Enhanced skills training and health care management for older persons with severe mental illness

被引:50
作者
Bartels, SJ
Forester, B
Mueser, KT
Miles, KM
Dums, AR
Pratt, SI
Sengupta, A
Littlefield, C
O'Hurley, S
White, P
Perkins, L
机构
[1] New Hampshire Dartmouth Psychiat Res Ctr, Lebanon, NH 03766 USA
[2] Dartmouth Coll Sch Med, Dept Psychiat, Hanover, NH USA
[3] Mental Hlth Ctr Greater Manchester, Manchester, NH USA
关键词
social skills training; medical health; mental health; older adult; severe mental illness;
D O I
10.1023/B:COMH.0000015219.29172.64
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This report describes a combined skills training (ST) and health management (HM) intervention for older adults with severe mental illness (SMI) and one-year pilot study outcomes. Findings are reported for twelve older persons with SMI (age 60+) who received ST+HM and twelve who received only HM. ST addressed interpersonal and independent living skills. HM included promotion of preventive health care. ST+HM was associated with improved social functioning and independent living skills, whereas functioning remained constant or declined for the HM only group. Both groups receiving HM demonstrated increased use of preventive health services and identification of previously undetected medical disorders.
引用
收藏
页码:75 / 90
页数:16
相关论文
共 37 条
[1]  
ANDREASEN NC, 1982, ARCH GEN PSYCHIAT, V39, P789
[2]  
*AOA, 2001, OLD AD MENT HLTH ISS
[3]   Perceptions of problems and needs for service among middle-aged and elderly outpatients with schizophrenia and related psychotic disorders [J].
Auslander, LA ;
Jeste, DV .
COMMUNITY MENTAL HEALTH JOURNAL, 2002, 38 (05) :391-402
[4]   A comparative study of elderly patients with schizophrenia and bipolar disorder in nursing homes and the community [J].
Bartels, SJ ;
Mueser, KT ;
Miles, KM .
SCHIZOPHRENIA RESEARCH, 1997, 27 (2-3) :181-190
[5]   Functional impairments in elderly patients with schizophrenia and major affective illness in the community: Social skills, living skills, and behavior problems [J].
Bartels, SJ ;
Mueser, KT ;
Miles, KM .
BEHAVIOR THERAPY, 1997, 28 (01) :43-63
[6]   Evidence-based practices in geriatric mental health care [J].
Bartels, SJ ;
Dums, AR ;
Oxman, TE ;
Schneider, LS ;
Areén, PA ;
Alexopoulos, GS ;
Jeste, DV .
PSYCHIATRIC SERVICES, 2002, 53 (11) :1419-1431
[7]  
Bartels SJ, 2002, GENERATIONS, V26, P14
[8]   The relation between silty soil structures and their mercury porosimetry curve counterparts: fractals and percolation [J].
Bartoli, F ;
Bird, NRA ;
Gomendy, V ;
Vivier, H ;
Niquet, S .
EUROPEAN JOURNAL OF SOIL SCIENCE, 1999, 50 (01) :9-22
[9]  
Bellack A. S., 1997, SOCIAL SKILLS TRAINI
[10]   DEVELOPING COMMUNITY-BASED PROGRAM ALTERNATIVES FOR THE SERIOUSLY AND PERSISTENTLY MENTALLY-ILL ELDERLY [J].
BERNSTEIN, MA ;
HENSLEY, R .
JOURNAL OF MENTAL HEALTH ADMINISTRATION, 1993, 20 (03) :201-207