title: Community treatment of older adults: principles and evidence supporting mental health service interventions.
abstract: Health care systems are evolving toward population-based approaches to managing disease, including mental and behavioral health problems. This article describes population-based care management for treatment of geriatric patients in primary care and the challenges of implementation. The article addresses the issues of program fidelity and real-world treatment of those who do not fit the model or do not respond as hoped. It also discusses the special obstacles facing efforts to apply population-based principles of mental health care in nursing homes, where regulatory requirements, more than evidence about effective treatment, drive what interventions are provided.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 325 Ninth Avenue, Seattle, WA 98104-2499, USA. Electronic address: cwhitney@u.washington.edu.
authors.forename: Whitney L
authors.initials: WL
authors.lastname: Carlson
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 325 Ninth Avenue, Seattle, WA 98104-2499, USA.
authors.forename: Mark
authors.initials: M
authors.lastname: Snowden
mesh_terms: D000368:Aged; D003153:Community Health Services / Q000592:standards*; D019468:Disease Management; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000592:standards*
keywords: Depression; Mental health services; Nursing home; Older adult