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Depression in older adults: collaborative care model seems effective

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Heather Burroughs

Correspondence to: Heather Burroughs, Rusholme Academic Unit, Division of Primary Care, University of Manchester, Williamson Building, Oxford Road, Manchester M13 9PL, UK; heather.burroughs@manchester.ac.uk

QUESTION

Question:

Is a collaborative care model an effective approach for the management of depression in older people?

Patients:

105 males and females aged 60 years or older referred by their general practitioner (GP) or a district, community or practice nurse to the study. People were included if they scored 5 or more on the Geriatric Depression Scale and 24 or more on the Mini-Mental State Examination (MMSE).

Setting:

One primary care trust in Manchester; February 2004 to June 2005.

Intervention:

A 12-week collaborative care intervention, delivering education about depression, advice about antidepressants, provision of a self-help manual (self-help manual for anxiety and depression (SHADE)), and sign-posting to other services compared with usual care. The intervention involved six face-to-face sessions in the patient’s home and five sessions delivered via the telephone by a community …

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