@article{ref1,
title="Depression and Bipolar Support Alliance consensus statement on the unmet needs in diagnosis and treatment of mood disorders in late life",
journal="Archives of general psychiatry",
year="2003",
author="Charney, Dennis S. and Reynolds, Charles F. and Lewis, Lydia and Lebowitz, Barry D. and Sunderland, Trey and Alexopoulos, George S. and Blazer, Dan G. and Katz, Ira R. and Meyers, Barnett S. and Areán, Patricia A. and Borson, Soo and Brown, Charlotte and Bruce, Martha L. and Callahan, Christopher M. and Charlson, Mary E. and Conwell, Yeates and Cuthbert, Bruce N. and Devanand, D. P. and Gibson, Mary Jo and Gottlieb, Gary L. and Krishnan, K. Ranga and Laden, Sally K. and Lyketsos, Constantine G. and Mulsant, Benoit H. and Niederehe, George and Olin, Jason T. and Oslin, David W. and Pearson, Jane and Persky, Trudy and Pollock, Bruce G. and Raetzman, Susan and Reynolds, Mildred and Salzman, Carl and Schulz, Richard and Schwenk, Thomas L. and Scolnick, Edward and Unützer, Jurgen and Weissman, Myrna M. and Young, Robert C. and Depression and Bipolar Support Alliance, ",
volume="60",
number="7",
pages="664-672",
abstract="OBJECTIVES: To review progress made during the past decade in late-life mood disorders and to identify areas of unmet need in health care delivery and research. PARTICIPANTS: The Consensus Development Panel consisted of experts in late-life mood disorders, geriatrics, primary care, mental health and aging policy research, and advocacy. EVIDENCE: (1) Literature reviews addressing risk factors, prevention, diagnosis, treatment, and delivery of services and (2) opinions and experiences of primary care and mental health care providers, policy analysts, and advocates. CONSENSUS PROCESS: The Consensus Development Panel listened to presentations and participated in discussions. Workgroups considered the evidence and prepared preliminary statements. Workgroup leaders presented drafts for discussion by the Consensus Development Panel. The final document was reviewed and edited to incorporate input from the entire Consensus Development Panel. CONCLUSIONS: Despite the availability of safe and efficacious treatments, mood disorders remain a significant health care issue for the elderly and are associated with disability, functional decline, diminished quality of life, mortality from comorbid medical conditions or suicide, demands on caregivers, and increased service utilization. Discriminatory coverage and reimbursement policies for mental health care are a challenge for the elderly, especially those with modest incomes, and for clinicians. Minorities are particularly underserved. Access to mental health care services for most elderly individuals is inadequate, and coordination of services is lacking. There is an immediate need for collaboration among patients, families, researchers, clinicians, governmental agencies, and third-party payers to improve diagnosis, treatment, and delivery of services for elderly persons with mood disorders.<p /><p>Language: en</p>",
language="en",
issn="0003-990X",
doi="10.1001/archpsyc.60.7.664",
url="http://dx.doi.org/10.1001/archpsyc.60.7.664"
}