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Depression care for the elderly: reducing barriers to evidence-based practice.

Kathleen Ell1

  • 1School of Social Work, University of Southern Califonia, Los Angeles, CA 90089-0411, USA. ell@usc.edu

Home Health Care Services Quarterly
|June 29, 2006
PubMed
Summary

This study reviews evidence on depression in older adults, covering its characteristics, effective interventions, and barriers to care. Implementing strategies to improve depression care for this population is strongly supported.

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Area of Science:

  • Geriatric psychiatry
  • Public health interventions
  • Health services research

Background:

  • Depression significantly impacts older adults' functional status, mortality, and healthcare costs.
  • Understanding the unique characteristics, risk factors, and illness course of depression in this demographic is crucial.

Purpose of the Study:

  • To provide an overview of key evidence regarding depression in older adults.
  • To identify effective interventions, barriers to care, and strategies for implementation.

Main Methods:

  • Literature review of five key bodies of evidence.
  • Synthesis of data on prevalence, risk factors, interventions, barriers, and implementation strategies.

Main Results:

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  • Established characteristics of late-life depression, including its impact on health and healthcare utilization.
  • Identified effective pharmacologic, psychotherapeutic, and care management interventions.
  • Outlined patient, provider, and system-level barriers to depression care.
  • Highlighted organizational and educational strategies to mitigate barriers.
  • Determined key factors for translating research into practice.

    • Conclusions:

    • There is substantial empirical evidence supporting the implementation of strategies to enhance depression care for older adults.
    • Addressing barriers and utilizing effective interventions are critical for improving outcomes in this population.