Louise M. Quijano

TL;DR: The results suggest that integrated service arrangements improve access to mental health and substance abuse services for older adults who underuse these services.

TL;DR: Among primary care clinicians who cared for patients that received integrated care or enhanced referral care, integrated care was preferred for many aspects of mental health care.

TL;DR: It is concluded that nonspecialty providers can be trained to successfully implement an evidence-based self-management intervention for depression with frail, high-risk, and diverse older adults.

TL;DR: Regression results showed that patients who used the IC model, attended the treatment service twice or more, or showed clinical improvement were more likely to express greater satisfaction, and older adults are more likely than younger adults to have greater satisfaction with mental health services integrated in primary care settings.

TL;DR: The implementation of HIDEAS was described and several challenges were identified: clients' reluctance to acknowledge depressive symptoms and difficulty in engaging in behavioral changes; differences among case managers' mental health knowledge, skills, and "buy-in" and difficulty managing limited time.