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Challenges associated with the recognition and treatment of depression in older recipients of home care services

Published online by Cambridge University Press:  12 February 2010

Liat Ayalon ,
Daniela Fialová ,
Patricia A. Areán  and
Graziano Onder
Liat Ayalon*
Affiliation:
Louis and Gabi Weisfeld School of Social Work, Bar Ilan University, Ramat Gan, Israel
Daniela Fialová
Affiliation:
Department of Geriatrics and Gerontology, First Faculty of Medicine and Department of Social and Clinical Pharmacy, Faculty of Pharmacy, Charles University in Prague, Czech Republic
Patricia A. Areán
Affiliation:
Langley Porter Psychiatric Hospital, University of California, San Francisco, U.S.A.
Graziano Onder
Affiliation:
Department of Gerontology, Geriatrics and Psychiatry, Catholic University of Sacred Heart, Roma, Italy
*
Correspondence should be addressed to: Liat Ayalon, Louis and Gabi Weisfeld School of Social Work, Bar Ilan University, Ramat Gan, Israel52900. Phone: + 972-3-531-79-10; Fax: +972-3-738-40-42. Email: ayalonl@mail.biu.ac.il.
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Abstract

Background: Home care for older adults is a common phenomenon worldwide because it allows older adults to remain in their home environment. Research has shown that depression is frequently found in older recipients of home care services. Nonetheless, it is often poorly recognized and treated. Untreated or poorly treated depression in older home care recipients has been associated with a variety of negative outcomes, including increased morbidity and mortality, greater likelihood of nursing home institutionalization and higher caregiver distress.

Methods: The present review outlines some of the challenges associated with appropriate recognition and treatment of depression in older home care recipients.

Results: Our review demonstrates that more aggressive management of depressive symptoms and the employment of an interdiciplinary team can result in beneficial outcomes.

Conclusions: Further research is needed, especially in the area of psychotherapeutic interventions as these should be flexible enough to meet the unique and evolving needs of this frail population of older adults.

Keywords

long-term careformal servicesmental illness
Type
Review Article
Information
International Psychogeriatrics , Volume 22 , Issue 4 , June 2010 , pp. 514 - 522
Copyright
Copyright © International Psychogeriatric Association 2010

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