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Improving engagement in mental health treatment for home meal recipients with depression

BACKGROUND: Staff who provide support services to older adults are in a unique position to detect depression and offer a referral for mental health treatment. Yet integrating mental health screening and recommendations into aging services requires staff learn new skills to integrate mental health an...

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Autores principales: Sirey, Jo Anne, Greenfield, Alexandra, DePasquale, Alyssa, Weiss, Nathalie, Marino, Patricia, Alexopoulos, George S, Bruce, Martha L
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3790871/
https://www.ncbi.nlm.nih.gov/pubmed/24101866
http://dx.doi.org/10.2147/CIA.S49154
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author Sirey, Jo Anne
Greenfield, Alexandra
DePasquale, Alyssa
Weiss, Nathalie
Marino, Patricia
Alexopoulos, George S
Bruce, Martha L
author_facet Sirey, Jo Anne
Greenfield, Alexandra
DePasquale, Alyssa
Weiss, Nathalie
Marino, Patricia
Alexopoulos, George S
Bruce, Martha L
author_sort Sirey, Jo Anne
collection PubMed
description BACKGROUND: Staff who provide support services to older adults are in a unique position to detect depression and offer a referral for mental health treatment. Yet integrating mental health screening and recommendations into aging services requires staff learn new skills to integrate mental health and overcome client barriers to accepting mental health referrals. This paper describes client rates of depression and a novel engagement intervention (Open Door) for homebound older adults who are eligible for home delivered meals and screened for depression by in-home aging service programs. METHODS: Homebound older adults receiving meal service who endorsed depressive symptoms were interviewed to assess depression severity and rates of suicidal ideation. Open Door is a brief psychosocial intervention to improve engagement in mental health treatment by collaboratively addressing the individual level barriers to care. The intervention targets stigma, misconceptions about depression, and fears about treatment, and is designed to fit within the roles and responsibilities of aging service staff. RESULTS: Among 137 meal recipients who had symptoms when screened for depression as part of routine home meal service assessments, half (51%) had Major Depressive Disorder and 13% met criteria for minor depression on the SCID. Suicidal ideation was reported by 29% of the sample, with the highest rates of suicidal ideation (47%) among the subgroup of individuals with Major Depressive Disorder. CONCLUSION: Individuals who endorse depressive symptoms during screening are likely to have clinically significant depression and need mental health treatment. The Open Door intervention offers a strategy to overcome barriers to mental health treatment engagement and to improve the odds of quality care for depression.
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spelling pubmed-37908712013-10-07 Improving engagement in mental health treatment for home meal recipients with depression Sirey, Jo Anne Greenfield, Alexandra DePasquale, Alyssa Weiss, Nathalie Marino, Patricia Alexopoulos, George S Bruce, Martha L Clin Interv Aging Original Research BACKGROUND: Staff who provide support services to older adults are in a unique position to detect depression and offer a referral for mental health treatment. Yet integrating mental health screening and recommendations into aging services requires staff learn new skills to integrate mental health and overcome client barriers to accepting mental health referrals. This paper describes client rates of depression and a novel engagement intervention (Open Door) for homebound older adults who are eligible for home delivered meals and screened for depression by in-home aging service programs. METHODS: Homebound older adults receiving meal service who endorsed depressive symptoms were interviewed to assess depression severity and rates of suicidal ideation. Open Door is a brief psychosocial intervention to improve engagement in mental health treatment by collaboratively addressing the individual level barriers to care. The intervention targets stigma, misconceptions about depression, and fears about treatment, and is designed to fit within the roles and responsibilities of aging service staff. RESULTS: Among 137 meal recipients who had symptoms when screened for depression as part of routine home meal service assessments, half (51%) had Major Depressive Disorder and 13% met criteria for minor depression on the SCID. Suicidal ideation was reported by 29% of the sample, with the highest rates of suicidal ideation (47%) among the subgroup of individuals with Major Depressive Disorder. CONCLUSION: Individuals who endorse depressive symptoms during screening are likely to have clinically significant depression and need mental health treatment. The Open Door intervention offers a strategy to overcome barriers to mental health treatment engagement and to improve the odds of quality care for depression. Dove Medical Press 2013 2013-09-27 /pmc/articles/PMC3790871/ /pubmed/24101866 http://dx.doi.org/10.2147/CIA.S49154 Text en © 2013 Sirey et al. This work is published by Dove Medical Press Ltd, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Sirey, Jo Anne
Greenfield, Alexandra
DePasquale, Alyssa
Weiss, Nathalie
Marino, Patricia
Alexopoulos, George S
Bruce, Martha L
Improving engagement in mental health treatment for home meal recipients with depression
title Improving engagement in mental health treatment for home meal recipients with depression
title_full Improving engagement in mental health treatment for home meal recipients with depression
title_fullStr Improving engagement in mental health treatment for home meal recipients with depression
title_full_unstemmed Improving engagement in mental health treatment for home meal recipients with depression
title_short Improving engagement in mental health treatment for home meal recipients with depression
title_sort improving engagement in mental health treatment for home meal recipients with depression
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3790871/
https://www.ncbi.nlm.nih.gov/pubmed/24101866
http://dx.doi.org/10.2147/CIA.S49154
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