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A training program to enhance recognition of depression in nursing homes, assisted living, and other long-term care
Robert C Abrams1, Mark Nathanson2, Stephanie Silver3,4
1a Departments of Psychiatry, and Geriatrics and Palliative Medicine, Weill Cornell Medical College , New York Presbyterian Hospital , New York , New York , USA.
Abstract:
Low levels of symptom recognition by staff have been "gateway" barriers to the management of depression in long-term care. The study aims were to refine a depression training program for front-line staff in long-term care and provide evaluative knowledge outcome data. Three primary training modules provide an overview of depression symptoms; a review of causes and situational and environmental contributing factors; and communication strategies, medications, and clinical treatment strategies. McNemar's chi-square tests and paired t-tests were used to examine change in knowledge. Data were analyzed for up to 143 staff members, the majority from nursing. Significant changes (p < .001) in knowledge were observed for all modules, with an average change of between 2 and 3 points. Evidence was provided that participants acquired desired information in the recognition, detection, and differential diagnosis and treatment strategies for those persons at significant risk for a depressive disorder.
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