The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2025
Can Hospital-Community Integration Facilitate Timely Access to Mental Health Service and Improve Mental Health Outcomes in Older Adults? An Observational Analysis.
СтатьяНаблюдательное исследованиеПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
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Leung Dara Kiu Yi, Wong Stephanie Ming Yin, Shum Angie Kwan Yu, Chan Wai Chi, Wong Gloria Hoi Yan, Lum Terry Yat Sang
Аннотация
OBJECTIVES: To examine waiting time and mental health outcomes following a hospital-community service-bridging mechanism among older adults with mild-to-moderately-severe depressive symptoms.
METHODS: This retrospective cohort study (November 2023-June 2025) evaluated a mechanism linking public hospitals with JoyAge, a community-based stepped-care program for late-life depression. Healthcare professionals referred older adults in outpatient care with suspected depressive symptoms to JoyAge, where social workers confirmed eligibility. Primary outcomes included referral-to-assessment waiting time and depressive symptoms. Secondary outcomes included anxiety, loneliness, and health-related quality of life.
RESULTS: Of 239 referrals, 159 (median age 73; 75% females) enrolled in JoyAge. Median waiting time was 1 week, significantly shorter than the 40-week median for psychiatric outpatient services reported in public records (p < 0.001). Among those discharged, 93% achieved a clinically meaningful reduction in depressive symptoms, with significant improvements in secondary outcomes (ps < 0.001).
CONCLUSIONS: The service-bridging mechanism was associated with improved access and outcomes.
METHODS: This retrospective cohort study (November 2023-June 2025) evaluated a mechanism linking public hospitals with JoyAge, a community-based stepped-care program for late-life depression. Healthcare professionals referred older adults in outpatient care with suspected depressive symptoms to JoyAge, where social workers confirmed eligibility. Primary outcomes included referral-to-assessment waiting time and depressive symptoms. Secondary outcomes included anxiety, loneliness, and health-related quality of life.
RESULTS: Of 239 referrals, 159 (median age 73; 75% females) enrolled in JoyAge. Median waiting time was 1 week, significantly shorter than the 40-week median for psychiatric outpatient services reported in public records (p < 0.001). Among those discharged, 93% achieved a clinically meaningful reduction in depressive symptoms, with significant improvements in secondary outcomes (ps < 0.001).
CONCLUSIONS: The service-bridging mechanism was associated with improved access and outcomes.