Abstract

This application capitalizes on accomplishments of institutional investigators of late life depression and of a funded services investigator to build a research program that will improve the care that depressed patients receive. Project leadership views major depression as a recognizable and treatable disorder and seeks to identify factors that influence recognition, treatment and course in sociocultural minorities and the aged. Scientific aims include: identifying patient characteristics that influence recognition and treatment and assessing the relationship between access to psychiatrists in mental health clinics and the treatment depressed patients receive. The proposal develops an integrated clinical services research program through recruitment of a senior services researcher, frequent meetings of senior institutional investigators and health services research consultants and junior faculty development. Pilot studies conducted by junior investigators collaborating with senior mentors are used to develop clinical mental health services scientists and research sites. Data generated by pilots and the growth of junior investigators through specific research trajectories will lead to fully developed proposals that are competitive for external funding. Consultations with External Advisory Committee will enhance the program's ability to develop studies involving collaboration with the public sector.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Resource-Related Research Projects (R24)
Project #
5R24MH053816-05
Application #
2675316
Study Section
Special Emphasis Panel (SRCM (15))
Project Start
1994-09-30
Project End
2001-08-31
Budget Start
1998-09-01
Budget End
2001-08-31
Support Year
5
Fiscal Year
1998
Total Cost
Indirect Cost

  Institution

Name
Weill Medical College of Cornell University
Department
Psychiatry
Type
Schools of Medicine
DUNS #
201373169
City
New York
State
NY
Country
United States
Zip Code
10065

  Publications

Weinberger, Mark I; Sirey, Jo Anne; Bruce, Martha L et al. (2008) Predictors of major depression six months after admission for outpatient treatment. Psychiatr Serv 59:1211-5
Sirey, Jo Anne; Meyers, Barnett S; Teresi, Jeanne A et al. (2005) The Cornell Service Index as a measure of health service use. Psychiatr Serv 56:1564-9
Chung, Henry; Teresi, Jeanne; Guarnaccia, Peter et al. (2003) Depressive symptoms and psychiatric distress in low income Asian and Latino primary care patients: prevalence and recognition. Community Ment Health J 39:33-46
Meyers, Barnett S; Sirey, Jo Anne; Bruce, Martha et al. (2002) Predictors of early recovery from major depression among persons admitted to community-based clinics: an observational study. Arch Gen Psychiatry 59:729-35
Peterson, Janey C; Charlson, Mary E; Williams-Russo, Pamela et al. (2002) New postoperative depressive symptoms and long-term cardiac outcomes after coronary artery bypass surgery. Am J Geriatr Psychiatry 10:192-8
Sirey, J A; Bruce, M L; Alexopoulos, G S et al. (2001) Perceived stigma as a predictor of treatment discontinuation in young and older outpatients with depression. Am J Psychiatry 158:479-81
Sirey, J A; Bruce, M L; Alexopoulos, G S et al. (2001) Stigma as a barrier to recovery: Perceived stigma and patient-rated severity of illness as predictors of antidepressant drug adherence. Psychiatr Serv 52:1615-20
Wiener, P K; Kiosses, D N; Klimstra, S et al. (2001) A short-term inpatient program for agitated demented nursing home residents. Int J Geriatr Psychiatry 16:866-72
Luber, M P; Hollenberg, J P; Williams-Russo, P et al. (2000) Diagnosis, treatment, comorbidity, and resource utilization of depressed patients in a general medical practice. Int J Psychiatry Med 30:13-Jan
Sirey, J A; Meyers, B S; Bruce, M L et al. (1999) Predictors of antidepressant prescription and early use among depressed outpatients. Am J Psychiatry 156:690-6

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