The issue of geriatric depression and the healthy ideas identifying depression empowering activities

Case-Manager Survey Of 12 case managers, 10 completed an anonymous written survey at their agency and mailed them to a designated evaluator 2 had departed from agency employment. In spite of evidence that certain drugs are generally not recommended for older patients, many are still being given the wrong antidepressants.

Table 4 summarizes the guidelines, actions, tools, and resources used within each component. Clinical trials have shown that mental health interventions are effective in treating depressive symptoms in older adults Bartels et al.

Twelve case managers delivered the intervention during the project period. HIDEAS components were incorporated into the routine case-management procedures and schedule of each participating agency and delivered in 10 steps through face-to-face visits in the clients' homes and telephone contacts.

Because the aim of HIDEAS is client self-management of depression, it is imperative that case managers understand and appreciate the value of a helping process that encourages building client self-efficacy to identify goals and take action. We created a column for each code identified, resulting in multiple codes for some responses.

Helping clients choose and follow through behavioral activation activities was also deemed a major challenge. Perhaps religious advisors can be enlisted to support a client's taking action to feel better.

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Facilitative Administrative Support HIDEAS was implemented through a community—academic partnership, with overall administrative coordination by Care for Elders, a partnership of public, private, and nonprofit organizations focused on elder-care issues in Houston, Texas. Of particular importance for effective group coaching was open and ongoing communications between agency supervisors and case managers.

We then had recorded contacts entered into a database to monitor and evaluate fidelity.

Healthy IDEAS (Identifying Depression, Empowering Activities for Seniors)

For example, clients unwilling to acknowledge depression might be willing to do something to help feelings of pain. PEARLS provides "house calls" to homebound elderly and connects people with existing community-based programs.

Case managementCommunity-based servicesElder depressionMental health intervention Untreated depression is a major public health concern, associated with impaired physical, mental, and social functioning U.

Care for Elders coordinated key activities: Themes identified in the focus group were analyzed for three areas: We recognize and thank Catholic Charities, Harris County Social Services, and Sheltering Arms Senior Services, whose steadfast commitment to the health and well-being of older adults has made this demonstration project possible.

These include certain drugs in the SSRI class selective serotonin reuptake inhibitors and one of the first drugs to come on the market nearly 50 years ago, amitriptyline Elavil.

In the specific disciplines of mental health and substance use, there have been similar warnings about serious workforce shortages, insufficient workforce diversity, and lack of basic competence and core knowledge in key areas. As Walter Borschel, L. Coaches also reported that some case managers had difficulty with differences in the helping process between behavioral activation and traditional case management the former emphasizing a client self-help approach and the latter tending to be task focused and more worker directed.

Despite everything, life is so much better. Another independent evaluator then reviewed and transferred the transcript to a spreadsheet for analysis, using the same analytic strategy Stockdale, used in analyzing the responses of the case managers' survey just described.

This shortage of providers with expertise in geriatric mental health care leads to delayed recognition and detection of mental illness among the elderly population.

Coaches reported that coaching was effective for developing case managers' skills and knowledge, as well as building confidence. This additional time, however, seems relatively reasonable, given that delivery of HIDEAS components was spread out over 10 or fewer steps over 3 months, and the fact that some contacts could be by telephone.

With high effectiveness and modest short-term side effects on memory, it is also often the safest treatment. At the technical level, they observed that some case managers had difficulty engaging in the client-directed approach involved in behavioral activation, in which clients select their own activities.

Helping older adults recognize their ability to take action to feel better is necessary for successful implementation of the intervention. Figure 1 summarizes the tracking records, illustrating delivery steps and rates as well as reasons for nondelivery at each step.

Depression increases the risk of death, not just from suicide, but also from other conditions. For patients who prefer non-drug treatment, several counseling interventions, such as cognitive behavioral therapy, interpersonal therapy or problem-solving treatment can be helpful when provided by a trained therapist.

We reviewed the responses and coded them for themes. HIDEAS uses a unique approach in delivering depression care in that the entire intervention is delivered, not by mental health professionals employed solely to perform the intervention, but by case managers in existing social-service agencies who may or may not have a prior mental health background.

Late-Life Depression: Coming Out of the Shadows

For one thing, the stakes are too high. Streamlining documentation requirements and integrating tracking activities into routine case-management record keeping have been recommended for future program implementation.

Helping older adults recognize their ability to take action to feel better is necessary for successful implementation of the intervention. From our evaluation with case managers and coaches, however, it was apparent that some case managers struggled with the client-directed selection of goals and activities of behavioral activation and took a more directive approach setting goals and activities for clients in a manner used when services are being ordered to meet an instrumental case-management need.

Hartford Foundation of New York City. The survey questionnaire asked case managers to rate six areas of program implementation: In response to open-ended survey questions, case managers listed challenges in helping clients engage in behavioral activation activities.

Case managementCommunity-based servicesElder depressionMental health intervention Untreated depression is a major public health concern, associated with impaired physical, mental, and social functioning U.

The HIDEAS model places additional time demands on case managers, and many repeatedly reported this to be a challenge.Healthy IDEAS (HIDEAS; IDEAS stands for Identifying Depression, Empowering Activities for Seniors) is an evidence-based depression program addressing commonly recognized barriers to mental health.

The Issue of Geriatric Depression and the Healthy IDEAS (Identifying Depression, Empowering Activities for Seniors) Program ( words, 3 pages) Depression is one of. Healthy IDEAS (Identifying Depression, Empowering Activities for Seniors) is a depression self-management program that includes screening and assessment, education, referral to appropriate health professionals and behavioral activation.

Healthy IDEAS (HIDEAS; IDEAS stands for Identifying Depression, Empowering Activities for Seniors), a demonstration project of the Administration on Aging Evidence-Based Disease Prevention Program, is a community-based depression program delivered through community agencies that offer a range of services for older adults.

Addressing Depression in Older Adults: Selected depression is a public health issue and can be effectively addressed through community-based programs.

The three programs presented here (described in Healthy IDEAS (Identifying Depression, Empowering Activities for Seniors). Healthy IDEAS (Identifying Depression, Empowering Activities for Seniors) serves older adults who also have chronic illnesses or functional limitations.

Rather than introducing a separate care manager, Healthy IDEAS works by embedding depression care in existing case management or caregiver support programs.

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The issue of geriatric depression and the healthy ideas identifying depression empowering activities
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