TY - JOUR
KW - Aged
KW - Aged, 80 and over
KW - Case Management
KW - Community Mental Health Services/organization & administration
KW - Delivery of Health Care/organization & administration
KW - Depressive Disorder/therapy
KW - Disabled Persons/psychology
KW - Female
KW - Health Services for the Aged/organization & administration
KW - Humans
KW - Male
KW - Poverty
AU - P. A. Arean
AU - S. Mackin
AU - E. Vargas-Dwyer
AU - P. Raue
AU - J. A. Sirey
AU - D. Kanellopolos
AU - G. S. Alexopoulos
A1 - 
AB - BACKGROUND: The treatment of depression in low-income older adults who live in poverty is complicated by several factors. Poor access to resources, disability, and mild cognitive impairment are the main factors that moderate treatment effects in this population. Interventions that not only address the depressive syndrome but also manage social adversity are sorely needed to help this patient population recover from depression. METHODS: This paper is a literature review of correlates of depression in late life. In the review we propose a treatment model that combines case management (CM) to address social adversity with problem solving treatment (PST) to address the depressive syndrome. RESULTS: We present the case of Mr Z, an older gentleman living in poverty who is also depressed and physically disabled. In this case we illustrate how the combination of CM and PST can work together to ameliorate depression. CONCLUSIONS: The combination of age, disability, and social adversity complicates the management and treatment of depression. CM and PST are interventions that work synergistically to overcome depression and manage social problems.
BT - International journal of geriatric psychiatry
C5 - General Literature
CP - 8
CY - England
DO - 10.1002/gps.2556
IS - 8
JF - International journal of geriatric psychiatry
N2 - BACKGROUND: The treatment of depression in low-income older adults who live in poverty is complicated by several factors. Poor access to resources, disability, and mild cognitive impairment are the main factors that moderate treatment effects in this population. Interventions that not only address the depressive syndrome but also manage social adversity are sorely needed to help this patient population recover from depression. METHODS: This paper is a literature review of correlates of depression in late life. In the review we propose a treatment model that combines case management (CM) to address social adversity with problem solving treatment (PST) to address the depressive syndrome. RESULTS: We present the case of Mr Z, an older gentleman living in poverty who is also depressed and physically disabled. In this case we illustrate how the combination of CM and PST can work together to ameliorate depression. CONCLUSIONS: The combination of age, disability, and social adversity complicates the management and treatment of depression. CM and PST are interventions that work synergistically to overcome depression and manage social problems.
PB - John Wiley & Sons, Ltd
PP - England
PY - 2010
SN - 1099-1166; 0885-6230
SP - 765
EP - 769
EP - 
T1 - Treating depression in disabled, low-income elderly: a conceptual model and recommendations for care
T2 - International journal of geriatric psychiatry
TI - Treating depression in disabled, low-income elderly: a conceptual model and recommendations for care
U1 - General Literature
U2 - 20602424
U3 - 10.1002/gps.2556
VL - 25
VO - 1099-1166; 0885-6230
Y1 - 2010
ER -