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| Ranking |
Evidence-Based Practice |
| Description |
Home-based depression care management involves:
• Active screening for depression
• Measurement-based outcomes
• Trained depression care managers
• Case management
• Patient education, and a
• Supervising psychiatrist
An older adult is defined as 60 years of age or older, and depression outcomes include response rates (50% reduction in depression scores), remission (no longer meeting diagnostic criteria), and changes in depression scale scores.
The Community Preventive Services Task Force recommends depression care management at home for older adults with depression on the basis of strong evidence of effectiveness in improving short-term depression outcomes. |
| Results / Accomplishments |
Results of the Systematic Reviews:
For the three studies reporting response and remission rates, there was a 27-43% response rate in depression and a 36% remission rate.
The evidence may be applicable to communities in the United States and elsewhere, including diverse home settings (public housing, residential facilities, home care clients) and participants ranging in age, health status, gender race/ethnicity, education level, and living alone status.
One study of a program with 19-weeks of home visits for Problem Solving Therapy, follow-up phone calls with the psychiatrist, quality control of psychotherapy by trainer, and depression management team sessions reported cost data. The total mean cost per patient for this program was $630. This data does not factor in any cost savings from the intervention, such as reductions in health care utilization. |
| Categories |
Health / Mental Health & Mental Disorders
Health / Older Adults & Aging
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| Source |
Community Guide Branch Epidemiology and Analysis Program Office, Centers for Disease Control and Prevention |
| Location |
Country: USA |
| Primary Contact |
communityguide@cdc.gov
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| For more details |
http://www.thecommunityguide.org/index.html
http://www.thecommunityguide.org/mentalhealth/d...
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| Target Audience |
Elderly |
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