Chapter

Depression in care homes

Briony Dow, Xiaoping Lin, Jean Tinney, Betty Haralambous and David Ames

in Mental Health and Care Homes

Published on behalf of Oxford University Press

Published in print May 2011 | ISBN: 9780199593637
Published online February 2013 | e-ISBN: 9780191754722 | DOI: http://dx.doi.org/10.1093/med/9780199593637.003.0015
Depression in care homes

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Despite increased detection and treatment of depression in recent years, depression remains a significant problem for older people living in care homes. Prevalence remains high and the few longitudinal studies that have been conducted show high persistence of depression over time. Care staff still lack knowledge and understanding of depression with many seeing depression as a normal phenomenon for older people. Depression is therefore often not detected or treated. This lack of detection and treatment may have serious consequences as depression does not often spontaneously remit in care home residents and is a significant risk factor for mortality. Detection is the first step in initiating assessment and treatment for depression. Further research is needed to investigate those treatment approaches that appear promising, particularly multifaceted and psychosocial approaches. There is also a need for more longitudinal studies to inform us about incidence, persistence, and outcomes of depression.

Chapter.  5793 words. 

Subjects: Psychiatry

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