Depression affects 14% to 46% of homebound elderly and is costly and disabling. Home health agencies face significant challenges delivering effective depression care. In response, an evidence-based depression care model was developed in a home health agency. Twelve-month program evaluation data demonstrated a 2.99 mean reduction in depression scores (P < .0001) on the Geriatric Depression Scale and confirmed that a clinically effective, operationally feasible, and financially sustainable depression care model can be implemented in home health care.
Visiting Nurse Service of New York, New York (Drs Madden-Baer, Rosati, and Rosenfeld and Ms Edison); and Gerontological Nursing Specialty, Duke University School of Nursing, Durham, North Carolina (Dr McConnell).
Correspondence: Rose Madden-Baer, DNP, RN, MHSA, BC-PHCNS, CPHQ, CHCE, COS-C, Behavioral Health, Assessment Services and Special Projects, Visiting Nurse Service of New York (VNSNY), New York, NY 10954 (firstname.lastname@example.org).
The authors declare no conflict of interest.
Accepted for publication June 20, 2012
Published online before print: July 20, 2012