According to research complied by Mental Health America:
More than 2 million
older adults (65 years and older) are affected by depression.
Less than 3% of depressed older adults receive treatment from a mental health professional
Treatment for depression is 80% effective.
Older adults account for
13% of the population but account for 20% of all suicides.
Depressed older adults have roughly 50% more health care costs than non-depressed.
of older adults know little or almost nothing about depression.
Only 38% believe that depression is a "health" problem.
58% of older adults believe it is "normal" for people to get depressed as they age
Untreated depression can lead to increased risk for other serious medical conditions.
December 16, 2009
Older Adult Depression:
What you need to know
Senior Impact Program Outreach Worker/Case Manager
Depression: What is it?
Depression is a medical illness that strikes more than two million older adults every year, affecting mood, thoughts, activity, and physical health. The exact cause of depression is still being researched, but psychological, environmental, genetic, and biological causes seem to factor into the likelihood an individual will develop depressive symptoms.
Factors that may be prevalent in the life of an older adult and that can increase the chance of experiencing depressive symptoms include death of a loved one, loss of independence, move from family home, poor physical health, and/or other stressful life changes.
Symptoms of Depression
Individuals experience different symptoms of depression with different degrees of severity. Symptoms can cause both emotional and physical distress. The most common symptoms of depression are:
- Sad or empty feelings
- Loss of interest in pleasant activities
- Poor concentration
- Poor energy
- Feelings of worthlessness or guilt
- Sleeping too much or too little
- Appetite/weight change
- Anxiety or worrying more than usual
- Unexplained physical pain
- Difficulty thinking, remembering, or making decisions
- Feelings of loneliness
- Thoughts of suicide or self-harm
Misconceptions of Depression & Aging
Depression is not a normal part of aging. However, older adults do have additional conditions (physical health, more life stressors, and losses) that may increase the chance of depression. Even so, depression in older adults is treatable.
Treatment for Depression
There are a number of different treatments for depression. Medication (commonly an antidepressant) is believed to balance the chemicals in the brain that are thought to be one of the causes of depression. There are a variety of therapies that aid in the reduction of depression symptoms. Each of these two options alone show improvements, but research shows that the combination of medication and therapy is the best treatment for decreasing depressive symptoms.
The IMPACT approach
One model of depression treatment, known as the IMPACT model, provides evidence-based care to patients suffering from depression. The initial IMPACT study involved 1,801 depressed older adults from 18 clinics across the United States and
was shown to be twice as effective as standard mental health care for older adults.
Key components of the IMPACT model include:
- Collaborative care: Primary care physician, care manager and psychiatrist work together.
- Depression care manager: Educates the patient about depression, coaches the patient in behavioral responses, provides limited counseling, completes a relapse prevention plan.
- Designated psychiatrist: Consults on patients who do not respond as anticipated.
- Outcome measurement: Measuring patient's depressive symptoms before, during and after treatment.
- Stepped care: Treatment adjusted as patient responds to treatment; aim for 50% reduction in symptoms in 10-12 weeks.
Program offers free mental health servicesFor seniors in Marion and Johnson counties who are experiencing depression or anxiety, the Senior Impact
program can help. Federally funded by the Substance Abuse and Mental Health Services Administration (SAMHSA), Senior Impact provides a trained staff of mental health professionals, including a nurse practitioner, a social worker (MSW), and an outreach worker/case manager (B.S.).
To be eligible to receive services, persons must be:
Services provided by Senior Impact include:
- residents of Johnson or Marion County
- 60 years of age or older
- experiencing depression and related anxiety
- willing to receive treatment
To make a referral:
- In-home initial screening available
- Evidence-based mental healthcare for depression, anxiety, and social isolation using an advanced version of the IMPACT model
- Integrated primary and behavioral healthcare services in cooperation with Countyline Family Health Center and/or individual's current Primary Care Physician
- In-home assessment, case management, and support services from experienced and qualified mental health professionals
- Problem solving treatment that is short-term, effective, and researched-based
- Links provided for transportation services to and from clinic-based healthcare services
For more information on Senior Impact, which operates out of the Adult and Child Center, contact Stephanie Parsons at (317) 893-0239 or Karen Choate at (317) 893-0379.
- Call (317) 893-0440.
- A care staff team member will set up the in-home screening to assess if the individual is appropriate for the program.
- Individuals who are not appropriate will be referred to other services.
Indiana's largest mental health providers|
|Name||Contact Information||Area Served|
|Adult & Child Center||317-882-5122||Greater Indianapolis|
|Midtown Mental Health Center||317-630-8485||Greater Indianapolis|
|Gallahue Mental Health Center||317-621-5700||Greater Indianapolis|
|Center for Mental Health||765-649-8161||Madison County|
|Cornerstone Mental Health||765-662-3971||Blackford County|
||Bartholomew, Brown, Clark, Decatur, Fayette, Henry, Jackson, Jefferson, Jennings, Lawrence, Monroe, Morgan, Owen, Randolph, Rush & Wayne Counties|
Other mental health resources:
The Substance Abuse and Mental Health Services Administration treatment locator
National Alliance for the Mentally Ill
National Mental Health Association
National Institute of Mental Health
ICCA a big success!|
The second Indiana Collaborative Conference on Aging, held November 10-11 in Indianapolis, was a great success. Thanks to all who attended, either as a participant, sponsor or exhibitor.
Several presentations and handouts from the event are posted on the ICCA website
If you are interested in purchasing the documentary that was shown at the end of the first day, "When Did I Get Old: Reflections on Aging Today," click here.
Ask Medicare offers new help for caregivers
Ask Medicare, CMS's website for caregivers, is offering a new video and resource guide.
The video tells one family's story, and highlights programs and
resources that benefit and enhance a caregiver's well-being. In
addition, the video and resource guide provide links to services
available for caregivers and care recipients through the HHS
Administration on Aging, HHS Centers for Medicare & Medicaid
Services and other state and local programs. To view the video and
download the resource guide, click here.
Save the date
The Indiana Alzheimer Disease Center will host its 2010 Spring Symposia in Indianapolis on Friday, March 19
- Early Diagnosis and Biomarkers of Cognitive Disease. It will be followed on Saturday, March 20 by the 4th Annual Martin Family Caregiver Symposium - Ethical Issues in Alzheimer Disease. Visit the IADC website for more details to be published later.
Meeting at the Crossroads: Pioneer Network's 10th National Conference will be held in Indianapolis from August 9-11, 2010. Visit http://pioneernetwork.net/ to learn more about changing the culture of aging in the 21st century.
Grants to go for
ADA-Indiana, in conjunction with the Indiana Governor's Council for People with Disabilities, is offering $1,500 grants for 2010 Community ADA Implementation Projects. Proposals are due Thursday, December 31, 2009. The projects themselves must be completed by August 6, 2010.
Projects should show real, specific changes, not just raise awareness. Priority will be given to the following kinds of projects:
For more information, including how to apply, visit ADA-Indiana or contact email@example.com
or by phone at (812) 855-6508.
- Employment of people with disabilities
- Removal of physical barriers
- Improving access to businesses & local government programs and services
- Accessible transportation
Resolved to learn more in 2010?|
Check out the undergraduate and graduate programs in Aging Studies at the University of Indianapolis Center for Aging & Community. Some highlights:
For more information, visit cac.uindy.edu or contact
Tamara Wolske, Academic Program Director via e-mail or at (317) 791-5930.
- 12-credit hour undergraduate certificate in Aging Studies through UIndy's School of Adult Learning. Contact firstname.lastname@example.org for more information.
- 18-credit hour graduate certificate in Aging Studies and 36-credit hour master's of gerontology offered in a totally online format.
- Take up to two graduate courses as a guest student with enrolling in either the certificate or master's program.
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University of Indianapolis Center for Aging & Community
901 S. Shelby Street Indianapolis, IN 46203
(317) 791-5930 PHONE (317) 791-5945 FAX