title: Implementation and evaluation of a depression care model for homebound elderly.
abstract: Depression affects 14% to 46% of homebound elderly and is costly and disabling. Home health agencies face significant challenges delivering effective depression care. In response, an evidence-based depression care model was developed in a home health agency. Twelve-month program evaluation data demonstrated a 2.99 mean reduction in depression scores (P < .0001) on the Geriatric Depression Scale and confirmed that a clinically effective, operationally feasible, and financially sustainable depression care model can be implemented in home health care.
authors: Visiting Nurse Service of New York, NY, USA. rose.madden-baer@vnsny.org
authors: Rose
authors: R
authors: Madden-Baer
authors: Eleanor
authors: E
authors: McConnell
authors: Robert J
authors: RJ
authors: Rosati
authors: Peri
authors: P
authors: Rosenfeld
authors: Ilaina
authors: I
authors: Edison
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003152:Community Health Nursing / Q000458:organization & administration*; D003866:Depressive Disorder / Q000451:nursing*; D055318:Evidence-Based Nursing; D005260:Female; D018574:Home Care Agencies / Q000458:organization & administration*; D018577:Homebound Persons / Q000523:psychology*; D006801:Humans; D008297:Male; D016294:Models, Nursing; D015397:Program Evaluation; D011568:Psychiatric Nursing / Q000458:organization & administration*; D012189:Retrospective Studies