Mental Health and Mental Illness: Interventions to Reduce Depression Among Older Adults Clinic-Based Depression Care Management
Summary of CPSTF Finding
The CPSTF has related findings for the following interventions to reduce depression among older adults:
- 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
An older adult is defined as 60 years of age or older.
CPSTF Finding and Rationale Statement
About The Systematic Review
Summary of Results
- 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.
Summary of Economic Evidence
Summary Evidence Table
Frederick JT, Steinman LE, Prohaska T, et al. Community-based treatment of late life depression an expert panel informed literature review. Am J Prev Med 2007;33(3):222 49.
Un tzer J, Katon W, Callahan CM, et al. Collaborative care management of late-life depression in the primary care setting: a randomized controlled trial. JAMA 2002;288:2836-45.
Considerations for Implementation
Healthy People 2030
Healthy People 2030 includes the following objectives related to this CPSTF recommendation.