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<title xml:lang="en">Meeting the mental health needs of the homebound: A psychiatric consult service within a home-based primary care program</title>
<author>
<name sortKey="Reckrey, Jennifer" sort="Reckrey, Jennifer" uniqKey="Reckrey J" first="Jennifer" last="Reckrey">Jennifer Reckrey</name>
<affiliation>
<nlm:aff id="A1">Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Soriano, Theresa" sort="Soriano, Theresa" uniqKey="Soriano T" first="Theresa" last="Soriano">Theresa Soriano</name>
<affiliation>
<nlm:aff id="A1">Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">Division of General Internal Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai</nlm:aff>
</affiliation>
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<author>
<name sortKey="Rosen, Anna" sort="Rosen, Anna" uniqKey="Rosen A" first="Anna" last="Rosen">Anna Rosen</name>
<affiliation>
<nlm:aff id="A3">Department of Psychiatry, Icahn School of Medicine at Mount Sinai</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Dugue, Micheline" sort="Dugue, Micheline" uniqKey="Dugue M" first="Micheline" last="Dugue">Micheline Dugue</name>
<affiliation>
<nlm:aff id="A4">VA Paciific Islands Health Care System, Hawaii</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Decherrie, Linda" sort="Decherrie, Linda" uniqKey="Decherrie L" first="Linda" last="Decherrie">Linda Decherrie</name>
<affiliation>
<nlm:aff id="A1">Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Ornstein, Katherine A" sort="Ornstein, Katherine A" uniqKey="Ornstein K" first="Katherine A." last="Ornstein">Katherine A. Ornstein</name>
<affiliation>
<nlm:aff id="A1">Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">Division of General Internal Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai</nlm:aff>
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<idno type="pmid">26414814</idno>
<idno type="pmc">4587535</idno>
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<idno type="RBID">PMC:4587535</idno>
<idno type="doi">10.1891/1521-0987.16.3.122</idno>
<date when="2015">2015</date>
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<title xml:lang="en" level="a" type="main">Meeting the mental health needs of the homebound: A psychiatric consult service within a home-based primary care program</title>
<author>
<name sortKey="Reckrey, Jennifer" sort="Reckrey, Jennifer" uniqKey="Reckrey J" first="Jennifer" last="Reckrey">Jennifer Reckrey</name>
<affiliation>
<nlm:aff id="A1">Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Soriano, Theresa" sort="Soriano, Theresa" uniqKey="Soriano T" first="Theresa" last="Soriano">Theresa Soriano</name>
<affiliation>
<nlm:aff id="A1">Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">Division of General Internal Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Rosen, Anna" sort="Rosen, Anna" uniqKey="Rosen A" first="Anna" last="Rosen">Anna Rosen</name>
<affiliation>
<nlm:aff id="A3">Department of Psychiatry, Icahn School of Medicine at Mount Sinai</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Dugue, Micheline" sort="Dugue, Micheline" uniqKey="Dugue M" first="Micheline" last="Dugue">Micheline Dugue</name>
<affiliation>
<nlm:aff id="A4">VA Paciific Islands Health Care System, Hawaii</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Decherrie, Linda" sort="Decherrie, Linda" uniqKey="Decherrie L" first="Linda" last="Decherrie">Linda Decherrie</name>
<affiliation>
<nlm:aff id="A1">Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Ornstein, Katherine A" sort="Ornstein, Katherine A" uniqKey="Ornstein K" first="Katherine A." last="Ornstein">Katherine A. Ornstein</name>
<affiliation>
<nlm:aff id="A1">Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">Division of General Internal Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Care management journals : Journal of case management ; The journal of long term home health care</title>
<idno type="ISSN">1521-0987</idno>
<imprint>
<date when="2015">2015</date>
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<div type="abstract" xml:lang="en">
<p id="P1">The growing population of homebound adults is increasingly receiving home-based primary care (HPBC) services. These patients are predominantly frail elderly who are homebound due to multiple medical comorbidities, yet they often also have psychiatric diagnoses requiring mental health care. Unfortunately, in-home psychiatric services are rarely available to homebound patients. In order to address unmet psychiatric need among the homebound patients enrolled in our large academic HBPC program, we piloted a psychiatric in-home consultation service. During our 16 month pilot, ten percent of all enrolled HBPC patients were referred for and received psychiatric consultation. Depression and anxiety were among the most common reasons for referral. In order to better meet patients’ medical and psychiatric needs, HBPC programs need to consider strategies to incorporate psychiatric services into their routine care plans.</p>
</div>
</front>
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<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-journal-id">100888264</journal-id>
<journal-id journal-id-type="pubmed-jr-id">21618</journal-id>
<journal-id journal-id-type="nlm-ta">Care Manag J</journal-id>
<journal-id journal-id-type="iso-abbrev">Care Manag J</journal-id>
<journal-title-group>
<journal-title>Care management journals : Journal of case management ; The journal of long term home health care</journal-title>
</journal-title-group>
<issn pub-type="ppub">1521-0987</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">26414814</article-id>
<article-id pub-id-type="pmc">4587535</article-id>
<article-id pub-id-type="doi">10.1891/1521-0987.16.3.122</article-id>
<article-id pub-id-type="manuscript">NIHMS670718</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Meeting the mental health needs of the homebound: A psychiatric consult service within a home-based primary care program</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Reckrey</surname>
<given-names>Jennifer</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Soriano</surname>
<given-names>Theresa</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rosen</surname>
<given-names>Anna</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Dugue</surname>
<given-names>Micheline</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>DeCherrie</surname>
<given-names>Linda</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ornstein</surname>
<given-names>Katherine A.</given-names>
</name>
<degrees>PhD, MPH</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai</aff>
<aff id="A2">
<label>2</label>
Division of General Internal Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai</aff>
<aff id="A3">
<label>3</label>
Department of Psychiatry, Icahn School of Medicine at Mount Sinai</aff>
<aff id="A4">
<label>4</label>
VA Paciific Islands Health Care System, Hawaii</aff>
<author-notes>
<corresp id="cor1">Corresponding author: Jennifer Reckrey, MD, Mount Sinai Visiting Doctors Program, Icahn School of Medicine at Mount Sinai, Box 1216 One Gustave Levy Place, New York, NY 10029,
<email>jennifer.reckrey@mssm.edu</email>
, Ph: 212-241-4141, F: 212-426-5108</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>13</day>
<month>3</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="ppub">
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>29</day>
<month>9</month>
<year>2015</year>
</pub-date>
<volume>16</volume>
<issue>3</issue>
<fpage>122</fpage>
<lpage>128</lpage>
<pmc-comment>elocation-id from pubmed: 10.1891/1521-0987.16.3.122</pmc-comment>
<abstract>
<p id="P1">The growing population of homebound adults is increasingly receiving home-based primary care (HPBC) services. These patients are predominantly frail elderly who are homebound due to multiple medical comorbidities, yet they often also have psychiatric diagnoses requiring mental health care. Unfortunately, in-home psychiatric services are rarely available to homebound patients. In order to address unmet psychiatric need among the homebound patients enrolled in our large academic HBPC program, we piloted a psychiatric in-home consultation service. During our 16 month pilot, ten percent of all enrolled HBPC patients were referred for and received psychiatric consultation. Depression and anxiety were among the most common reasons for referral. In order to better meet patients’ medical and psychiatric needs, HBPC programs need to consider strategies to incorporate psychiatric services into their routine care plans.</p>
</abstract>
</article-meta>
</front>
</pmc>
</record>

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