Depression and Bipolar Support Alliance consensus statement on the unmet needs in diagnosis and treatment of mood disorders in late life.

Published

Journal Article (Review)

OBJECTIVES:To review progress made during the past decade in late-life mood disorders and to identify areas of unmet need in health care delivery and research. PARTICIPANTS:The Consensus Development Panel consisted of experts in late-life mood disorders, geriatrics, primary care, mental health and aging policy research, and advocacy. EVIDENCE:(1) Literature reviews addressing risk factors, prevention, diagnosis, treatment, and delivery of services and (2) opinions and experiences of primary care and mental health care providers, policy analysts, and advocates. CONSENSUS PROCESS:The Consensus Development Panel listened to presentations and participated in discussions. Workgroups considered the evidence and prepared preliminary statements. Workgroup leaders presented drafts for discussion by the Consensus Development Panel. The final document was reviewed and edited to incorporate input from the entire Consensus Development Panel. CONCLUSIONS:Despite the availability of safe and efficacious treatments, mood disorders remain a significant health care issue for the elderly and are associated with disability, functional decline, diminished quality of life, mortality from comorbid medical conditions or suicide, demands on caregivers, and increased service utilization. Discriminatory coverage and reimbursement policies for mental health care are a challenge for the elderly, especially those with modest incomes, and for clinicians. Minorities are particularly underserved. Access to mental health care services for most elderly individuals is inadequate, and coordination of services is lacking. There is an immediate need for collaboration among patients, families, researchers, clinicians, governmental agencies, and third-party payers to improve diagnosis, treatment, and delivery of services for elderly persons with mood disorders.

Full Text

Duke Authors

Cited Authors

  • Charney, DS; Reynolds, CF; Lewis, L; Lebowitz, BD; Sunderland, T; Alexopoulos, GS; Blazer, DG; Katz, IR; Meyers, BS; Arean, PA; Borson, S; Brown, C; Bruce, ML; Callahan, CM; Charlson, ME; Conwell, Y; Cuthbert, BN; Devanand, DP; Gibson, MJ; Gottlieb, GL; Krishnan, KR; Laden, SK; Lyketsos, CG; Mulsant, BH; Niederehe, G; Olin, JT; Oslin, DW; Pearson, J; Persky, T; Pollock, BG; Raetzman, S; Reynolds, M; Salzman, C; Schulz, R; Schwenk, TL; Scolnick, E; Unutzer, J; Weissman, MM; Young, RC; Depression and Bipolar Support Alliance,

Published Date

  • July 2003

Published In

Volume / Issue

  • 60 / 7

Start / End Page

  • 664 - 672

PubMed ID

  • 12860770

Pubmed Central ID

  • 12860770

Electronic International Standard Serial Number (EISSN)

  • 1538-3636

International Standard Serial Number (ISSN)

  • 0003-990X

Digital Object Identifier (DOI)

  • 10.1001/archpsyc.60.7.664

Language

  • eng