A5007175056- Mental Health and Patient Involvement
- Intergenerational Family Dynamics and Caregiving
- Family Caregiving in Mental Illness
- Mental Health Treatment and Access
- Geriatric Care and Nursing Homes
- Health Policy Implementation Science
- Primary Care and Health Outcomes
- Community Health and Development
- Health disparities and outcomes
- Family Support in Illness
- Dementia and Cognitive Impairment Research
- Healthcare innovation and challenges
- Elder Abuse and Neglect
- Aging and Gerontology Research
- Attachment and Relationship Dynamics
RELX Group (Netherlands)
2024
Archstone Foundation
2019-2023
University of Southern California
2018-2023
Case Western Reserve University
2023
While depression is a leading cause of poor health, less than half older adults receive adequate care. Inequities in both access and outcomes are even more pronounced for socially disadvantaged adults. The collaborative care model (CCM) has potential to reduce this burden through community-based organizations (CBOs) who serve these populations. However, CCM been understudied diverse cultural resource-constrained contexts. We evaluated the implementation effectiveness PEARLS, home-based...
Partnering across health clinics and community organisations, while worthwhile for improving well-being, is challenging time consuming. Even partnerships that have essential elements success in place face inevitable challenges. To better understand how cross-organisational work practice, this paper examines collaborations between six primary care community-based organisations the United States were part of an initiative to address late-life depression using enhanced collaborative model...
Family caregivers are the cornerstone of long-term supports and services infrastructure in United States, yet they often contend with many challenges related to this role. Public policy has been slow change, leaving vulnerable health economic consequences. Using models making, we identify barriers advancing policies that support family overcome drift. We draw on discussions from California Task Force Caregiving as it prepares state recommendations. Identified strategies include...
Abstract Qualitative research on positive coping approaches actually used by caregivers can inform interventions that be feasibly implemented. Absent from previous qualitative is how respond to strain in the relationship, specifically. Eight focus groups were conducted with a purposeful sample of racially and ethnically diverse family Los Angeles (n=75). An additional 8 in-depth follow-up interviews conducted. Content analysis was understand mechanisms employed cope tension caregiving...
Abstract Family members and spouses are usually the primary caregivers for older adults. Providing direct care can be stressful, strenuous, time-consuming caregivers, potentially leading to frustration anger towards recipients. This detrimental relationship quality of caregiving dyad. Though caregiver strain burden have been extensively studied, there is limited information on development strain. To explore how occurs between recipients, 8 focus groups (N=62) semi-structured telephone...
Studies of families' experiences with caregiving to older adults most often focus on overall burden and stress. Yet, is also a type relationship, the onset can contribute relationship strain between care partners. Despite implications for both partners, little known about how caregivers cope strain.The authors conducted nine groups 8 interviews purposeful sample racially ethnically diverse family in Los Angeles. Conventional content analysis was applied transcripts identify strain.Analyses...
Abstract Informal caregivers are a critical component of support for the rapidly aging population. Previous studies have addressed effects caregiving on mental health. However, they not focused differences among generational cohorts older adults, i.e., Millennial (born 1981-1996), Generation X 1965-1980), Baby Boomer 1946-1964), and Silent 1928-1945). As caregiver population grows in parallel with adults their increased needs, we must better understand responses to caregiving. provide...
ObjectivesCollaborative care (CC) has demonstrated effectiveness for improving late-life depression in primary care, but clinics offering this service can find it challenging to address unmet social needs that may be contributing their patients' depression. Clinics benefit from better coordination and communication with community-based organizations (CBO) strengthen treatment needs. We evaluated the feasibility of adding a CBO enhance standard collaborative impact such partnered on older...
Abstract Despite the availability of effective treatments for late life depression, many older adults with depression either do not access or fully engage in treatment. The goal this study was to examine feasibility and two-year outcomes from an Archstone Foundation funded Care Partners Initiative strengthen care 65 years age older. Seven sites throughout California implemented evidence-based collaborative through partnerships between primary organizations, community-based organizations...