Joel E. Streim
University of Pennsylvania · Rehabilitation Medicine
Active 1983–2025
About
Joel E. Streim, M.D., is a Professor and Chief of the Department of Psychiatry at the University of Pennsylvania's Perelman School of Medicine. He is a member of the Section on Geriatric Psychiatry and specializes in geriatric mental health. His educational background includes a B.A. in Philosophy from Haverford College (1973) and an M.D. from the University of Rochester (1978). Dr. Streim has contributed to the field through research on mental health care in aging populations, including the quality of diabetes care among veterans with serious mental illness, pharmacological treatment of depression in nursing home residents, and psychiatric services in long-term care. He has been involved in developing online mentoring resources, lectures, and policy statements related to geriatric psychiatry, with support from the NIMH. His work emphasizes improving mental health services and policy for elderly populations.
Research topics
- Medicine
- Gerontology
- Psychiatry
- Psychology
- Nursing
Selected publications
American Journal of Geriatric Psychiatry · 2025-07-15
article51. DEMOGRAPHIC AND CLINICAL PREDICTORS OF PARTICIPANT ENGAGEMENT IN SUSTAIN
American Journal of Geriatric Psychiatry · 2025-07-15
articleChapter 24. Clinical Psychiatry in the Nursing Home
American Psychiatric Association Publishing eBooks · 2022-08-09
book-chapterSenior authorNursing homes provide long-term care for elderly patients with chronic illness and disability as well as rehabilitation and convalescent care for individuals recovering from acute illness. As documented in previous reviews (Streim and Katz 2009), clinical studies have consistently provided evidence that the diagnosis, management, and treatment of mental disorders are important components of nursing home care. The delivery of mental health services in nursing homes continues to be shaped by several factors, including growing scientific knowledge, availability of new treatments, evolving federal regulations, measurement-based care, the public dissemination of quality measures, and changes in the medical marketplace. In this chapter, we review historical trends and current information on the psychiatric problems common in the nursing home, discuss current trends affecting clinical care, and present a conceptual model for the organization of mental health services in the nursing home setting.
American Journal of Geriatric Psychiatry · 2021-03-18 · 1 citations
articleSenior authorAmerican Journal of Geriatric Psychiatry · 2020-03-13 · 1 citations
articleSenior authorTELEPSYCHIATRY AND INNOVATIONS IN MENTAL HEALTH CARE DELIVERY IN NURSING HOMES
American Journal of Geriatric Psychiatry · 2020-03-13
articleInnovation in Aging · 2020-12-01
articleOpen accessSenior authorAbstract Treating pain in later life is complex, and there are significant safety risks associated with the use of analgesics, particularly opioids. This study examined preliminary results from a pilot study of a telephone-delivered collaborative care service designed for community-dwelling older adults with chronic pain receiving prescriptions for high doses of opioids (i.e., >120 mg morphine-equivalent dose). Eighty-two older adults referred by the Pennsylvania Department of Aging’s pharmaceutical assistance program for low-income seniors (PACE/PACENET) were eligible and enrolled in the program (i.e., the University of Pennsylvania/PACE Behavioral Health Laboratory). Patients were on average 73.5 (+/-6.1) years old, and the majority were white (91%) and female (70%). Patients completed a comprehensive baseline clinical assessment capturing their mental health, cognition, pain and functional status, as well as self-reported daily opioid dose and biopsychosocial needs. Patients were considered engaged in the program if they completed 2+ additional follow-up contacts with a care manager. During these contacts, care managers offered individualized treatment planning, with the goal of opioid dose reduction to safer levels. Of the 82 patients completing the baseline, 53 (65%) engaged in the program. At their last clinical contact, 91% of engaged patients achieved dose reductions (with 66% achieving dose reductions of >20% and 30% reporting doses <120 mg morphine-equivalent dose). Engaged patients also reported significant reductions in pain severity (p=0.05) and depressive symptoms (p=0.003) at the last contact relative to baseline. Findings support the feasibility of a community-based, collaborative care model for pain management and suggest the potential for positive treatment outcomes.
American Journal of Geriatric Psychiatry · 2020-03-13 · 13 citations
articleINNOVATIONS IN THE DELIVERY OF DEMENTIA CARE IN A RAPIDLY EVOLVING HEALTH CARE LANDSCAPE
American Journal of Geriatric Psychiatry · 2019-03-01
articleFOCUS The Journal of Lifelong Learning in Psychiatry · 2019-07-01 · 3 citations
reviewOpen access174:1086-1093).
Recent grants
NIH · $3.0M · 2009
NIH · $14.7M · 2002
NIH · $807k · 2000
Frequent coauthors
- 215 shared
David W. Oslin
University of Pennsylvania
- 146 shared
Debra Saliba
RAND Corporation
- 123 shared
Dawei Xie
- 112 shared
Suzanne DiFilippo
- 100 shared
Margaret G. Stineman
- 95 shared
Shahrzad Mavandadi
- 68 shared
Shinya Ishii
- 64 shared
Wenchun Qu
Mayo Clinic in Florida
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