Depression and the response of residential homes to physical health needs

Mann, A.H and Schneider, Justine and Mozley, Caroline and Levin, E. and Blizard, R. and Netten, Ann and Kharicha, K. and Egelstaff, R. and Abbey, Alison and Todd, C (2000) Depression and the response of residential homes to physical health needs. International Journal of Geriatric Psychiatry, 15 (12). pp. 1105-1112. ISSN 0885-6230. (The full text of this publication is not available from this repository)

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Abstract

Objective. To investigate the response of residential homes to four specific health problems of residents and the relationship between the quality of this response: and the prevalence of depression. Design and sample, Post hoc analysis of data collected for a cross-sectional survey of homes chosen to represent 'excellent' and 'standard' cart: resident sample sufficient to detect difference between 20% and 30% depression prevalence between two groups of homes (90% power, 5% significance). Three hundred and nine residents were assessed. Setting. Seventeen residential homes in different areas of England. Methods. Data were collected about aspects of the carl provided, including quality rating of care plans. Standard instruments were used to collect resident data by direct and informant interviews, including assessments of dementia, depression, dependency, medication and specific health problems. Results. Seventy-nine per cent of the sample were suffering from dementia: 40% of 194 residents who could be assessed for depression were depressed. OF residents assessed by research nurses. 72% had problems with mobility, 67% with stability. 40% with hearing and 46% with vision. Quality of response to these problems was variable. In a combined assessment of care plan quality and key worker awareness, 7% of homes' responses to these four problems in residents were rated as good. Seventeen per cent of depressed residents were so identified by their key workers. Good interventions by key workers were associated with less depression in residents. Discussion. The response of home staff and community health professionals to physical health needs in residential homes is variable and should be improved. This study suggests that improving this aspect of cure provision might reduce depression and thus improve quality of life.

Item Type: Article
Uncontrolled keywords: depression; elderly; residential homes; 'care plan'; immobility; instability; hearing; vision
Subjects: H Social Sciences > HM Sociology
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Personal Social Services Research Unit
Depositing User: O.O. Odanye
Date Deposited: 21 Mar 2009 03:29
Last Modified: 08 Apr 2014 11:12
Resource URI: http://kar.kent.ac.uk/id/eprint/16353 (The current URI for this page, for reference purposes)
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