PRISM-E Study - Primary Care Research in Models for Substance Abuse and Mental Health in the Elderly

Dates: 2001-2009

Geographic Scope: Nationwide

Client(s): HRSA, SAMHSA, Veteran's Administration

Technical Expertise: Aging


JSI, along with Harvard University's Aging Research and Education Center, was the Coordinating Center for a large national, multi-site study evaluating alternative models of delivering and financing mental health and substance abuse services for older adults in primary health care settings. One of the largest studies of late life depression and at risk drinking ever undertaken, PRISM-E was funded by the Substance Abuse and Mental Health Services Administration (SAMHSA, the Veteran's Administration (VA), and Health Resources and Services Administration (HRSA)). The evaluation was designed to identify differences in a range of outcomes between models of mental health/substance abuse services outside the primary care setting and those providing such services within the primary care setting. The Coordinating Center provided leadership, administrative support, and technical expertise in the development and implementation of the multi-site protocol. The Coordinating Center also took the lead in designing and implementing the cost study as well as for collecting and analyzing clinical outcomes, process evaluation, and cost data.

These findings have been published in major journals. The PRISM-E study results have also been incorporated into the SAMHSA-funded Positive Aging Resource Center. In addition, Representative Patrick Kennedy of Rhode Island drew upon the results of the study and introduced the Positive Aging Act of 2005.