title: Treatment of late-life mental disorders in primary care: we can do a better job.
abstract: Health care services provided to older adults today are not as effective as they should be. The quality of care for late-life mental disorders often falls short of desired standards. The growth of the elderly population makes it imperative for the health care system to address late-life mental disorders more effectively. Intervention strategies based in primary care settings show the most promise, but effectiveness will depend on solving the geriatric psychiatry workforce crisis. Collaborative care is one promising model for improving geriatric mental health care delivery in primary care. Diffusion of collaborative care into the health care system and integrating geriatric psychiatry into other models such as geriatric medical homes will require redesign of the organization and financing of primary care and psychiatry to overcome current barriers. Public policy should reflect the essential role of psychiatry in geriatrics and promote the integration of geriatric psychiatry with primary care.
authors: Clinical Associate Professor of Psychiatry, University of Massachusetts Medical School, Worcester, Massachusetts, USA. gmoakmd@gmail.com
authors: Gary S
authors: GS
authors: Moak
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D005852:Geriatric Psychiatry / Q000193:education / Q000458:organization & administration*; D018166:Health Care Reform; D006301:Health Services Needs and Demand / Q000458:organization & administration; D006299:Health Services for the Aged / Q000458:organization & administration*; D006801:Humans; D001523:Mental Disorders / Q000453:epidemiology / Q000628:therapy*; D008603:Mental Health / Q000706:statistics & numerical data; D008605:Mental Health Services / Q000458:organization & administration*; D011320:Primary Health Care / Q000458:organization & administration*; D011785:Quality Assurance, Health Care; D014481:United States