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

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What the Task Force Found

About The Systematic Review

The Task Force finding is based on evidence from a systematic review of 8 studies (search period 1967 - October 2005). The review was conducted on behalf of the Task Force by a team of specialists in systematic review methods, and experts in research, practice, and policy from the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine.

Context

There is no information for this section.

Summary of Results

For the three studies reporting response and remission rates, there was a 27–43% response rate in depression and a 36% remission rate.

 

Summary of Economic Evidence

One study of a program with 19-weeks of home visits for Problem Solving Therapy, follow-up phone calls with the psychiatrist, quality control of psychotherapy by trainer, and depression management team sessions reported cost data. The total mean cost per patient for this program was $630. This data does not factor in any cost savings from the intervention, such as reductions in health care utilization.

Applicability

The evidence may be applicable to communities in the United States and elsewhere, including diverse home settings (public housing, residential facilities, home care clients) and participants ranging in age, health status, gender race/ethnicity, education level, and living alone status.

Evidence Gaps

Not available because the Task Force finding is based on a previously published systematic review (Frederick et al., 2007). Please refer to the article for more information.

Study Characteristics

Not available because the Task Force finding is based on a previously published systematic review (Frederick et al., 2007). Please refer to the article for more information.

Publications