This study aimed to establish the effectiveness of a structural approach to depression management in nursing homes in the Netherlands. A multidisciplinary care programme, Act in Case of Depression (AiD), was found to reduce the prevalence of depression in somatic units, but had no significant impact in dementia units. Adherence to depression assessment procedures was lower in dementia units than in somatic units.
This study concludes that a structural approach to management of depression in nursing homes, which includes assessment procedures, can reduce the prevalence of depression in somatic units; but improvements are needed in screening for depression in dementia units and in the implementation of nursing-home treatment protocols.
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Leontjevas, R. Gerritsen, DL. [and] Smalbrugge, M. [et al] (2013). A structural multidisciplinary approach to depression management in nursing-home residents: a multicentre, stepped-wedge cluster-randomised trial. Lancet, June 29th 2013, Vol.381(9885), pp.2255-64. (Click here to view the PubMed abstract).
Full Text Link (b) (Note: This article requires a suitable Athens password, a journal subscription or payment for access).
Stewart, R. (2013). Reducing depression in nursing homes: so little, so late. Lancet, June 29th 2013, Vol.381(9885), pp.2227-28. (Click here to view the PubMed record).