Medicine and Eldersource Care Management Services, Inc. (Eldersource). Eldersource is a joint venture of Monroe County's two largest non-medical aging service providers established in 1995 to provide a single access point for obtaining information, guidance, and care management (CM) services for older adults and their caregivers. The partnership will be known as the Senior Health and Research (SHARE) Alliance. Social factors are integral to the pathogenesis, course, and outcome of late life mental disorders. Our premise is that a partnership of the social and mental health services networks will enable development of novel and effective approaches to the detection, treatment, and prevention of mental illness in seniors. The SHARE Alliance will constitute an infrastructure for research that is responsive to both social and health needs of this underserved segment of the community's seniors. Based on community and Eldersource needs assessments, our preliminary focus will be on affective disorders in it clients. The SHARE Alliance will make aging services a central component and principal partner in the study and delivery of care to community dwelling older adults with mental illness. SHARE Alliance objectives relate to partnership development and research. The partnership must be replicable. Therefore, we will develop, evaluate, and document its activities and processes using an established framework for organizational development and management of healthcare and non-profit organizations. Research objectives include modification of data bases and associated procedures to enable the collection and linkage of research data with the individual, electronic client records maintained by the aging services network;training of staff in their reliable use, and the conduct of three preliminary research studies. Study 1 aims to establish the prevalence and the demographic, physical, social, and clinical correlates of affective disorders in elderly clients who seek Eldersource services. Study 2 will follow subjects with clinically significant mood disorders longitudinally to determine the nature of and responsiveness to CM """"""""care as usual"""""""" (CM-CAU). These preliminary data will be used to inform the development and testing in Study 3 of an integrated depression care management (Dep-CM) protocol modeled on the MacArthur Initiative on Depression in Primary Care and adapted for use by a collaborative aging services and mental health team. The SHARE Alliance infrastructure and preliminary data from these studies will result in applications for additional extramural funding (R34, R01, foundation grants and a demonstration project) to further develop and disseminate the model.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Resource-Related Research Projects (R24)
Project #
5R24MH071604-05
Application #
7816661
Study Section
Special Emphasis Panel (ZMH1-ERB-I (08))
Program Officer
Niederehe, George T
Project Start
2006-05-04
Project End
2013-04-30
Budget Start
2010-05-01
Budget End
2013-04-30
Support Year
5
Fiscal Year
2010
Total Cost
$470,721
Indirect Cost
Name
University of Rochester
Department
Psychiatry
Type
Schools of Dentistry
DUNS #
041294109
City
Rochester
State
NY
Country
United States
Zip Code
14627
Simning, Adam; van Wijngaarden, Edwin; Conwell, Yeates (2015) Overcoming Recruitment Barriers in Urban Older Adults Residing in Congregate Living Facilities. Psychiatry J 2015:824672
O'Riley, Alisa A; Van Orden, Kimberly A; He, Hua et al. (2014) Suicide and death ideation in older adults obtaining aging services. Am J Geriatr Psychiatry 22:614-22
Erlangsen, Annette; Conwell, Yeates (2014) Age-related response to redeemed antidepressants measured by completed suicide in older adults: a nationwide cohort study. Am J Geriatr Psychiatry 22:25-33
Simning, Adam; Conwell, Yeates; van Wijngaarden, Edwin (2014) Cognitive impairment in public housing residents living in Western New York. Soc Psychiatry Psychiatr Epidemiol 49:477-85
Van Orden, Kimberly A; Stone, Deborah M; Rowe, Jody et al. (2013) The Senior Connection: design and rationale of a randomized trial of peer companionship to reduce suicide risk in later life. Contemp Clin Trials 35:117-26
Simning, Adam; Conwell, Yeates; Fisher, Susan G et al. (2012) The characteristics of anxiety and depression symptom severity in older adults living in public housing. Int Psychogeriatr 24:614-23
Conwell, Yeates; Farley-Toombs, Carole (2012) Evidence supports the obvious: suicides need not happen. Lancet 379:981-2
Simning, Adam; van Wijngaarden, Edwin; Fisher, Susan G et al. (2012) Mental healthcare need and service utilization in older adults living in public housing. Am J Geriatr Psychiatry 20:441-51
Van Orden, Kimberly A; Simning, Adam; Conwell, Yeates et al. (2012) Characteristics and Comorbid Symptoms of Older Adults Reporting Death Ideation. Am J Geriatr Psychiatry :
Richardson, Thomas M; Friedman, Bruce; Podgorski, Carol et al. (2012) Depression and its correlates among older adults accessing aging services. Am J Geriatr Psychiatry 20:346-54

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