Home > Promising Practices > Mental Health and Mental Illness: Interventions to Reduce Depression Among Older Adults Clinic-Based Depression Care Management

Mental Health and Mental Illness: Interventions to Reduce Depression Among Older Adults Clinic-Based Depression Care Management

CDC

An Evidence-Based Practice

Description

Clinic-based depression care management involves:
-Active screening for depression
-Measurement-based outcomes
-Trained depression care managers providing case management, and
-Primary care provider and patient education, antidepressant treatment and/or psychotherapy, and a supervising psychiatrist

Impact

The Community Preventive Services Task Force (CPSTF) recommends depression care management in primary care clinics for older adults with major depression or chronic low levels of depression (dysthymia) on the basis of sufficient evidence of effectiveness in improving short-term depression outcomes.

Results / Accomplishments

Two studies evaluated the effect of clinic-based depression care management.

Unutzer et al (2002) reported a 45% response rate and a 25% remission rate for subjects with major depression or dysthymia.

Bruce et al (2004) found a 55% response rate and a 36% remission for subjects with major depression after a similar time period; no statistically significant improvement was found for subjects with minor depression.

About this Promising Practice

Primary Contact
The Community Guide
1600 Clifton Rd, NE
MS H21-8
Atlanta, GA 30329
(404) 498-1827
communityguide@cdc.gov
https://www.thecommunityguide.org/
Topics
Health / Mental Health & Mental Disorders
For more details
https://www.thecommunityguide.org/findings/mental-...

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  1. Mental Health and Mental Illness: Interventions to Reduce Depression Among Older Adults Home-Based Depression Care Management
  2. CDC COMMUNITY GUIDE: Interventions to Reduce Depression Among Older Adults: Clinic-Based Depression Care Management
  3. CDC COMMUNITY GUIDE: Interventions to Reduce Depression Among Older Adults: Home-Based Depression Care Management
  4. IMPACT
  5. Cognitive Behavioral Therapy for Late-Life Depression
  6. Blues Program (Cognitive Behavioral Group Depression Intervention)

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An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
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