Display options
Cite
DiNapoli EA, Cully JA, Mott JM, et al. Mental health utilization among older Veterans with coexisting depression and dementia. SAGE Open Med. 2015;3:2050312114566488doi: 10.1177/2050312114566488.
DiNapoli, E. A., Cully, J. A., Mott, J. M., Hundt, N. E., Mignogna, J., Sansgiry, S., Yu, H. J., Trahan, L. H., & Kunik, M. E. (2015). Mental health utilization among older Veterans with coexisting depression and dementia. SAGE open medicine, 32050312114566488. https://doi.org/10.1177/2050312114566488
DiNapoli, Elizabeth A, et al. "Mental health utilization among older Veterans with coexisting depression and dementia." SAGE open medicine vol. 3 (2015): 2050312114566488. doi: https://doi.org/10.1177/2050312114566488
DiNapoli EA, Cully JA, Mott JM, Hundt NE, Mignogna J, Sansgiry S, Yu HJ, Trahan LH, Kunik ME. Mental health utilization among older Veterans with coexisting depression and dementia. SAGE Open Med. 2015 Jan 08;3:2050312114566488. doi: 10.1177/2050312114566488. eCollection 2015. PMID: 26770761; PMCID: PMC4679217.
Copy Download .nbib Format: NLM
Share it on

SAGE Open Med. 2015 Jan 08;3:2050312114566488. doi: 10.1177/2050312114566488. eCollection 2015.

Mental health utilization among older Veterans with coexisting depression and dementia.

SAGE open medicine

Elizabeth A DiNapoli, Jeffrey A Cully, Juliette M Mott, Natalie E Hundt, Joseph Mignogna, Shubhada Sansgiry, Hong Jen Yu, Lisa H Trahan, Mark E Kunik

Affiliations

  1. VA HSR&D Houston Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, USA; Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA.
  2. VA HSR&D Houston Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, USA; VA South Central Mental Illness Research, Education and Clinical Center, USA.
  3. VA HSR&D Houston Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, USA; Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, White River Junction, VT, USA.
  4. VA HSR&D Houston Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, USA; VA South Central Mental Illness Research, Education and Clinical Center, USA; Department of Medicine, Baylor College of Medicine, Houston, TX, USA.

PMID: 26770761 PMCID: PMC4679217 DOI: 10.1177/2050312114566488

Abstract

OBJECTIVE: We compared mental health service utilization among older, depressed Veterans (60 years or older) with and without coexisting dementia.

METHODS: This retrospective study examined data from the 2010 Veterans Health Administration National Patient Care Database outpatient treatment files of Veterans with a newly recognized diagnosis of depression (N = 177,710).

RESULTS: Approximately 48.84% with coexisting depression and dementia and 32.00% with depression only received mental health services within 12 months of diagnosis (p < .0001). Veterans with coexisting depression and dementia were more likely to receive medication-management appointments (33.40% vs 20.62%), individual therapy (13.39% vs 10.91%), and family therapy (3.77% vs 1.19%) than depressed Veterans without dementia.

CONCLUSION: In general, Veterans with recently diagnosed depression are significantly underusing Veterans Affairs mental health treatment services. Those Veterans who have comorbid dementia are more likely than those with just depression to be enrolled in mental health treatments. Systemic improvements are needed to increase use of mental health services for older, depressed Veterans.

Keywords: Mental health service utilization; Veterans; dementia; depression

References

  1. Psychiatr Serv. 2012 Jan;63(1):66-72 - PubMed
  2. Contemp Clin Trials. 2006 Feb;27(1):1-12 - PubMed
  3. Aging Ment Health. 2003 Mar;7(2):142-52 - PubMed
  4. Age Ageing. 2010 Jul;39(4):439-45 - PubMed
  5. J Chronic Dis. 1987;40(5):373-83 - PubMed
  6. Am J Geriatr Psychiatry. 2012 Mar;20(3):228-38 - PubMed
  7. Int J Geriatr Psychiatry. 2005 May;20(5):471-8 - PubMed
  8. Cochrane Database Syst Rev. 2014 Jan 22;(1):CD009125 - PubMed
  9. J Affect Disord. 2013 Jul;149(1-3):160-5 - PubMed
  10. Psychiatr Serv. 2005 Jan;56(1):70-5 - PubMed
  11. Alzheimers Dement. 2013 Mar;9(2):208-45 - PubMed
  12. Expert Rev Neurother. 2009 Nov;9(11):1667-76 - PubMed
  13. Lancet. 2011 Jul 30;378(9789):403-11 - PubMed
  14. Biol Psychiatry. 2003 Aug 1;54(3):353-62 - PubMed
  15. Arch Intern Med. 2011 Nov 14;171(20):1858-9 - PubMed
  16. Am J Psychiatry. 2003 May;160(5):857-66 - PubMed
  17. Am J Geriatr Psychiatry. 2010 Jun;18(6):491-501 - PubMed
  18. J Am Geriatr Soc. 2011 Apr;59(4):577-85 - PubMed
  19. Am J Geriatr Psychiatry. 2010 Jun;18(6):531-43 - PubMed

Publication Types