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Mental Health & Substance Abuse & Geriatrics

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Study Aim/Purpose: The UCSF Institute for Health and Aging (IHA) has been selected by the Substance Abuse and Mental Health Services Administration (SAMHSA) as one of 12 sites across the country to participate in a project examining mental health and substance abuse service delivery to the geriatric population. The purpose of the project is the evaluate alternative models of delivering and financing mental health and substance abuse services (namely alcohol diagnoses) for older adults through the primary health care setting. The project will compare the effectiveness of two models of treatment for older adults with mental health and alcohol abuse problems. In one model, identified as the "integrated model", subjects will receive all mental health and alcohol abuse care within their primary care organization. In the contrasting model, identified as the "referral model", subjects will be referred by the primary care organization to specialty clinics outside the primary care setting for mental health (i.e., Berkeley Therapy Institute) and alcohol abuse services (i.e., St. Mary's Center). The project will address issues involved in the identification and treatment of depression, anxiety, and alcohol abuse within these identified models.

Examining the relative effectiveness of two primary care models (an integrated staff model and a referral-based model) offering Mental Health/Substance Abuse (MH/SA) services to treat symptoms and improve outcomes of depre

. . .
s. Given the multi-site nature of this study, the results from this project have great potential for informing mental health policy. 4. Methods: General Study Design. This is a randomized trial that will assign a patient to one of the two types of service provision: integrated staff care or referral-specialty care. Patients will be identified through a targeted screening (discussed below under Subject Recruitment) and will be interviewed for symptom severity, quality of life, degree of physical disability, trauma history, social support and use of health services at baseline, 3 months and 6 months. Participants will receive 10 dollars for the baseline interview and 20 dollars for each follow up interview. Patient Flow (Appendix A). Patients identified through the targeted screening who did not return the refusal postcard will be contacted by phone and asked to give oral consent prior to the screening assessment for depression, anxiety, and alcohol misuse. Based on previous experience, this interview will take 15 minutes. Patients who screen positive for one or more of the target disorders will be asked for their written consent to participate. This interview will take approximately an hour to administer. Patients will b
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Some common words found in the essay are:
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Approximate Word count = 5665
Approximate Pages = 23 (250 words per page)

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