Healthy IDEAS: Implementation of a Depression Program Through Community-Based Case Management

Casado, Banghwa Lee; Quijano, Louise M.; Stanley, Melinda A.; Cully, Jeffrey A.; Steinberg, Esther H.; Wilson, Nancy

doi:10.1093/geront/48.6.828

Cited by 24 publications

(27 citation statements)

References 15 publications

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“…However, it is unclear whether peer educators or community health workers could provide BTB as knowledge and comfort with discussing mental health concerns, using motivational interviewing and behavioral activation techniques may require more training. An evaluation of a depression treatment with similar components as BTB implemented by care managers suggested that this group may be reluctant to use behavioral activation due to their lack of mental health training (Casado et al, 2008). …”

Section: Discussionmentioning

confidence: 99%

Mediators of the impact of a home-based intervention (beat the blues) on depressive symptoms among older African Americans.

Gitlin¹,

Roth²,

Huang³

2014

Psychology and Aging

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Older African Americans (N=208) with depressive symptoms were randomly assigned to a home-based nonpharmacologic intervention (Beat the Blues, BTB) or wait-list control group. BTB was delivered by licensed social workers and involved up to 10 home visits focused on care management, referral and linkage, depression knowledge and efficacy in symptom recognition, instruction in stress reduction techniques, and behavioral activation through identification of personal goals and action plans for achieving them. Structured interviews by assessors masked to study assignment were used to assess changes in depressive symptoms (main trial endpoint), behavioral activation, depression knowledge, formal care service utilization and anxiety (mediators) at baseline and 4-months. At 4-months, the intervention had a positive effect on depressive symptoms and all mediators except formal care service utilization. Structural equation models indicated that increased activation, enhanced depression knowledge, and decreased anxiety each independently mediated a significant proportion of the intervention’s impact on depressive symptoms as assessed with two different measures (PHQ-9 and CES-D). These three factors also jointly explained over 60% of the intervention’s total effect on both indicators of depressive symptoms. Our findings suggest that most of the impact of BTB on depressive symptoms is driven by enhancing activation or becoming active, reducing anxiety, and improving depression knowledge/efficacy. The intervention components appear to work in concert and may be mutually necessary for maximal benefits from treatment to occur. Implications for designing tailored interventions to address depressive symptoms among older African Americans are discussed.

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Section: Discussionmentioning

confidence: 99%

Mediators of the impact of a home-based intervention (beat the blues) on depressive symptoms among older African Americans.

Gitlin¹,

Roth²,

Huang³

2014

Psychology and Aging

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“…An important aspect of these efforts is for psychologists to understand the strengths and limitations of local community resources relative to their domains of practice, or the risk factors affecting the older adult group of concern. For example, if attempting to reduce isolation as a risk factor for depression, it might be pertinent to consider the availability of organized opportunities for older adult socialization and whether to increase these (Casado et al, 2012). Similarly, relative to fostering older adults' general sense of well-being, it might be useful to advocate for more health promotion activities designed to facilitate their participation in exercise, good nutrition, and healthy lifestyles (www.cdc.govaging).…”

Section: Intervention Consultation and Other Service Provisionmentioning

confidence: 99%

Guidelines for Psychological Practice with Older Adults.

2014

American Psychologist

160

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The Guidelines Revision Working Group is thankful to the APA Committee on Aging for convening the group and to Division 20 (Adult Development and Aging) and Division 12 Section II (Society of Clinical Geropsychology) and the APA Council of Representatives for providing financial support for the revision. APA Office on Aging Director Deborah DiGilio and Administrative Coordinator Martha Randolph provided outstanding administrative support.The literature cited herein does not reflect a systematic meta-analysis or review of the literature but rather was selected by the working group to emphasize clinical best practices. Care was taken to avoid endorsing specific products, tools, or proprietary approaches.These guidelines are scheduled to expire as APA policy in February 2023. After this date, users are encouraged to contact the Office on Aging, APA Public Interest Directorate to determine whether this document remains in effect.

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“…On a promising note, even though the model had limited sustainability, the sustained partnership provided the foundation for a larger state initiative around geriatric mental health care through a Substance Abuse and Mental Health Services Administration transformation grant. This initiative pursued an alternative adaptation of collaborative care for community-based social services for older adults that has demonstrated promise for both effectiveness and sustainability—Healthy IDEAS (Casado et al, 2008). Healthy IDEAS used a community-based coalition to adapt collaborative care and did not attempt to place a specialized depression care manager in a single provider system.…”

Section: Discussionmentioning

confidence: 99%

Adapting Collaborative Depression Care for Public Community Long-Term Care: Using Research–Practice Partnerships

Hasche

Lenze²,

Brown

et al. 2013

Adm Policy Ment Health

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Description This manuscript details potential benefits for using a research-practice partnership to adapt collaborative depression care for public community long-term care agencies serving older adults. We used sequential, multi-phase, and mixed methods approaches for documenting the process of adaptation within a case study. Systematic adaptation strategies are described, such as leveraging long-term research-practice collaborations, consulting with multiple stakeholders across all levels and disciplines, and balancing demands to monitor treatment fidelity, clinical outcomes, and implementation results. These examples demonstrate that researchers interested in implementation science need skills to negotiate the competing demands that arise from both the research and practice settings.

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Healthy IDEAS: Implementation of a Depression Program Through Community-Based Case Management

Abstract: Successful adoption and sustainability of HIDEAS are more likely when essential elements of the Core Implementation Component framework are addressed to bring about behavioral changes at all treatment-implementation levels-clients, practitioners, and organizations.

Cited by 24 publications

References 15 publications

Mediators of the impact of a home-based intervention (beat the blues) on depressive symptoms among older African Americans.

Mediators of the impact of a home-based intervention (beat the blues) on depressive symptoms among older African Americans.

Guidelines for Psychological Practice with Older Adults.

Adapting Collaborative Depression Care for Public Community Long-Term Care: Using Research–Practice Partnerships

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