Describes program in which satellite clinics in three apartment buildings for seniors and disabled adults bring primary health care services to individuals. Explains how clinical nurse specialist, social worker, and physician work as team to help clients remain functional and independent, and how health education programs, counseling, and staff…

Survey of sample of members and nine-month study of all members of comprehensive geriatric program at one hospital revealed that surveyed members joined the program for its reasonable cost but continued with it because of good health care. Medical care and no claim forms or bills were two services surveyed members valued and used more. (Author/NB)

Describes a health education program at a life care community, based on Knowles' theory of androgyny. The program significantly affected participants' health behavior which reduced the effects of aging. Planning guidelines, audiovisual considerations, format, and cost are discussed. (JAC)

Purpose: We sought to determine the prevalence of remediable health conditions from in-home geriatric assessments of referred adult protective service (APS) clients suffering elder mistreatment. Design and Methods: We used a retrospective cohort study of 211 APS clients (74% female; age, M = 77 years) in two central New Jersey counties. Results:…

Purpose: We describe and evaluate a project designed to pilot test an evidence-based clinical intervention for assessing and treating depression in older adults in rural primary care clinics. Project ADAPT--Assuring Depression Assessment and Proactive Treatment--utilized existing primary care resources to overcome barriers to sustainability…

Purpose: The purpose of this study was to examine racial/ethnic differences in the relationship between functional disability and the use of health care services in a nationally representative sample of older adults by using the Andersen behavioral model of health services utilization. Design and Methods: The study used 12 years of longitudinal…

The entire second part of the October issue presents the program for the 28th Annual Meeting of the Gerontological Society. Abstracts of papers are included. (EJT)

Examined use of Geriatric Consultation Team in acute care hospital among 185 older veterans. Intervention patients were more likely than controls to have recommendations concerning discharge planning and long-term care. Groups had similar discharge placements. Preadmission location, functional status, mental status, occurrence of hospital-acquired…

Describes demonstration by an interdisciplinary geriatric evaluation team that a newly described syndrome of hysterical pseudodementia in elderly patients often originates in developmental phenomena rather than in basic personality disturbances. Discusses team members' observations of clinical behavior which frequently differed from results of…

Discusses literature on the physician-elderly patient-companion triad and proposes conceptual framework and methodological approach for understanding the companion's presence during the geriatric visit. Suggests agenda for both clinical and social science research. (Author)

Review of literature concerning effectiveness and cost of geriatric day hospitals revealed many descriptive studies and four randomized control studies. Of four studies, one demonstrated credible improvement in physical and emotional function in day hospital versus conventional care control group. Three randomized studies in which costs were…

Interviewed 140 elderly medical patients and found that the measured 22 percent prevalence of mental impairment was not reflected in the patients' utilization of mental health services or in their presenting complaints to their physicians. Subsequent interviews with their physicians revealed inadequate recognition, diagnosis, and treatment of…

Evaluated 24 hospital-based case management services. Found that case management could take variety of forms, ranging from postacute medical management service to planning community-based care for potential long-term care users. Future research should concentrate on documenting costs and outcomes of various models of case management in acute care…

Presents model for interdisciplinary discharge planning team, with emphasis on functional status and improved coordination and continuity among providers. Describes design and implementation of such a program at university hospital. Explains how model resulted in more patients being discussed and served, with more emphasis on the functional…

Gatekeepers, or nontraditional referral sources, have proven to be an effective means of case finding and outreach for mental health needs of isolated senior citizens. A two-year project administered by county public health department found the gatekeeper concept to be an effective means of case finding in the public health setting. (ABL)