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Implementation and Evaluation of a Depression Care Model for Homebound Elderly

Madden-Baer, Rose DNP, RN, MHSA, BC-PHCNS, CPHQ, CHCE, COS-C; McConnell, Eleanor PhD, RN, GCNS, BC; Rosati, Robert J. PhD; Rosenfeld, Peri PhD; Edison, Ilaina MBA, RN

doi: 10.1097/NCQ.0b013e318265702a

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 (

The authors declare no conflict of interest.

Accepted for publication June 20, 2012

Published online before print: July 20, 2012

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