Improving Access to Mental Health Services for Older Hartford Residents
This three-year study identified the predictors and prevalence of depression and anxiety in a residential community of older, primarily minority, adults living in public and private senior housing in Hartford, CT and determined the barriers and facilitators to clinical care for this population. The study assessed the use of non-clinical community resources and the significance of family and community support systems in the treatment of mental health problems. It also explored how individual or personal understandings and definitions of depression and anxiety impacted the effectiveness of mental health clinical care and treatment for this population. We used in-depth interviews to identify barriers and facilitators to clinical care, community coping strategies and resources and culturally based definitions of depression and anxiety. The project sought to formulate a “building-based” approach to education, support, and referral for depression, anxiety, and related mental health problems. Information about these areas can assist in promoting culturally appropriate services, thus improving access to, and efficacy of, mental health services for low income older adults of diverse ethnic/cultural backgrounds. An anticipated outcome of the project was the development of an advocacy network (with national collaboration) to improve funding for mental health service delivery to older adults.
Project Staff
ICR
Jean J. Schensul, Ph.D.
Principal Investigator
Kim Radda, M.A., R.N.
Co-Principal Investigator/Project Director
William Disch, Ph.D.
Senior Research Analyst
Michelle So, B.A.
Data Manager
Evelyn Baez, B.A.
Community Researcher
Ken Brockman, H.S.
Community Researcher
Leslie Escobales, B.A.
Research Assistant
Braceland Center
Julie Robison Ph.D.
Site Principal Investigator
Sonia Gaztambide, M.P.H.
Community Researcher
Stefanie Kniep
NCAAA
Carmen Reyes, M.P.A.
Site Principal Investigator
Hartford Hospital
Gretchen Dieffenbach, Ph.D
Abstract
Please read the project abstract here.
Clinical Advisory Committee Members
Charter Oak/Rice Heights Health Center
Hartford Behavioral Health
Institute for the Hispanic Family
Institute of Living/Hartford Hospital Mental Health Network, Geriatric Programs & Emergency
Services
St. Francis Hospital Behavioral Health/PATH Outpatient Services
Capital Region Mental Health Center
National Advisory Committee
Peter Guarnaccia, Ph.D., Institute for Health, Health Care Policy & Aging Research, Rutgers, The State University of New Jersey
Cathy S. Berkman, Ph.D., MSW, Fordham University, Graduate School of Social Service
Madeline Iris, Ph.D., Northwestern University, Buehler Center on Aging
Zibin Guo, Ph.D., University of Tennessee – Chattanooga, Dept. of Sociology/Anthropology/Geography
David Schonfeld, M.D., Yale University, Pediatrics and Child Care Study Center