Case managers speak out: responding to depression in community long-term care.
OBJECTIVE
This study sought to understand how case managers in one publicly funded health and social service system, community long-term care, understand and address depression among their clients.


METHODS
Four focus groups with a total of 18 case managers were conducted. Case managers were asked a series of questions about their perspectives on the recognition and treatment of depression, including subthreshold depression, in community long-term care.


RESULTS
Case managers perceived addressing depression as complex because of competing demands. Furthermore, case managers perceived conflict between their current role and what it would take to expand their role to include addressing depression.


CONCLUSIONS
Case managers suggested that in order to successfully improve the detection and treatment of depression in community long-term care, systemic changes, such as increased support and training, may be necessary, along with a shift in the professional role of case managers.
Mandel School of Applied Social Sciences, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106-7164, USA. michelle.munson@case.edu
Michelle
M
Munson
Enola
E
Proctor
Nancy
N
Morrow-Howell
Nicole
N
Fedoravicius
Norma
N
Ware
D000368:Aged; D001291:Attitude of Health Personnel; D019090:Case Management; D003156:Community Mental Health Services; D015897:Comorbidity; D003695:Delivery of Health Care; D003866:Depressive Disorder / Q000453:epidemiology / Q000534:rehabilitation*; D017144:Focus Groups; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006302:Health Services Research; D006801:Humans; D008134:Long-Term Care; D010342:Patient Acceptance of Health Care; D011320:Primary Health Care; D012017:Referral and Consultation; D014481:United States