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Related Experiment Video

Updated: Feb 7, 2026

A New Method for Inducing a Depression-Like Behavior in Rats

A New Method for Inducing a Depression-Like Behavior in Rats

Published on: February 22, 2018

Depression and Coleman Care Transitions Intervention.

Harriet Aronow¹, Susan Fila², Bibiana Martinez¹

¹a Department of Nursing Research , Cedars-Sinai Medical Center , Los Angeles , USA.

Social Work in Health Care

|July 18, 2018

Summary

The Coleman Care Transitions Intervention (CTI) was adapted for older adults with depression. Coaches played a more directive role, leading to similar 30-day hospital readmission rates for those with and without depression.

Keywords:

Care transitions Coleman Care Transitions Intervention cognitive behavior intervention depression hospital social work

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Area of Science:

Gerontology
Health Services Research
Psychiatry

Background:

The Coleman Care Transitions Intervention (CTI) is a patient activation model.
Depression can impede patient activation and complicate care transitions.
Older adults are a vulnerable population for both depression and hospital readmissions.

Purpose of the Study:

To investigate if CTI coaches modified the intervention for older adults screening positive for depression.
To determine if adapted CTI impacts 30-day hospital readmission rates in this population.

Main Methods:

Analysis of over 4,500 clients in a Centers for Medicare and Medicaid Services demonstration.
Utilized the PHQ-9 screening tool to identify depression (score ≥ 9).
Compared readmission rates between clients who screened positive for depression and those who did not.

Main Results:

Approximately one in five clients screened positive for depression.
CTI coaches adapted their approach, adopting a more directive role for clients with depression.
This adaptation resulted in comparable 30-day readmission rates for clients with and without depression.

Conclusions:

The CTI can be effectively modified to address the needs of older adults with depression.
Adapted CTI may mitigate the negative impact of depression on care transitions.
This approach challenges the assumption of universally higher readmission rates for patients with depression.