Improving engagement in mental health treatment for home meal recipients with depression

Jo Anne Sirey, Alexandra Greenfield, Alyssa DePasquale, Nathalie Weiss, Patricia Marino, George S Alexopoulos, Martha L Bruce Department of Psychiatry, Weill Cornell Medical College, White Plains, NY, USA Background: Staff who provide support services to older adults are in a unique position to det...

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Autores principales:	Sirey JA, Greenfield A, DePasquale A, Weiss N, Marino P, Alexopoulos GS, Bruce ML
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	depression access to care mental health intervention engagement Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/98a45309d7764614b1a817c5676ca560
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spelling	oai:doaj.org-article:98a45309d7764614b1a817c5676ca5602021-12-02T08:55:24ZImproving engagement in mental health treatment for home meal recipients with depression1178-1998https://doaj.org/article/98a45309d7764614b1a817c5676ca5602013-09-01T00:00:00Zhttps://www.dovepress.com/improving-engagement-in-mental-health-treatment-for-home-meal-recipien-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Jo Anne Sirey, Alexandra Greenfield, Alyssa DePasquale, Nathalie Weiss, Patricia Marino, George S Alexopoulos, Martha L Bruce Department of Psychiatry, Weill Cornell Medical College, White Plains, NY, USA Background: Staff who provide support services to older adults are in a unique position to detect depression and offer a referral for mental health treatment. Yet integrating mental health screening and recommendations into aging services requires staff learn new skills to integrate mental health and overcome client barriers to accepting mental health referrals. This paper describes client rates of depression and a novel engagement intervention (Open Door) for homebound older adults who are eligible for home delivered meals and screened for depression by in-home aging service programs. Methods: Homebound older adults receiving meal service who endorsed depressive symptoms were interviewed to assess depression severity and rates of suicidal ideation. Open Door is a brief psychosocial intervention to improve engagement in mental health treatment by collaboratively addressing the individual level barriers to care. The intervention targets stigma, misconceptions about depression, and fears about treatment, and is designed to fit within the roles and responsibilities of aging service staff. Results: Among 137 meal recipients who had symptoms when screened for depression as part of routine home meal service assessments, half (51%) had Major Depressive Disorder and 13% met criteria for minor depression on the SCID. Suicidal ideation was reported by 29% of the sample, with the highest rates of suicidal ideation (47%) among the subgroup of individuals with Major Depressive Disorder. Conclusion: Individuals who endorse depressive symptoms during screening are likely to have clinically significant depression and need mental health treatment. The Open Door intervention offers a strategy to overcome barriers to mental health treatment engagement and to improve the odds of quality care for depression. Keywords: depression, access to care, mental health intervention, engagementSirey JAGreenfield ADePasquale AWeiss NMarino PAlexopoulos GSBruce MLDove Medical Pressarticledepressionaccess to caremental health interventionengagementGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 8, Pp 1305-1312 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	depression access to care mental health intervention engagement Geriatrics RC952-954.6
spellingShingle	depression access to care mental health intervention engagement Geriatrics RC952-954.6 Sirey JA Greenfield A DePasquale A Weiss N Marino P Alexopoulos GS Bruce ML Improving engagement in mental health treatment for home meal recipients with depression
description	Jo Anne Sirey, Alexandra Greenfield, Alyssa DePasquale, Nathalie Weiss, Patricia Marino, George S Alexopoulos, Martha L Bruce Department of Psychiatry, Weill Cornell Medical College, White Plains, NY, USA Background: Staff who provide support services to older adults are in a unique position to detect depression and offer a referral for mental health treatment. Yet integrating mental health screening and recommendations into aging services requires staff learn new skills to integrate mental health and overcome client barriers to accepting mental health referrals. This paper describes client rates of depression and a novel engagement intervention (Open Door) for homebound older adults who are eligible for home delivered meals and screened for depression by in-home aging service programs. Methods: Homebound older adults receiving meal service who endorsed depressive symptoms were interviewed to assess depression severity and rates of suicidal ideation. Open Door is a brief psychosocial intervention to improve engagement in mental health treatment by collaboratively addressing the individual level barriers to care. The intervention targets stigma, misconceptions about depression, and fears about treatment, and is designed to fit within the roles and responsibilities of aging service staff. Results: Among 137 meal recipients who had symptoms when screened for depression as part of routine home meal service assessments, half (51%) had Major Depressive Disorder and 13% met criteria for minor depression on the SCID. Suicidal ideation was reported by 29% of the sample, with the highest rates of suicidal ideation (47%) among the subgroup of individuals with Major Depressive Disorder. Conclusion: Individuals who endorse depressive symptoms during screening are likely to have clinically significant depression and need mental health treatment. The Open Door intervention offers a strategy to overcome barriers to mental health treatment engagement and to improve the odds of quality care for depression. Keywords: depression, access to care, mental health intervention, engagement
format	article
author	Sirey JA Greenfield A DePasquale A Weiss N Marino P Alexopoulos GS Bruce ML
author_facet	Sirey JA Greenfield A DePasquale A Weiss N Marino P Alexopoulos GS Bruce ML
author_sort	Sirey JA
title	Improving engagement in mental health treatment for home meal recipients with depression
title_short	Improving engagement in mental health treatment for home meal recipients with depression
title_full	Improving engagement in mental health treatment for home meal recipients with depression
title_fullStr	Improving engagement in mental health treatment for home meal recipients with depression
title_full_unstemmed	Improving engagement in mental health treatment for home meal recipients with depression
title_sort	improving engagement in mental health treatment for home meal recipients with depression
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/98a45309d7764614b1a817c5676ca560
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Improving engagement in mental health treatment for home meal recipients with depression

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