ArticleJournal of the American Geriatrics Society2015
Mental Health Care Delivered to Younger and Older Adults by Office-Based Physicians Nationally.
Article in Journal of the American Geriatrics Society, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed.
- Comparing the streamlined psychotherapy "Engage" with problem-solving therapy in late-life major depression. A randomized clinical trial.Molecular psychiatry · 2021Trial
- Treatment Adequacy and Adherence as Predictors of Depression Response in Primary Care.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2020Trial
- Antidepressant Prescribing in Primary Care to Older Adults Without Major Depression.Psychiatric services (Washington, D.C.) · 2017Trial
- Ageism in the Mental Health Setting.Current psychiatry reports · 2024Review
- Palliative Care and Mental Health among Pancreatic Cancer Patients in the United States: An Examination of Service Utilization and Health Outcomes.Healthcare (Basel, Switzerland) · 2024Article
- Geriatric psychiatry and brain health in old age.Therapeutic advances in psychopharmacology · 2024Article
- Message-based psychotherapy for older adults: A cohort comparison study.Frontiers in psychiatry · 2022Article
- Leadership and Peer Counseling Program: Evaluation of Training and Its Impact on Filipino Senior Peer Counselors.International journal of environmental research and public health · 2019Article
- Article
- Mental Health and Pain in Older Adults: Findings from Urban HEART-2.Community mental health journal · 2017Article
- National Trends in Antidepressant, Benzodiazepine, and Other Sedative-Hypnotic Treatment of Older Adults in Psychiatric and Primary Care.The Journal of clinical psychiatry · 2017Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectivesTo compare the provision of mental health care to older adults with that provided to younger adults.
designAnalysis of the National Ambulatory Medical Care Survey.
settingVisits to office-based physicians in the United States, 2007 to 2010 (n = 100,661 visits).
participantsIndividuals with an outpatient visit resulting in a mental health diagnosis or treatment, defined as a visit resulting in a mental disorder diagnosis, at which a psychotropic medication was prescribed, to a psychiatrist, or including psychotherapy. MEASUREMENTS: The number of each type of mental healthcare visit was estimated according to participant age (21 to 64, ≥65), along with the percentage this represented of all office-based care and the annual visit rate per 100 population. Within each visit type, age groups were compared according to clinical and demographic characteristics such as sex, diagnosed mental illness, and use of psychotropic agents.
resultsOlder adults had a smaller proportion than younger adults of visits with a mental disorder diagnosis (4.8% vs 9.5%, chi-square = 228.21, P < .001), to a psychiatrist (0.9% vs 4.0%, chi-square = 233.76, P < .001), and including psychotherapy (0.6% vs 2.3%, chi-square = 57.65, P < .001). The percentage of older adult psychotropic visits was slightly smaller than of younger adult visits (18.1% vs 19.2%, chi-square = 5.33, P = .02). Older adults had a higher rate of psychotropic visits (121.4 per 100 population) than younger adults (56.8 per 100 population).
conclusionLess care of older adults is from psychiatrists or incorporates psychotherapy. Older adults have a far higher rate of psychotropic use than younger adults on a per-population basis. Addressing the mental healthcare needs of older adults will require care in nonspecialty settings.
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