We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Perspectives |

Depression and Bipolar Support Alliance Consensus Statement on the Unmet Needs in Diagnosis and Treatment of Mood Disorders in Late Life

Dennis S. Charney, MD; Charles F. Reynolds III, MD; Lydia Lewis; Barry D. Lebowitz, PhD; Trey Sunderland, MD; George S. Alexopoulos, MD; Dan G. Blazer, MD, PhD; Ira R. Katz, MD, PhD; Barnett S. Meyers, MD; Patricia A. Arean, PhD; Soo Borson, MD; Charlotte Brown, PhD; Martha L. Bruce, PhD, MPH; Christopher M. Callahan, MD; Mary E. Charlson, MD; Yeates Conwell, MD; Bruce N. Cuthbert, PhD; D. P. Devanand, MD; Mary Jo Gibson, MA; Gary L. Gottlieb, MD, MBA; K. Ranga Krishnan, MD; Sally K. Laden, MS; Constantine G. Lyketsos, MD, MHS; Benoit H. Mulsant, MD; George Niederehe, PhD; Jason T. Olin, PhD; David W. Oslin, MD; Jane Pearson, PhD; Trudy Persky, MSW; Bruce G. Pollock, MD, PhD; Susan Raetzman, MSPH; Mildred Reynolds, EdD, MSW; Carl Salzman, MD; Richard Schulz, PhD; Thomas L. Schwenk, MD; Edward Scolnick, MD; Jürgen Unützer, MD, MPH; Myrna M. Weissman, PhD; Robert C. Young, MD
Arch Gen Psychiatry. 2003;60(7):664-672. doi:10.1001/archpsyc.60.7.664.
Text Size: A A A
Published online


Objectives  To review progress made during the past decade in late-life mood disorders and to identify areas of unmet need in health care delivery and research.

Participants  The Consensus Development Panel consisted of experts in late-life mood disorders, geriatrics, primary care, mental health and aging policy research, and advocacy.

Evidence  (1) Literature reviews addressing risk factors, prevention, diagnosis, treatment, and delivery of services and (2) opinions and experiences of primary care and mental health care providers, policy analysts, and advocates.

Consensus Process  The Consensus Development Panel listened to presentations and participated in discussions. Workgroups considered the evidence and prepared preliminary statements. Workgroup leaders presented drafts for discussion by the Consensus Development Panel. The final document was reviewed and edited to incorporate input from the entire Consensus Development Panel.

Conclusions  Despite the availability of safe and efficacious treatments, mood disorders remain a significant health care issue for the elderly and are associated with disability, functional decline, diminished quality of life, mortality from comorbid medical conditions or suicide, demands on caregivers, and increased service utilization. Discriminatory coverage and reimbursement policies for mental health care are a challenge for the elderly, especially those with modest incomes, and for clinicians. Minorities are particularly underserved. Access to mental health care services for most elderly individuals is inadequate, and coordination of services is lacking. There is an immediate need for collaboration among patients, families, researchers, clinicians, governmental agencies, and third-party payers to improve diagnosis, treatment, and delivery of services for elderly persons with mood disorders.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

251 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles

Care at the Close of Life: Evidence and Experience

Care at the Close of Life: Evidence and Experience
Treatment of Depression