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Implementation and evaluation of a depression care model for homebound elderly
Rose Madden-Baer1, Eleanor McConnell, Robert J Rosati
1Visiting Nurse Service of New York, NY, USA. rose.madden-baer@vnsny.org
Journal of Nursing Care Quality
|July 25, 2012
Summary
A new depression care model for homebound elderly patients significantly reduced depression symptoms. This evidence-based approach is effective, feasible, and sustainable for home health agencies.
Area of Science:
- Geriatric medicine
- Public health
- Healthcare management
Background:
- Depression is prevalent and disabling in homebound elderly individuals, affecting 14% to 46% of this population.
- Home health agencies encounter substantial obstacles in providing effective depression care to this demographic.
Purpose of the Study:
- To develop and evaluate an evidence-based depression care model tailored for implementation within a home health agency setting.
Main Methods:
- An evidence-based depression care model was designed and implemented in a home health agency.
- Program evaluation data were collected over a twelve-month period.
Main Results:
- The implemented model resulted in a mean reduction of 2.99 points in depression scores, as measured by the Geriatric Depression Scale (P < .0001).
Conclusions:
- The study confirms that a clinically effective, operationally feasible, and financially sustainable depression care model can be successfully implemented in home health care settings.
- This model offers a viable solution for addressing depression in homebound elderly populations.
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