title: Perceived barriers to mental health care and goal setting among depressed, community-dwelling older adults.
abstract: OBJECTIVE
  Older adults are particularly vulnerable to the deleterious effects of depression and tend to underutilize mental health services. The current study aims to characterize the perceived barriers to care and goal setting in a sample of depressed, community-dwelling older adults.
  
  
  METHODS
  We report on the association among perceived barriers to care, goal setting and accepting a mental health referral using a subset of data from a larger study. The Patient Health Questionnaire (PHQ-9) was used to assess depressive symptoms.
  
  
  RESULTS
  Forty-seven participants completed the study (Mean age = 82, SD = 7.8, 85% female). Accessing and paying for mental health treatment were the barriers most frequently cited by participants. Clinical improvement and improved socialization were most cited goals. In bivariate associations, participants who set goals (chi(2) = 5.41, p = 0.02) and reported a logistic barrier (chi(2) = 5.30, p = 0.02) were more likely to accept a mental health referral.
  
  
  CONCLUSIONS
  Perceived barriers to care and goal setting appear to be central to accepting a mental health referral among community dwelling older, depressed adults. Developing interventions that can be used to increase mental health service utilization of older adults is necessary.
authors: Department of Psychiatry, Weill Cornell Medical College, White Plains, NY, USA;
authors: Mark I
authors: MI
authors: Weinberger
authors: Camila
authors: C
authors: Mateo
authors: Jo Anne
authors: JA
authors: Sirey