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Improving Access to Mental Health Services for Older Hartford Residents
Research Method: Basic Research
Principal Investigators: Jean J. Schensul, Ph.D. (PI), Kim Radda, M.A., R.N. (Co-PI), Julie Robison Ph.D., Braceland Center (Site PI), Carmen Reyes, M.P.A.,
NCAAA (Site PI)
Grant: Patrick and Catherine Weldon Donaghue Medical Research Foundation 01-201
Partners: Braceland Center for Mental Health and Aging, North Central Area Agency on Aging (NCAAA), Hartford Housing Authority, Hartford Hospital
Dates of Study: 2001-2004

Abstract
This three-year study identifies the prevalence of depression and anxiety in a residential community of older, primarily minority adults, and determines the barriers and facilitators to clinical care. Building upon information gathered in the "AIDS Risk in Older Urban Adult Senior Housing Residents" project, the study assesses the use of non-clinical community resources and the significance of family and community support systems in the treatment of mental health problems, and explores how individual or personal understandings and definitions of depression/anxiety impact the effectiveness of mental health clinical care and treatment for this population. The project seeks to formulate a "building-based" approach to education, support, and referral for depression, anxiety, and related mental health problems. An anticipated outcome of the project is the development of an advocacy network (with national collaboration) to improve funding for mental health service delivery to older adults.
Project Goals and Objectives
Determine the extent to which adults aged 50 and older, residing in public and private senior housing in Hartford, CT, are experiencing depression, anxiety or other mental health problems.
Determine the factors that assist or impede the ability of older adults to access clinical mental health treatment.
Determine the extent to which older adults are utilizing non-clinical, community helping resources or family and community support systems to deal with depression or anxiety.
Identify what older, minority adults understand as definitions of depression and anxiety, and compare these to definitions used by medical practitioners.
Develop a building-based education, support and referral system for depression, anxiety and other related mental health problems.
Develop an advocacy network focused on improving funding for mental health service delivery to older adults.
Project Details
The project is focused on older residents (age 50 or older) living in twelve buildings (4 public, 8 private) in Hartford, CT. Participant recruitment and data collection takes place on-site, in senior housing facilities. The project includes a survey interview and screening of all participants (approximately 700) for depression and anxiety. Those who screen positive are referred for further evaluation to one of several local mental health clinics, including a special program for older minority adults at Hartford Hospital. These individuals will participate in follow-up, in-depth interviews at 1-month and 3-4-month intervals that focus on barriers or facilitators to accessing and using mental health services, as well as any non-clinical resources or coping strategies they may have used. Project staff will also conduct an in-depth interview with 20% of all participants, aimed at gaining information on definitions of depression, anxiety, and other related mental health problems.

Project Contact:
Jean J. Schensul, Ph.D. (PI)
Executive Director
Kim Radda, M.A., R.N.
(Co-PI)
Project Director

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 Hopsital
Gretchen Dieffenbach, Ph.D

Link to Research Methods page

Link to Basic Research Methods page

Links to other ICR projects:

AIDS Risk in Older Urban Adult Senior Housing Residents

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

Links to other related sites (external links)
North Central Area Agency on Aging
Braceland Center
Patrick and Catherine Weldon Donaghue Medical Research Foundation
Gerontological Society of America
Hartford Housing Authority