Who Receives Outpatient Monitoring During High-Risk Depression Treatment Periods?
dc.contributor.author | Kales, Helen C. | en_US |
dc.contributor.author | Kim, H. Myra | en_US |
dc.contributor.author | Austin, Karen L. | en_US |
dc.contributor.author | Valenstein, Marcia | en_US |
dc.date.accessioned | 2011-01-31T17:22:45Z | |
dc.date.available | 2011-07-05T19:03:08Z | en_US |
dc.date.issued | 2010-05 | en_US |
dc.identifier.citation | Kales, Helen C.; Kim, H. Myra; Austin, Karen L.; Valenstein, Marcia; (2010). "Who Receives Outpatient Monitoring During High-Risk Depression Treatment Periods?." Journal of the American Geriatrics Society 58(5): 908-913. <http://hdl.handle.net/2027.42/79052> | en_US |
dc.identifier.issn | 0002-8614 | en_US |
dc.identifier.issn | 1532-5415 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/79052 | |
dc.description.abstract | To examine the intensity of monitoring received by important patient subgroups during high-risk periods (the 12 weeks after psychiatric hospitalization and after new antidepressant starts).Retrospective secondary analysis of data from the Veterans Affairs (VA) National Registry for Depression using patients aged 65 and older receiving depression treatment from 1999 to 2004.VA healthcare system.VA patients in depression treatment between April 1, 1999, and September 30, 2004, who had psychiatric inpatient stays (n=73,137) or new antidepressant starts (n=421,536).The relationship between the number of outpatient visits for each group and patient characteristics in the 12-week period after psychiatric hospitalizations and antidepressant starts.The characteristic associated with significantly lower rates of monitoring for both high-risk treatment periods was aged 65 and older. White race and living in the south or northeast were also associated with significantly lower rates of monitoring after new antidepressant starts and inpatient stays, respectively. Substance abuse disorders were associated with greater monitoring after both types of depression events but did not seem to interact with other patient characteristics in determining levels of monitoring.VA patients who are older, white, and living in the south or northeast receive less-intensive monitoring during high-risk treatment periods for suicide. This is of concern, given that older patients appear to be at higher risk for suicide, particularly after inpatient stays, and may need particular attention during this time frame. Adapted interventions and proactive outreach may be needed that target this patient group. | en_US |
dc.format.extent | 87387 bytes | |
dc.format.extent | 3106 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Blackwell Publishing Inc | en_US |
dc.subject.other | Disparities | en_US |
dc.subject.other | Mental Health | en_US |
dc.subject.other | Disease Management | en_US |
dc.title | Who Receives Outpatient Monitoring During High-Risk Depression Treatment Periods? | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Geriatrics | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Center for Statistical Consultation and Research, University of Michigan, Ann Arbor, Michigan. | en_US |
dc.contributor.affiliationother | Serious Mental Illness Treatment, Research, and Evaluation Center, Ann Arbor Center of Excellence, Department of Veterans Affairs, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationother | Department of Psychiatry | en_US |
dc.identifier.pmid | 20406321 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/79052/1/j.1532-5415.2010.02810.x.pdf | |
dc.identifier.doi | 10.1111/j.1532-5415.2010.02810.x | en_US |
dc.identifier.source | Journal of the American Geriatrics Society | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.