Evidence map›Paper›PMID 34484507›Full record

ArticleCanadian geriatrics journal : CGJ2021

Integrated Community Collaborative Care for Seniors with Depression/Anxiety and any Physical Illness.

Richard Shulman, Reenu Arora, Rose Geist, Amna Ali, Julia Ma, Elizabeth Mansfield, Sara Martel, Jane Sandercock, Judith Versloot

Abstract read
In one paragraph

Article in Canadian geriatrics journal : CGJ, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Defining Vision and Mission of a Medical Psychiatry Unit (MPU) for Older Adults: A Focus Group Study.Inquiry : a journal of medical care organization, provision and financing
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Richard ShulmanTrillium Health Partners, Mississauga, ON, Canada.
Reenu AroraTrillium Health Partners, Mississauga, ON, Canada.
Rose GeistTrillium Health Partners, Mississauga, ON, Canada.
Amna AliInstitute for Better Health, Trillium Health Partners, Mississauga, ON, Canada.
Julia MaInstitute for Better Health, Trillium Health Partners, Mississauga, ON, Canada.
Elizabeth MansfieldInstitute for Better Health, Trillium Health Partners, Mississauga, ON, Canada.
Sara MartelInstitute for Better Health, Trillium Health Partners, Mississauga, ON, Canada.
Jane SandercockInstitute for Better Health, Trillium Health Partners, Mississauga, ON, Canada.
Judith VerslootInstitute for Better Health, Trillium Health Partners, Mississauga, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe report on the feasibility and effectiveness of an integrated community collaborative care model in improving the health of seniors with depression/anxiety symptoms and chronic physical illness.

methodsThis community collaborative care model integrates geriatric medicine and geriatric psychiatry with care managers (CM) providing holistic initial and follow-up assessments, who use standardized rating scales to monitor treatment and provide psychotherapy (ENGAGE). The CM presents cases in a structured case review to a geriatrician and geriatric psychiatrist. Recommendations are communicated by the CM to the patient's primary care provider.

results187 patients were evaluated. The average age was 80 years old. Two-thirds were experiencing moderate-to-severe depression upon entry and this proportion decreased significantly to one-third at completion. Qualitative interviews with patients, family caregivers, team members, and referring physicians indicated that the program was well-received. Patients had on average six visits with the CM without the need to have a face-to-face meeting with a specialist.

conclusionThe evaluation shows that the program is feasible and effective as it was well received by patients and patient outcomes improved. Implementation in fee-for-service publicly funded health-care environments may be limited by the need for dedicated funding.

Indexed as

anxietychronic illnesscollaborative caredepressionintegrated caremental healthpsychotherapyseniors

Identifiers

PMID34484507
PMCPMC8390319

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.