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Care management for depression and osteoarthritis pain in older primary care patients: a pilot study
- Authors:
- UNUTZER Jurgen, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 23(11), November 2008, pp.1166-1171.
- Publisher:
- Wiley
This study aimed to establish the feasibility of and to generate preliminary evidence for the efficacy of a care management program addressing both physical and emotional pain associated with late-life depression and osteoarthritis. Treatment development pilot study in three university affiliated primary care clinics in the United States. Participants were patients 60 years or older with depression and osteoarthritis pain. The intervention entailed a nurse administered care management program supporting depression and arthritis treatment by primary care physicians. Outcomes include depression, pain severity and functional impairment from pain assessed at baseline and 6 months. Fourteen patients participated in the pilot program. Between baseline and 6 months, mean HSCL-20 depression scores, pain intensity scores and pain interference scores dropped. Patients also experienced improvements in self efficacy, in satisfaction with depression care, and in timed 8-m walk and transfer tests. The combined intervention was feasible and well-received by patients. Preliminary outcomes are promising and comparisons to an earlier trial of care management for depression alone suggest that the combined program may be equally effective for depression but more effective for pain.
Planning for dementia care in Ireland: conference proceedings
- Editors:
- MURPHY Edel, O'SHEA Eamon, (eds.)
- Publisher:
- National Council on Ageing and Older People
- Publication year:
- 2000
- Pagination:
- 76p.
- Place of publication:
- Dublin
With the numbers of dementia suffers projected to increase by over 25 per cent in the coming decade, a range of issues are critical to the successful implementation of the Action Plan for Dementia, These issues were discussed at a Council conference on planning for dementia care in Ireland. The proceedings are an important record of the conference participants concern to identify the issues, which must be addressed if significant improvements in the quality of life of people with dementia in Ireland are to be achieved in the years ahead. A strong feeling among conference participants was that care management could be an effective integrating mechanism in the care of people with dementia, because of its potential to bring together the various elements of primary and secondary care services.
A randomised controlled trial to test the feasibility of a collaborative care model for the management of depression of older people
- Authors:
- CHEW-GRAHAM Carolyn A., et al
- Journal article citation:
- British Journal of General Practice, 57(538), May 2007, pp.364-370.
- Publisher:
- Royal College of General Practitioners
This study aimed to investigate the feasibility of a collaborative care model for depression in older people in a primary care setting. Participants were 105 people aged 60 years or older who scored 5 or more on the Geriatric Depression Scale; 53 were randomly allocated to an intervention group and 52 to a usual care group. The intervention group received care managed by a community psychiatric nurse who delivered an intervention comprising a facilitated self-help programme with close liaison with primary care professionals and old-age psychiatry according to a defined protocol. The usual care group received usual GP care. A nested qualitative study explored the views of the health professionals and patients regarding the acceptability and effectiveness of the intervention. The main outcome measure was recovery from depression. Patients in the intervention group were less likely to suffer from major depressive disorder at follow up compared with usual care. The qualitative component of the intervention demonstrated the acceptability of the intervention to patients. This study demonstrates that the implementation of a collaborative care model is feasible in UK primary care and the intervention is effective and acceptable to patients.
Just for us: an academic medical center-community partnership to maintain the health of frail low-income senior population
- Authors:
- YAGGY Susan D., et al
- Journal article citation:
- Gerontologist, 46(2), April 2006, pp.271-276.
- Publisher:
- Oxford University Press
To promote health and maintain independence, Just for Us provides financially sustainable, in-home, integrated care to medically fragile, low-income seniors and disabled adults living in subsidized housing in the United States. The program provides primary care, care management, and mental health services delivered in patient's homes by a multidisciplinary, multiagency team. After 2 years of operation, Just for Us is serving nearly 300 individuals in 10 buildings. The program is demonstrating improvement in individual indices of health. Medicaid expenditures for enrolees are shifting from ambulances and hospital services to pharmacy, personal care, and outpatient visits. The program is not breaking even, but it is moving toward that goal. The program's success is based on a partnership involving an academic medical center, a community health center, county social and mental health agencies, and a city housing authority to coordinate and leverage services.
Innovations in health care for people with intellectual disabilities
- Editor:
- KERR Michael
- Publisher:
- Lisieux Hall Publications
- Publication year:
- 1998
- Pagination:
- 186p.,bibliogs.
- Place of publication:
- Chorley, Lancs.
The contributors of this collection examine developments in health care for people with intellectual disabilities from a Christian perspective. Topics covered: pathways to care; health management; mental health needs of elderly people; sleep disturbance; reducing anti psychotic drugs; epilepsy; genetics and learning disabilities; behavioural phenotypes.
Issues for nurses in dementia diagnosis and management
- Authors:
- BRYANS Michelle, WILCOCK Jane
- Journal article citation:
- Nursing Times, 1.11.01, 2001, pp.30-31.
- Publisher:
- Nursing Times
Primary care nurses have a key role to play in identifying and supporting people with dementia. Looks at how primary health care nurses could benefit from improved training in the skills necessary to provide effective support.
Home guard
- Author:
- KLEE Deborah
- Journal article citation:
- Health Service Journal, 5.8.99, 1999, p.26.
- Publisher:
- Emap Healthcare
Collaborative care can free beds while offering elderly people their own recovery plans. Looks at the results of the North Essex health and social services collaborative care pilot project.
Listening to the dementia workforce: local providers' perceptions of dementia services
- Authors:
- MANTHORPE Jill, ALASZEWSKI Helen
- Journal article citation:
- Quality in Ageing, 3(2), June 2002, pp.22-29.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
Reports on the findings of a small research study exploring provisions at local level for people with dementia. The study involved a survey of practitioners and managers, and the difficulties of this approach are illustrated and explored. Responses contained a range of relevant opinions about service delivery, particularly perceived levels of quality and adequacy. Those providing care pointed to the unfulfilled potential of services for people with dementia, and their views provide a perspective on the workings of local services and their inter-relationships, and the development of planning and quality mechanisms.
Working on the fault line
- Editors:
- BRADLEY Greta, MANTHORPE Jill
- Publisher:
- Venture Press/British Association of Social Workers
- Publication year:
- 2000
- Pagination:
- 160p.,bibliog.
- Place of publication:
- Birmingham
Provides five research studies focusing on health-related social work and its engagement with hospital, primary and community care, with particular reference to services to older people. The studies comprise: social workers in primary care settings; day-to-day activities of social workers in both hospital and community based settings; hospital social work in the context of care management; relevant issues in accident and emergency departments; and a policy study of continuing care.
Community psychiatric nurses caring for older people: a role analysis
- Author:
- WOOD Steve
- Journal article citation:
- Breakthrough, 2(4), 1999, pp.17-28.
This role analysis was undertaken by conducting a postal survey using a questionnaire of largely quantitative design. The findings have implications for community psychiatric nurse caseload numbers, crisis intervention work, client group, community psychiatric nurse base, therapeutic interventions, research activity, use of the care programme approach, care management and primary care liaison.