An Embedded Model of Care to Address Depression in the In-Home Aged Care Setting

Area of Science:

• Gerontology
• Mental Health
• Healthcare Delivery

Background:

• Depression is prevalent in older Australians receiving home care, often under-recognized.
• Access to evidence-based psychological treatments for this demographic is limited.
• Existing home care services require enhanced mental health capabilities.

Purpose of the Study:

• Introduce the EMBED model of care.
• Improve detection, escalation, and management of depression in home care.
• Integrate mental health support into routine aged care delivery.

Main Methods:

• Developed an evidence-informed model for Australian home care.
• Incorporated clinical guidelines, research on late-life depression, and implementation evidence.
• Consulted with frontline staff, managers, leaders, and consumer representatives.

Main Results:

• The EMBED model includes workforce training, routine screening, structured assessment, and tailored psychological interventions.
• Interventions utilize lifestyle therapy and behavioral activation, stratified by symptom severity.
• The model is designed for responsiveness to preferences and feasibility within aged care.

Conclusions:

• The EMBED model addresses a critical gap in home care by embedding mental health support.
• Further research is needed to evaluate its effectiveness, cost-effectiveness, and implementation in Australia.
• The model aims to better support older Australians experiencing depression symptoms in home care settings.