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The association between higher social support and lower depressive symptoms among aging services clients is attenuated at higher levels of functional impairment
- Authors:
- ORDEN Kimberly A. van, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 30(10), 2015, pp.1085-1092.
- Publisher:
- Wiley
Objective: Adults seeking services from the Aging Services Provider Network (ASPN) are at risk for depression. ASPN clients also have high prevalence of both functional impairments and social morbidities. Study of the relationships between these factors may inform the development of interventions for depression in this service setting. Methods: The study interviewed 373 older adults accessing ASPN services and assessed depression symptom severity, functional impairment (instrumental activities of daily living and activities of daily living), and social support. Results: Lower social support and greater functional impairment were associated with greater depressive symptoms. At a high level of functional impairment, the inverse associations between indices of social support and depressive symptoms were attenuated. Conclusions: Results suggest that older adults with more severe functional impairment may benefit somewhat less from increased social support with respect to depression symptom severity. (Edited publisher abstract)
Configuration of services used by depressed older adults
- Authors:
- CHOI S., MORROW-HOWELL N., PROCTOR E.
- Journal article citation:
- Aging and Mental Health, 10(3), May 2006, pp.240-249.
- Publisher:
- Taylor and Francis
As a more comprehensive service use measure, this study identifies service use configurations based on the use of 17 services. Factors associated with service use configurations are examined guided by the Andersen and Network Episode models. Self-report data at admission and at six-month follow-up were collected, along with information from medical charts among 140 older adults hospitalized for major depression. The data document service access and levels of use in three sectors of care (psychiatric, medical, and psychosocial services) and assess need, predisposing, enabling, and social network factors associated with use. Three distinct service use configurations were identified with cluster analysis: (1) home care users; (2) moderate users of outpatient mental health services; and (3) heavy users of all formal services. Rather than psychiatric needs, post-acute service use was related to: (1) concurrent physical conditions; (2) the availability of formal and informal services; and (3) financial stability. No difference in psychiatric outcomes was found by service use configuration. It is important to understand service use patterns as a measure of service use, given the co-occurring medical, psychiatric, and psychosocial conditions of older adults and corresponding needs in multiple sectors of care.
Bringing spirituality into care planning
- Author:
- BRANDON David
- Journal article citation:
- Working with Older People, 5(3), October 2001, pp.23-25.
- Publisher:
- Emerald
Research on depression and nursing suggests that the caring professions are losing a sense of meaning and fulfilment in their daily work. Looks at the importance spirituality as a way of making meaningful connections with service users.
A descriptive qualitative study of the roles of family members in older men's depression treatment from the perspectives of older men and primary care providers
- Authors:
- HINTON Ladson, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 30(5), 2015, pp.514-522.
- Publisher:
- Wiley
Objective: The aim of this study is to describe the roles of family members in older men's depression treatment from the perspectives of older men and primary care physicians (PCPs). Methods: Cross-sectional, descriptive qualitative study conducted from 2008–2011 in primary care clinics in an academic medical centre and a safety-net county teaching hospital in California's Central Valley. Participants in this study were the following: (1) 77 age ≥ 60, noninstitutionalised men with a 1-year history of clinical depression and/or depression treatment who were identified through screening in primary care clinics and (2) a convenience sample of 15 PCPs from the same recruitment sites. Semi-structured and in-depth qualitative interviews were conducted and audiotaped then transcribed and analysed thematically. Results: Treatment-promoting roles of family included providing an emotionally supportive home environment, promoting depression self-management and facilitating communication about depression during primary care visits. Treatment-impeding roles of family included triggering or worsening men's depression, hindering depression care during primary care visits, discouraging depression treatment and being unavailable to assist men with their depression care. Overall, more than 90% of the men and the PCPs described one or more treatment-promoting roles of family and over 75% of men and PCPs described one or more treatment-impeding roles of family. Conclusions: Families play important roles in older men's depression treatment with the potential to promote as well as impede care. Interventions and services need to carefully assess the ongoing roles and attitudes of family members and to tailor treatment approaches to build on the positive aspects and mitigate the negative aspects of family support. (Edited publisher abstract)
Mental disorder in an elderly home care population: associations with health and social service use
- Authors:
- BANERJEE Sube, MACDONALD Alastair
- Journal article citation:
- British Journal of Psychiatry, 168, June 1996, pp.750-756.
- Publisher:
- Cambridge University Press
Looks at the associations between mental disorder and health and social service use, demographics and activity limitation were two of the factors investigated. Results found that home care provision to those with depression was only partially explicable in terms of activity limitation. Concludes that there is a high level of depressive disorder in the elderly home care population and that depression may lead to increased service use independent of disability.
Do you see me?: recognising, understanding and caring for people with dementia, depression and delirium
- Author:
- LET'S RESPECT
- Publisher:
- Let's Respect
- Publication year:
- 2011
- Pagination:
- 130p.
- Place of publication:
- London
Aimed primarily at staff working in care homes who want to know about the mental health needs of older people in order to improve practice and standards of care, this guide is based on the journey of any person entering the care home world. It is designed to be used as a resource in induction of new staff, in staff supervision sessions, in group discussions and in training. The approach emphasises the importance of knowing the service user, their story and who they are. The guide covers the welcoming environment and aspects of design and layout, life story work and the benefits of life story for carers, health and wellbeing in later life including delirium, dementia and depression, everyday living and quality of life, rights, capacity and decision-making, death, dying and end of life care, and staff health and wellbeing at work. A list of useful resources is included.
Mental health nursing: an evidence-based approach
- Editors:
- NEWELL Rob, GOURNAY Kevin
- Publisher:
- Churchill Livingstone
- Publication year:
- 2000
- Pagination:
- 446p.,bibliogs.
- Place of publication:
- Edinburgh
Section one contains orienting material and looks at: the consumer of mental health care; the history of mental health nursing and psychiatry; government policy and the organisation of mental health care; general consultation skills; principles of assessment; and evaluation of mental health nursing. Section two looks at approaches to user problems and includes information on: Schizophrenia; mood disorders; suicide and self harm; phobias and rituals; hypochondraisis and inappropriate illness behaviour; eating disorders; anger and impulse control; post traumatic disorders; children and young people; and mental disorders of older people. Section three is on mental health initiatives and looks at: advocacy; self help; and alternatives to traditional mental health treatments.