Introduction: The health service center for elderly is a public health center program for the elderly so they can be are ready to face old age independently and healthy. The objective of the research was to find out if there was a relationship between the use of health services centers for the elderly and attitudes, family support, the role of cadres, and access distance to health services for elderly people.Methods: The method used was quantitative with a cross-sectional design; the sample  contained 121 respondents, elderly people aged over 60 , the study time was 4 weeks. The instrument used was a questionnaire. The variables were elderly people’s attitudes, cadre roles, family support and the distance to the health service. The analysis was done using chi-square with a significant p-value (α <0,05).Results: The study obtained a significant relationship between the attitudes of the elderly p-value (0.001), family support p-value (0.00), the role of cadre p-value (0.00) and the use of the elderly health services center while the distance to the Integrated health center was not significantly related p-value (0.513).Conclusion: There is a relationship between the attitudes of the elderly, family support, the role of cadres to the use of elderly health services center while there is no relationship between the distance to access the health services center and the use of elderly.

<p><em>The independence of the elderly is caused by limited physical activity and a reduction in the role of the body which can no longer function fully as a result of requiring good physical health status and also support from the family. To find out the factors related to the independence of the elderly in the village of Tamilouw, Amahai District, Central Maluku Regency. This study uses a quantitative descriptive design, with a cross-sectional approach. A sample of 69 respondents was selected by purposive sampling technique. The research instrument used a questionnaire and the KATZ index to see the independence of the respondents. Data processing uses the chi-square test with a significance level (p- 0.05). This study identified the variables of physical health (p. value = 0.192), family emotional support (p. value = 0.041), family information support (p. value = 0.000), family instrumental support (p. value = 0.004) and appraisal support (p. value = 0.018). Physical health factors are not related to the level of independence of the elderly while factors of emotional support, information, instrumental, and family assessment are strongly related to the level of independence of the elderly.</em></p><p><em> </em></p>

Introduction: There are many non-pharmacological therapies in reducing symptoms of depression in older adult, one of which is music therapy. The aim of this article is to determine the effectiveness of the use of music therapy in reducing symptoms of depression in the elderly.Methods: A systematic approach was performed in this review using the PRISMA approach and journal sources from several databases including Scopus, ScienceDirect, SAGE, NCBI, CINAHL/EBSCO in the last 6 years from 2014 to 2019. Boolean operators were used within search process using AND and OR. The inclusion criteria are elderly aged ≥60 years with depression, either home or hospital treatment. Exclusion criteria are additional physical illness such as Diabetes Mellitus, CVA and other chronic diseases. Literature review, editorial, critical synthesis, and the like also become an exclusion criteria in this review.Results: Overall, the review consists of 13 articles with seven articles using RCT design, two quasi-experimental design, two pre-posttest design, and two exploratory design. In this review, several articles used an individual therapy and others a combination of music therapy with other activities such as singing, dancing and writing a lyric. Average time spent for a music therapy in elderly with depression was given from two weeks to six months, which may have been effective in making an impact. Every week had one or two sessions with a duration of30-60 minutes for every session.Conclusion: Music therapy is effective to reduce depression in the elderly.