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Abstract

The present study examined the extent to which older adults began public mental health treatment throughout Texas in 1999, the types of services they used, and how they compared on demographic and clinical variables to younger consumers. Notwithstanding recent policy and related developments, older adults were found to use public mental health services at substantially low rates, as in past decades. Significantly, older consumers tended to be relatively healthy and independent. Among younger and, even more so, older consumers, there were relatively high proportions of rural residents and minorities, groups previously found to be unlikely to utilize private mental health services. Overall, the findings urge that greater attention be devoted to public mental health outreach and service delivery with the elderly, and raise the question of what role the public mental health system should have in nursing homes and other long-term care settings.

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References

  • Alvidrez J., Areán P.A. (2002). Physician willingness to refer older depressed patients for psychotherapy. International Journal of Psychiatry in Medicine 32: 21–35

    Article  PubMed  Google Scholar 

  • Blazer D., Williams C.D. (1980). Epidemiology of dysphoria and depression in an elderly population. American Journal of Psychiatry 137: 439–444

    PubMed  CAS  Google Scholar 

  • Burger G.K., Calsyn R.J., Morse G.A., Klinkenberg W.D. (1997). Factor structure of the Expanded Brief Psychiatric Rating Scale. Journal of Clinical Psychology, 52: 451–454

    Article  Google Scholar 

  • Burns B., Wagner R., Taube J., Magaziner J., Purmutt T., Landerman L. (1993). Mental health service use by the elderly in nursing homes. American Journal of Public Health, 83: 331–337

    Article  PubMed  CAS  Google Scholar 

  • Chumbler N.R., Cody M., Booth B.M., Beck C.K. (2001). Rural-urban differences in service use for memory-related problems in older adults. Journal of Behavioral Health Services & Research 28: 212–221

    Article  CAS  Google Scholar 

  • Cohen, J. (1977). Statistical power analysis for the behavioral sciences (rev. ed.). New York: Academic

    Google Scholar 

  • Flemming, A. S., Buchanan, J. G., Santos, J. F., & Rickards, L. D. (1984). Mental health services for the elderly: Report on a survey of community mental health centers (Vol. I). Washington, DC: Action Committee to Implement the Mental Health Recommendations of the 1981 White House Conference on Aging

  • General Accounting Office. (1982). The elderly remain in need of mental health services (GAO-82-112). Washington, DC: Author

  • German P.S., Shapiro S., Skinner E.A. (1985). Mental health of the elderly: Use of health and mental health services. Journal of the American Geriatrics Society 33: 246–252

    PubMed  CAS  Google Scholar 

  • Goldstrom I.D., Burns B.J., Kessler L.G., Feuerberg M.A., Larson D.B., Miller N.E., et al. (1987) Mental health services use by elderly adults in a primary care setting. Journal of Gerontology 42: 147–153

    PubMed  CAS  Google Scholar 

  • Halpain M.C., Harris M.J., McClure F.S., Jeste D.V. (1999). Training in geriatric mental health: Needs and strategies. Psychiatric Services, 50: 1205–1208

    PubMed  CAS  Google Scholar 

  • Horgan C.M. (1986). The demand for ambulatory mental health services from specialty providers. Health Services Research 21: 291–319

    PubMed  CAS  Google Scholar 

  • Karlin B.E., Duffy M. (2004). Geriatric mental health policy: Impact on service delivery and directions for effecting change. Professional Psychology: Research & Practice 35: 509–519

    Article  Google Scholar 

  • Kisely S., Linden M., Bellantuono C., Simon G., Jones J. (2000). Why are patients prescribed psychotropic drugs by general practitioners? Results of an international study. Psychological Medicine 30: 1217–1225

    Article  PubMed  CAS  Google Scholar 

  • Mackenzie C.S., Gekoski W.L., Knox V.J. (1999). Do family physicians treat older patients with mental disorders differently than younger patients? Canadian Family Physician 45: 1219–1224

    PubMed  CAS  Google Scholar 

  • Neese J.B., Abraham I.L., Buckwalter K.C. (1999). Utilization of mental health services among rural elderly. Archives of Psychiatric Nursing, 13: 30–40

    Article  PubMed  CAS  Google Scholar 

  • Patterson, R. (1979). Community mental health centers: A survey of services for the elderly. In Issues in mental health and aging (Vol. 3). Washington, DC: Government Printing Office

  • Redick R.W., Kramer M., Taube C.A. (1973). Epidemiology of mental illness and utilization of psychiatric facilities among older persons. In: Busse W.W., Pfeiffer E. (eds), Mental illness in later life. American Psychiatric Association, Washington, DC

    Google Scholar 

  • Regier D.A., Boyd J.H., Burke J.D., Rae D.S., Myers J.K., Kramer M., et al. (1988). One-month prevalence of mental disorders in the United States: Based on five epidemiologic catchment area sites. Archives of General Psychiatry, 45: 977–986

    PubMed  CAS  Google Scholar 

  • Rosowsky E., Gurian B. (1992). Impact of borderline personality disorder in late life on systems of care. Hospital and Community Psychiatry, 43: 386–389

    PubMed  CAS  Google Scholar 

  • Sadavoy J., Fogel B. (1992). Personality disorders in the elderly. In: Birren J., Sloan F., Cohen G. (eds), Handbook of mental health and aging. Academic Press, New York

    Google Scholar 

  • Shea D., Streit A., Smyer M. (1994). Use of specialist mental health services by nursing home residents. Health Services Research 29: 169–185

    PubMed  CAS  Google Scholar 

  • Sherman J.J. (1996). Medicare’s mental health benefits: Coverage, utilization, and expenditures. Journal of Aging & Health 8: 54–71

    CAS  Google Scholar 

  • Speer D.C., Williams J., West H., Dupree L. (1991). Older adult users of outpatient mental health services. Community Mental Health Journal 27: 69–76

    Article  PubMed  CAS  Google Scholar 

  • Swan, J. H., & McCall, N. (1987). Mental health components and the aged. In: E. Lurie & J. Swan (Eds.), Serving the Mentally Ill Elderly: Problems and Perspectives (p. 111). Lexington, MA: Lexington/Heath

    Google Scholar 

  • U.S. Census Bureau (2000). Population estimates for counties by age and sex: Annual time series July 1, 1990 to July 1, 1999. http://www.census.gov/population/estimates/county/cas/cas48.zip

  • VandenBos G.R., Stapp J., Kilburg R.R. (1981). Health services providers in psychology: Results of the 1978 APA human resources survey. American Psychologist 36: 1395–1418

    Article  PubMed  CAS  Google Scholar 

  • Ventura J., Lukoff D., Nuechterlein K.H., Liberman R.P., Green M.F., Shaner A. (1993). Manual for the Expanded Brief Psychiatric Rating Scale. International Journal of Methods in Psychiatric Research 3: 221–224

    Google Scholar 

  • Yang J.A., Jackson C.L. (1998). Overcoming obstacles in providing mental health treatment to older adults: Getting in the door. Psychotherapy 35: 498–505

    Google Scholar 

Download references

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Correspondence to Bradley E. Karlin.

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*An earlier version of this manuscript was presented at the 109th Annual Convention of the American Psychological Association in San Francisco, CA.

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Karlin, B.E., Norris, M.P. Public Mental Health Care Utilization by Older Adults. Adm Policy Ment Health 33, 730–736 (2006). https://doi.org/10.1007/s10488-005-0003-5

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