Consensus statement on the upcoming crisis in geriatric mental health -: Research agenda for the next 2 decades
Consensus statement on the upcoming crisis in geriatric mental health -: Research agenda for the next 2 decades
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DOI：
10.1001/archpsyc.56.9.848
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发表时间：
1999-09-01
影响因子：
--
通讯作者：
Lebowitz, BD
中科院分区：
文献类型：
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作者：
Jeste, DV;Alexopoulos, GS;Lebowitz, BD
预计美国65岁以上患有精神疾病的人数将从1970年的约400万增加到2030年的1500万。目前的医疗保健系统对患有精神疾病的老年人的服务很差，并且没有准备好应对即将到来的老年心理健康危机。我们建议制定老年人精神障碍研究的15至25年计划。它应包括预防研究、将研究结果从实验室转化为临床、具有有意义的结果措施的大规模干预试验以及卫生服务研究。需要创新策略来制定精神疾病的新概念，特别是那些过去很少受到关注的疾病。需要有专家、初级保健临床医生和普通公众参与的临床和研究培训新方法。
It is anticipated that the number of people older than 65 years with psychiatric disorders in the United States will increase from about 4 million in 1970 to 15 million in 2030, The current health care system serves mentally ill older adults poorly and is unprepared to meet the upcoming crisis in geriatric mental health. We recommend the formulation of a 15- to :25-year plan for research on mental disorders in elderly persons. It should include studies of prevention, translation of findings from bench to bedside, large-scale intervention trials with meaningful outcome measures, and health services research. Innovative strategies are needed to formulate new conceptualizations of psychiatric disorders, especially those given scant attention in the past. New methods of clinical and research training involving specialists, primary care clinicians, and the lay public are warranted.