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Late-Life Mood Disorders and Home-Based Services and Interventions 

Late-Life Mood Disorders and Home-Based Services and Interventions
Chapter:
Late-Life Mood Disorders and Home-Based Services and Interventions
Author(s):

Kisha N. Bazelais

, Yolonda R. Pickett

, and Martha L. Bruce

DOI:
10.1093/med/9780199796816.003.0030
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date: 04 December 2020

Compared to ambulatory older adults, homebound seniors have exceptionally high rate of depression but poorer access to mental health care. In well defined homebound populations, the prevalence of major depression is generally estimates as 9%-13% with approximately 1/3 having significant depressives symptoms. Many depressed homebound seniors are prescribed antidepressants but symptoms persist more often than not. In-home psychotherapy, delivered face-to-face or by tele-technology, can be effective by addressing psychosocial problems such as disability, social isolation, and limited finances, that are common in the homebound. Successful service delivery models for depression include identification, treatment, and care management. The most feasible approach for implementing these models for homebound older adults is to integrate them into existing home-based care offered by the home health or aging services sectors.

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