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Designing a System of Case Management for a Rural Nursing Clinic for Elderly Patients With Depression

Stanton, Marietta P. PhD, RN, C, CNAA, BC, CMAC, CCM; Dunkin, Jeri W. PhD, RN, CHCE; Williams Thomas, L. Kathleen MS, FNP

doi: 10.1097/01.PCAMA.0000265342.57570.c7

This article provides an overview of the process and procedures used to develop and implement a system of case management for middle-aged and older depressed adults in a rural health nursing clinic. This system included on-site case management for elderly clients and telephonic follow-up by case managers on an ongoing basis.

Marietta P. Stanton, PhD, RN, C, CNAA, BC, CMAC, CCM, is a Professor of Nursing and Director of the Graduate Program at The University of Alabama, Capstone College of Nursing (CCN). The focus of the CCN master's program is on case management for rural populations. She is also an Emeritus faculty from the University of New York at Buffalo School of Nursing. She has published a number of articles in case management, patient and provider education, and nursing education. Dr Stanton is also a Colonel in the U.S. Army Nurse Corps and a past Senior Case Manager of the Southeast Regional Medical Command.

Jeri W. Dunkin, PhD, RN, CHCE, is a Professor and Saxon Endowed Chair for Rural Nursing, Capstone College of Nursing, The University of Alabama. She is also the Director/CEO of Capstone Rural Health Center, a nurse-managed FQHC look-alike, in Parrish, AL.

L. Kathleen Williams Thomas, MS, FNP, provided primary healthcare to patients as a nurse practitioner at Capstone Rural Health Center for several years. She completed a post-master's program in nursing case management at the University of Alabama Capstone College of Nursing in 2006. She is currently employed at Northwest Alabama Mental Health Center in Jasper.

Address correspondence to Marietta P. Stanton, PhD, RN, C, CNAA, BC, CMAC, CCM, Capstone College of Nursing, University at Alabama, Box 870358, Tuscaloosa, AL 35487 (

The authors have no conflict of interest.

© 2007 Wolters Kluwer Health | Lippincott Williams & Wilkins.