TY - JOUR
T1 - How to help depressed older people living in residential care
T2 - A multifaceted shared-care intervention for late-life depression
AU - Llewellyn-Jones, Robert H.
AU - Baikie, Karen A.
AU - Castell, Sally
AU - Andrews, Carol L.
AU - Baikie, Anne
AU - Pond, C. Dimity
AU - Willcock, Simon M.
AU - Snowdon, John
AU - Tennant, Chris C.
PY - 2001
Y1 - 2001
N2 - Objective: To describe a population-based, multifaceted shared-care intervention for late-life depression in residential care as a new model of geriatric practice, to outline its development and implementation, and to describe the lessons learned during the implementation process. Setting: A large continuing-care retirement community in Sydney, Australia, providing three levels of care (independent living units, assisted-living complexes, and nursing homes). Participants: The intervention was implemented for the entire non-nursing home population (residents in independent and assisted living: N = 1,466) of the facility and their health care providers. Of the 1,036 residents who were eligible and agreed to be interviewed, 281 (27.1%) were classified as depressed according to the Geriatric Depression Scale. Intervention Description: The intervention included: (a) multidisciplinary collaboration between primary care physicians, facility health care providers, and the local psychogeriatric service; (b) training for primary care physicians and other facility health care providers about detecting and managing depression; and (c) depression-related health education/promotion programs for residents. Conclusions: The intervention was widely accepted by residents and their health care providers, and was sustained and enhanced by the facility after the completion of the study. It is possible to implement and sustain a multifaceted shared-care intervention for late-life depression in a residential care facility where local psychogeriatric services are scarce, staff-toresident ratios are low, and the needs of depressed residents are substantial.
AB - Objective: To describe a population-based, multifaceted shared-care intervention for late-life depression in residential care as a new model of geriatric practice, to outline its development and implementation, and to describe the lessons learned during the implementation process. Setting: A large continuing-care retirement community in Sydney, Australia, providing three levels of care (independent living units, assisted-living complexes, and nursing homes). Participants: The intervention was implemented for the entire non-nursing home population (residents in independent and assisted living: N = 1,466) of the facility and their health care providers. Of the 1,036 residents who were eligible and agreed to be interviewed, 281 (27.1%) were classified as depressed according to the Geriatric Depression Scale. Intervention Description: The intervention included: (a) multidisciplinary collaboration between primary care physicians, facility health care providers, and the local psychogeriatric service; (b) training for primary care physicians and other facility health care providers about detecting and managing depression; and (c) depression-related health education/promotion programs for residents. Conclusions: The intervention was widely accepted by residents and their health care providers, and was sustained and enhanced by the facility after the completion of the study. It is possible to implement and sustain a multifaceted shared-care intervention for late-life depression in a residential care facility where local psychogeriatric services are scarce, staff-toresident ratios are low, and the needs of depressed residents are substantial.
KW - Aged
KW - Aged, 80 and over
KW - Collaborative care
KW - Combined modality therapy
KW - Depression
KW - Depressive disorder
KW - Geriatric psychiatry
KW - Health services for the aged
KW - Homes for the aged
KW - Housing for the elderly
KW - Patient care team
KW - Primary health care
UR - http://www.scopus.com/inward/record.url?scp=0035735284&partnerID=8YFLogxK
U2 - 10.1017/S104161020100789X
DO - 10.1017/S104161020100789X
M3 - Article
C2 - 12003254
AN - SCOPUS:0035735284
VL - 13
SP - 477
EP - 492
JO - International Psychogeriatrics
JF - International Psychogeriatrics
SN - 1041-6102
IS - 4
ER -