArticle

German, PS, Shapiro, S, Skinner, EA, Von Korff, M, Klein, LE, Turner, RW, Teitelbaum, ML, Burke, J & Burns, BJ 1987, 'Detection and management of mental health problems of older patients by primary care providers', Journal of the American Medical Association, vol. 257, no. 4, pp. 489-493. https://doi.org/10.1001/jama.257.4.489
German, P. S. ; Shapiro, S. ; Skinner, E. A. ; Von Korff, M. ; Klein, L. E. ; Turner, R. W. ; Teitelbaum, M. L. ; Burke, J. ; Burns, B. J. / Detection and management of mental health problems of older patients by primary care providers. In: Journal of the American Medical Association. 1987 ; Vol. 257, No. 4. pp. 489-493.
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