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Elders with serious and persistent mental illness (SPMI): assessing needs, resources,and service utilization
- Authors:
- ROGERS Anissa, DELEWSKI Cathie
- Journal article citation:
- Journal of Gerontological Social Work, 43(1), 2004, pp.19-35.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
With the growing elderly population, service needs for elders with serious and persistent mental illness (SPMI) will also increase. The current study examines some of the unique challenges and needs faced by the SPMI elderly population. This study describes elders' perceptions of service access, utilization, and satisfaction as well as therapists' perceptions of chronic mental illness among the elderly and their mental health service utilization. The sample consisted of 30 rural-dwelling SPMI elders and their respective service providers (N = 30). Results indicate that elderly participants were utilizing a variety of community and social supports. Further, elderly participants perceived fewer negative effects from their illnesses than did their clinicians. Elderly participants responded more positively than did their clinicians on ratings of interference with functioning, adjustment to living, and social competence suggesting that participants viewed the consequences of their mental illnesses as less disabling than did their clinicians. Implications for social work practice are discussed. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580)
Mental health service utilization among frail, low-income elders: perceptions of home service providers and elders in the community
- Authors:
- ROGERS Anissa, BARUSCH Amanda
- Journal article citation:
- Journal of Gerontological Social Work, 34(2), 2001, pp.23-38.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study was conducted to determine the extent to which service providers in a community-based care programme in the USA accurately identified and referred elders with symptoms of depression. Interviews were conducted with 79 frail, low-income elders. Reviews of their case files were then conducted to determine first, the extent to which case managers recognised depressive symptoms and second, the extent to which respondents who screened with significant symptoms were referred for mental health services. Results suggest an imperfect association between symptoms and case managers' perceptions and referrals.