Multifaceted shared care improves outcomes for elderly depressed people

Late life depression is a major public health problem, and there is evidence that few depressed elderly people living in residential care receive appropriate management. Little has been published on how psychogeriatric services can collaborate with general practitioners and other carers to address this problem. On p 676, Llewellyn-Jones et al describe a randomised controlled trial of an innovative population based, multifaceted shared care intervention for late life depression in residential care. The intervention was found to be significantly more effective than unsupplemented routine care, suggesting that such interventions should be further evaluated and more widely implemented.

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Relevant Article

Multifaceted shared care intervention for late life depression in residential care: randomised controlled trial • Commentary: Beyond the boundary for a randomised controlled trial?

Robert H Llewellyn-Jones, Karen A Baikie, Heather Smithers, Jasmine Cohen, John Snowdon, Chris C Tennant, Jonathan J Deeks, and Edmund Juszczak
BMJ 1999 319: 676-682. [Abstract] [Full Text] [PDF]