their neighbor, friend or loved one help. A more informed community can be integral to addressing gaps in services and promoting the health of all its ENGAGE PATIENTS AND THEIR CAREGIVERS EARLY IN ADVANCED CARE PLANNING FOR END-OF-LIFE CONSIDERATIONS AND CONNECT THEM WITH AREA LEGAL AND SOCIAL RESOURCES AS NEEDED. integration.samhsa.gov 11 citizens, especially older adults with potential mental health and substance use concerns. OLDER ADULTS RESOURCES BEHAVIORAL HEALTH IDENTIFICATION AND TREATMENT The Treatment of Depression in Older Adults Evidence-Based Practices KITs — A SAMHSA publication that provides an array of evidence-based programs to treat depression and dysthymia Substance Abuse by “Mature” Adults: Is Your Patient Using or Abusing? — A video with Louis A. Trevisan, MD that describes how to identify and address substance abuse in older adults Preventing Suicide in Older Adults — An issue brief from SAMHSA and the Administration on Aging to help health care and social service organizations develop strategies to prevent suicide in older adults Promoting Emotional Health and Preventing Suicide: A Toolkit for Senior Living Communities — A SAMHSA publication that includes guidelines for integrating suicide prevention into ongoing programs, hands-on tools, and training manuals for senior living communities EVIDENCE-BASED INTEGRATED CARE PRACTICES FOR OLDER ADULTS Improving Mood-Promoting Access to Collaborative Treatment (IMPACT) — Collaborative care approach to treat depression or dysthymia that involves a trained depression care manager, patient, primary care provider and psychiatrist. Wellness Initiative for Senior Education (WISE) — Health promotion program related to health behaviors, the aging process, managing care, medication management and signs of alcohol misuse and depression. EnhanceWellness — Helps older adults with chronic health conditions manage their illness and avoid psychiatric medications, physical inactivity, depression and social isolation. Senior Reach — Training for community partners to identify older adults experiencing mental health and related concerns and help get them into recovery-oriented behavioral health treatment. Healthy IDEAS (Identifying Depression, Empowering Activities for Seniors) – A program that integrates depression awareness and management into existing case management services. SAM’S SON brought him to see his primary care provider saying that Sam was increasingly confused over the past week. His wife died last month and now Sam lives alone, but his children check in on him daily. Sam’s primary care provider evaluated him for physical causes of confusion (e.g., dehydration, urinary tract infection, stroke) and for depression. His primary care provider also asked Sam’s son about his own level of stress. As a result, the provider connected Sam with their in-house counselor to provide grief counseling for Sam and identified outside resources to support Sam’s son as a caregiver. 12 SAMHSA-HRSA CENTER for INTEGRATED HEALTH SOLUTIONS Program to Encourage Active, Rewarding Lives (PEARLS) — Community-based intervention for individuals with depression or dysthymia that helps reduce symptoms and suicidal ideation through problem-solving, social and physical activation and pleasant activity scheduling. Prevention of Suicide in Primary Care Elderly: Collaborative Trial (PROSPECT) — Primary care intervention to recognize depression and suicidal risk and manage treatment. Resources for Enhancing Alzheimer’s Caregiver Health II (REACH II) — At home and telephonebased intervention to reduce caregiver burden and depression, improve self-care and offer social support. BRIEF SCREENS FOR PRIMARY CARE PROVIDERS Depression Screen — Patient Health Questionnaire (PHQ-9) Anxiety Screen — Generalized Anxiety Disorder 7-item scale (GAD-7) Cognitive Measure for Dementia — The Mini-Cog Cognitive Impairment Screen — Montreal Cognitive Assessment (MoCA) Dementia Functional Assessment — Functional Activities Questionnaire (FAQ) Delirium Assessment Tool — The Confusion Assessment Methods Diagnostic Algorithm (The CAM) Brief Alcohol