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Treating depression in nursing homes: practice guidelines in the real world
Deborah Wagenaar1, Christopher C Colenda, Michelle Kreft
1Department of Psychiatry, Michigan State University, A231 E Fee Hall, East Lansing, MI 48824-1316, USA. banazak@msu.edu
The Journal of the American Osteopathic Association
|November 19, 2003
Summary
Depression is common in nursing home residents, impacting elderly adults significantly. This study clarifies guidelines for diagnosing and treating depression in this population to improve mental health services.
Area of Science:
- Geriatric Psychiatry
- Mental Health Services Research
Background:
- Depression is prevalent among nursing home residents, posing significant human and financial costs.
- Existing guidelines for diagnosing and treating depression in the elderly exist from various organizations.
Purpose of the Study:
- To review and clarify the importance and feasibility of depression care guidelines for the elderly in nursing homes.
- To inform healthcare providers on delivering effective mental health services for this demographic.
Main Methods:
- A Delphi survey was conducted in November 1999 with 10 prescreened panelists.
- Panelists reviewed and clarified "A" rated items from the 1993 US Agency for Health Care Policy and Research guidelines.
Main Results:
- The study gathered expert consensus on the importance and feasibility of depression care recommendations.
- Findings provide a basis for evaluating and enhancing mental health service delivery in nursing homes.
Conclusions:
- The research supports healthcare providers in assessing the practicality of implementing depression treatment guidelines for elderly nursing home residents.
- This work aims to optimize mental health care for a vulnerable elderly population.