Barriers to the Recognition of Geriatric Depression in Residential Care Facilities in Alberta

Azulai, Anna; Hall, Barry

doi:10.1080/01612840.2020.1742258

Cited by 5 publications

(6 citation statements)

References 57 publications

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“…Routine follow-up screening for depression in RC/AL may promote early detection and appropriate intervention for high-risk residents (Pachana et al, 2010). However, routine screening is rarely implemented using evidence-based practices due to barriers, such as limited time, discomfort, or lack of staff training (Azulai & Hall, 2020). Computer adaptive testing may offer a solution to these barriers by using procedures designed to minimize burden on participants and staff (i.e., brief, individually tailored depression assessments conducted online; Gibbons et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

“…In the current nationally representative sample, 29% of RC/AL residents had a documented depression diagnosis. It is possible that this number might even be an under-estimate, as depression is often under-diagnosed in RC/ALs (Azulai & Hall, 2020; Davison et al, 2007; Rosenblatt et al, 2004). Routine follow-up screening for depression in RC/AL may promote early detection and appropriate intervention for high-risk residents (Pachana et al, 2010).…”

Section: Discussionmentioning

confidence: 99%

“…Despite its prevalence and impact, fewer than half of RC/AL residents with depression receive a formal diagnosis or adequate treatment (Davison et al, 2007; Hoben et al, 2019; Rosenblatt et al, 2004). Multiple factors contribute to this disparity, including inconsistent screening, poor recognition of depressive symptoms by staff, and resident discomfort disclosing symptoms (Azulai & Hall, 2020; Davison et al, 2009).…”

Section: Literature Reviewmentioning

confidence: 99%

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Depression within the First Year of Relocation to Residential Care/Assisted Living: Where You Come From Matters

Plys

Levy

2022

J Appl Gerontol

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Depression is common within the first year of relocation to residential care/assisted living (RC/AL). Yet, few studies investigate the relationship between depression and relocation factors that might help identify at-risk residents, such as previous location. This study analyzed cross-sectional resident data ( n = 2651) from the National Survey of Residential Care Facilities to test: (1) group differences between residents relocating from acute/post-acute facilities (e.g., hospital, rehabilitation facility) and community-based residences, and (2) the relationship between previous location and depression within the first year of relocation. The 921 (35%) residents relocating directly from acute/post-acute facilities were more likely to have depression ( p < .001) and poorer outcomes on select health and psychosocial variables. After controlling for covariates, relocating directly from an acute/post-acute facility significantly related to depression (OR = 1.22). Findings highlight opportunities to improve routine screening and transitional care for this subpopulation of RC/AL residents at heightened risk for depression.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

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Depression within the First Year of Relocation to Residential Care/Assisted Living: Where You Come From Matters

Plys

Levy

2022

J Appl Gerontol

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“…Findings from this study support the importance of screening that is universal, routine, and frequent enough to allow for prevention and early detection of geriatric depression. Although quarterly routine assessment for depression has been mandated in LTC facilities in Alberta through the RAI-MDS 2.0 (Azulai, 2016; Azulai & Walsh, 2015), evaluating whether quarterly frequency is indeed sufficient for the timely detection of geriatric depression may be necessary due to the long-standing prevalence of this mental health condition in these care settings. Moreover, residents of DSL settings are at a disadvantage in comparison to those in LTC because in DSL routine screening is completed only annually.…”

Section: Discussionmentioning

confidence: 99%

How Do Regulated Nurse Professionals in Alberta Assess Geriatric Depression in Residential Care Facilities?

Azulai

Walsh

2019

Can. J. Aging

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RÉSUMÉBien que la dépression gériatrique soit un problème de santé mentale répandu, grave et sous-évalué dans les établissements de soins pour personnes âgées, peu de recherches ont été réalisées sur ce thème au Canada. Cette étude exploratoire à méthodes mixtes examine les perspectives et les pratiques du personnel infirmier réglementé en matière d’évaluation de la dépression gériatrique dans les établissements de soins en Alberta. Les résultats d’enquêtes quantitatives (n = 635) et d’entrevues qualitatives (n = 14) indiquent que la dépression gériatrique n’est pas systématiquement évaluée dans ces milieux de soins en raison de multiples défis, incluant un protocole d’évaluation manquant de clarté, l’utilisation non uniforme de méthodes d’évaluation dans les établissements et leur utilité clinique contestée, la disponibilité limitée des professionnels en santé mentale dans ces établissements et les opinions divergentes concernant la responsabilité du personnel infirmier professionnel dans l’évaluation de la dépression. Les implications et les orientations futures de la recherche sont discutées.

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“…According to population projections, the proportion of the elderly population suffering from severe depression will increase to 8.2% by 2050 [ 3 ]. The low recognition of depression is associated with high morbidity and mortality in the elderly population [ 4 ]. Depression is one of the most significant causes of emotional suffering in late life and may also be a contributing factor to the morbidity of many medical disorders [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

The sociodemographic characteristics and clinical features of the late-life depression patients: results from the Beijing Anding Hospital mental health big data platform

et al. 2022

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Background The sociodemographic characteristics and clinical features of the Late-life depression (LLD) patients in psychiatric hospitals have not been thoroughly studied in China. This study aimed to explore the psychiatric outpatient attendance of LLD patients at a psychiatric hospital in China, with a subgroup analysis, such as with or without anxiety, gender differences. Methods This retrospective study examined outpatients with LLD from January 2013 to August 2019 using data in the Observational Medical Outcomes Partnership Common Data Model (OMOP-CDM) in Beijing Anding Hospital. Age, sex, number of visits, use of drugs and comorbid conditions were extracted from medical records. Results In a sample of 47,334 unipolar depression patients, 31,854 (67.30%) were women, and 15,480 (32.70%) were men. The main comorbidities of LDD are generalized anxiety disorder (GAD) (83.62%) and insomnia (74.52%).Among patients with unipolar depression, of which benzodiazepines accounted for the largest proportion (77.77%), Selective serotonin reuptake inhibitors (SSRIs) accounted for 59.00%, a noradrenergic and specific serotonergic antidepressant (NaSSAs) accounted for 36.20%. The average cost of each visit was approximately 646.27 yuan, and the cost of each visit was primarily attributed to Western medicine (22.97%) and Chinese herbal medicine (19.38%). For the cost of outpatient visits, depression comorbid anxiety group had a higher average cost than the non-anxiety group (p < 0.05). There are gender differences in outpatient costs, men spend more than women, for western medicine, men spend more than women, for Chinese herbal medicine, women spend more than men (all p < 0.05). The utilization rate of SSRIs and benzodiazepines in female patients is significantly higher than that in male patients (p < 0.05). Conclusion LLD patients are more commonly women than men and more commonly used SSRIs and NaSSAs. Elderly patients with depression often have comorbid generalized anxiety. LLD patients spend most of their visits on medicines, and while the examination costs are lower.

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Barriers to the Recognition of Geriatric Depression in Residential Care Facilities in Alberta

Cited by 5 publications

References 57 publications

Depression within the First Year of Relocation to Residential Care/Assisted Living: Where You Come From Matters

Depression within the First Year of Relocation to Residential Care/Assisted Living: Where You Come From Matters

How Do Regulated Nurse Professionals in Alberta Assess Geriatric Depression in Residential Care Facilities?

The sociodemographic characteristics and clinical features of the late-life depression patients: results from the Beijing Anding Hospital mental health big data platform

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