Mind, Mood, Mobility: Supporting Independence Among Rural Older Adults at Risk for Functional Decline

Abstract

Rural communities need access to effective interventions that can prevent functional decline among a growing population of older adults. We describe the conceptual framework and rationale for a multicomponent intervention (“Mind, Mood, Mobility”) delivered by Area Agency on Aging staff for rural older adults at risk for functional decline due to early impairments in cognition, mood, or mobility. Our proposed model utilizes primary care to identify at-risk older adults, combines evidence-based interventions that address multiple risk factors simultaneously, and leverages a community-based aging services workforce for intervention delivery.

Compliance with CBT referral in nursing home residents diagnosed with depression: Results from a feasibility study

“…These barriers can be assumed to operate in an amplified way for older people living in nursing homes. Consequently, many authors have emphasized the need of integrating psychotherapy services in nursing homes, through salaried psychotherapists, in-house services, collaborative arrangements, interdisciplinary approaches, or collaborative care models [ [23] , [24] , [25] ].…”