Over the past few years, multiple studies have reported promising results from integrated care management models to improve the care of older adults with mental illness in primary care settings. The National Advisory Mental Health Council's Workgroup on Aging Research (2006) reported, however, that "integrated case management for mental illness in old age is unlikely to be implemented until the factors that affect its adoption are understood.... Dissemination and implementation research to address these issues and many others is needed to bridge the gap between clinical research and everyday practice by building a knowledge base about how mental health care information and new practices are transmitted and translated for health care service use in specific settings." NIMH research over the past 30 years has identified primary care as the site of care where most patients with mental illness receive care. In this revised application, we propose to build on our research experience at the intersection of psychiatry, primary care, and geriatrics by establishing an IP-RISP for the study of depression and cognitive impairment among older adults in primary care. The Indianapolis IP-RISP will advance implementation science by partnering our research team with an urban community-based health care system serving vulnerable older adults, including a high proportion of African Americans. In addition, building a laboratory for mental health services research within primary care allows opportunities to study how comorbid medical conditions (e.g. cardiovascular disease) affect the process and outcomes of care. Our partnership is designed to identify barriers and facilitators to translating knowledge into routine clinical practice. Based on an needs assessment with our community partner, we are proposing two pilot projects: (a) create and evaluate an integrated electronic medical record to support clinical care and research for older adults with depression or cognitive impairment;and (b) implement a collaborative care model for older adults with depression, cognitive impairment, or both and also integrate the care of cardiovascular disease.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Resource-Related Research Projects (R24)
Project #
5R24MH080827-05
Application #
8255628
Study Section
Mental Health Services in Non-Specialty Settings (SRNS)
Program Officer
Niederehe, George T
Project Start
2008-04-24
Project End
2014-03-31
Budget Start
2012-04-01
Budget End
2014-03-31
Support Year
5
Fiscal Year
2012
Total Cost
$576,595
Indirect Cost
$145,852
Name
Indiana University-Purdue University at Indianapolis
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
603007902
City
Indianapolis
State
IN
Country
United States
Zip Code
46202
Gao, Sujuan; Hendrie, Hugh C; Wang, Chenkun et al. (2014) Redefined blood pressure variability measure and its association with mortality in elderly primary care patients. Hypertension 64:45-52
Hendrie, Hugh C; Tu, Wanzhu; Tabbey, Rebeka et al. (2014) Health outcomes and cost of care among older adults with schizophrenia: a 10-year study using medical records across the continuum of care. Am J Geriatr Psychiatry 22:427-36
Salsman, John M; Butt, Zeeshan; Pilkonis, Paul A et al. (2013) Emotion assessment using the NIH Toolbox. Neurology 80:S76-86
Liu, Hai; Gao, Sujuan; Hall, Kathleen S et al. (2013) Optimal blood pressure for cognitive function: findings from an elderly African-American cohort study. J Am Geriatr Soc 61:875-81
Gao, Sujuan; Hendrie, Hugh C; Yang, Lili et al. (2013) Increase in blood pressure precedes clinical depression in elderly primary care patients. Int J Geriatr Psychiatry 28:1099-100
Gershon, Richard C; Wagster, Molly V; Hendrie, Hugh C et al. (2013) NIH toolbox for assessment of neurological and behavioral function. Neurology 80:S2-6
Cai, Xueya; Campbell, Noll; Khan, Babar et al. (2013) Long-term anticholinergic use and the aging brain. Alzheimers Dement 9:377-85
Victorson, David; Manly, Jennifer; Wallner-Allen, Kathleen et al. (2013) Using the NIH Toolbox in special populations: considerations for assessment of pediatric, geriatric, culturally diverse, non-English-speaking, and disabled individuals. Neurology 80:S13-9
Callahan, Christopher M; Boustani, Malaz A; Weiner, Michael et al. (2011) Implementing dementia care models in primary care settings: The Aging Brain Care Medical Home. Aging Ment Health 15:5-12
Boustani, Malaz A; Justiss, Michael D; Frame, Amie et al. (2011) Caregiver and noncaregiver attitudes toward dementia screening. J Am Geriatr Soc 59:681-6

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