title: Changes in Mood in New Enrollees at a Program of All-Inclusive Care for the Elderly.
abstract: OBJECTIVE
  To examine changes in mood after nine months of enrollment in a Program of All-Inclusive Care for the Elderly (PACE).
  
  
  METHODS
  Cohort study.
  
  
  METHODS
  Alexian Brothers PACE, St. Louis, Missouri.
  
  
  METHODS
  Newly enrolled patients 55 years of age and older, living in the PACE service area, eligible for nursing facility care and able to live safely in the community, with continuous care, for at least nine months (N = 182).
  
  
  METHODS
  Geriatric Depression Scale (GDS)-15 score at the pre-admission evaluation (PAE) and the nine-month evaluation (9ME).
  
  
  RESULTS
  Of the 182 patients evaluated, 27% (n = 49) met the definition of depression as defined by the GDS-15 score of ≥ 6 at the PAE. At the 9ME, only 11% of patients met the depression criteria (P < 0.001). Of the patients who met the criteria for depression at the PAE, 80% of patients (n = 39) no longer met these criteria at the 9ME (P = 0.029). Similar findings were observed by age, gender, and race. Greater improvement was observed among those who were depressed at the PAE; the depressed cohort improved by 5.0 points (P < 0.001) on the GDS-15 scale from the PAE to the 9ME, whereas the nondepressed cohort improved by 0.6 points (P = 0.003).
  
  
  CONCLUSIONS
  The use of PACE as an alternative intervention may be a good option to improve mood in older adults.
authors.affiliation: Department of Pharmacy Practice, St. Louis College of Pharmacy, St. Louis, Missouri, USA.
authors.forename: Scott Martin
authors.initials: SM
authors.lastname: Vouri
authors.forename: Stephanie M
authors.initials: SM
authors.lastname: Crist
authors.forename: Siobhan
authors.initials: S
authors.lastname: Sutcliffe
authors.forename: Shane
authors.initials: S
authors.lastname: Austin
mesh_terms: D000339:Affect; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D003153:Community Health Services / Q000458:organization & administration*; D003191:Comprehensive Health Care / Q000458:organization & administration*; D003863:Depression / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D006299:Health Services for the Aged / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008923:Missouri; D017063:Outcome Assessment, Health Care; D011569:Psychiatric Status Rating Scales; D012189:Retrospective Studies