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

Publication ,  Journal Article
Charney, DS; Reynolds, CF; Lewis, L; Lebowitz, BD; Sunderland, T; Alexopoulos, GS; Blazer, DG; Katz, IR; Meyers, BS; Arean, PA; Borson, S ...
Published in: Arch Gen Psychiatry
July 2003

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.

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Published In

Arch Gen Psychiatry

DOI

ISSN

0003-990X

Publication Date

July 2003

Volume

60

Issue

7

Start / End Page

664 / 672

Location

United States

Related Subject Headings

  • United States
  • Risk Factors
  • Research
  • Psychiatry
  • Primary Health Care
  • Mood Disorders
  • Middle Aged
  • Male
  • Humans
  • Health Services Needs and Demand
 

Citation

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Charney, D. S., Reynolds, C. F., Lewis, L., Lebowitz, B. D., Sunderland, T., Alexopoulos, G. S., … Depression and Bipolar Support Alliance. (2003). Depression and Bipolar Support Alliance consensus statement on the unmet needs in diagnosis and treatment of mood disorders in late life. Arch Gen Psychiatry, 60(7), 664–672. https://doi.org/10.1001/archpsyc.60.7.664
Charney, Dennis S., Charles F. Reynolds, Lydia Lewis, Barry D. Lebowitz, Trey Sunderland, George S. Alexopoulos, Dan G. Blazer, et al. “Depression and Bipolar Support Alliance consensus statement on the unmet needs in diagnosis and treatment of mood disorders in late life.Arch Gen Psychiatry 60, no. 7 (July 2003): 664–72. https://doi.org/10.1001/archpsyc.60.7.664.
Charney DS, Reynolds CF, Lewis L, Lebowitz BD, Sunderland T, Alexopoulos GS, et al. Depression and Bipolar Support Alliance consensus statement on the unmet needs in diagnosis and treatment of mood disorders in late life. Arch Gen Psychiatry. 2003 Jul;60(7):664–72.
Charney, Dennis S., et al. “Depression and Bipolar Support Alliance consensus statement on the unmet needs in diagnosis and treatment of mood disorders in late life.Arch Gen Psychiatry, vol. 60, no. 7, July 2003, pp. 664–72. Pubmed, doi:10.1001/archpsyc.60.7.664.
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. Depression and Bipolar Support Alliance consensus statement on the unmet needs in diagnosis and treatment of mood disorders in late life. Arch Gen Psychiatry. 2003 Jul;60(7):664–672.

Published In

Arch Gen Psychiatry

DOI

ISSN

0003-990X

Publication Date

July 2003

Volume

60

Issue

7

Start / End Page

664 / 672

Location

United States

Related Subject Headings

  • United States
  • Risk Factors
  • Research
  • Psychiatry
  • Primary Health Care
  • Mood Disorders
  • Middle Aged
  • Male
  • Humans
  • Health Services Needs and Demand