Depression and Older People
Towards Securing Well-being in Later Life
Distributed for Policy Press at the University of Bristol
64 pages
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8 1/4 x 11 3/4
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© 2004
The literature on depression in old age has tended to be dominated by the medical model with its focus on symptoms and treatment. This report breaks new ground by adopting a psycho-social approach - one that explores depression in the context of the everyday lives of older people. Commissioned by Help the Aged, the report reviews the nature and scope of the evidence base around depression and older people; evaluates current policy and practice responses and identifies gaps in the evidence base and areas for further work. Depression and older people is invaluable reading for anyone involved in the management and delivery of services to older people, as well as academics, students and researchers in the field. It will also be of interest to older people themselves.
Contents
Acknowledgements
Preface
Preface
Introduction
Background
Approach
Structure
1. Later life with depression: nature and prevalence
Depression and older people
Prevalence
Summary
2. The experience of depression
User perspectives
The experience of care giving
Summary
3. Risk and vulnerability
A framework for understanding risk
Background risk factors
Stressors
Protective vulnerability factors
Summary
4. Accessing help from primary and community care
Key challenges
Primary care: getting through the gate
Accessing help
Barriers to access
Community and residential settings: problems of access, treatment and support
Summary
5. Models of treatment and care in later-life depression
Key issues
Treating later-life depression
Specialist mental health services for older people
Summary
6. Securing well-being in older age
Developing a strategy to secure well-being
Key elements in well-being
Addressing threats to well-being
Developing a preventative approach
7. Summary and conclusions
Nature and scale of later-life depression
The experience of the illness
Risk and vulnerability
Service delivery and practice
From treating depression to supporting well-being
Protective vulnerability factors
Summary
4. Accessing help from primary and community care
Key challenges
Primary care: getting through the gate
Accessing help
Barriers to access
Community and residential settings: problems of access, treatment and support
Summary
5. Models of treatment and care in later-life depression
Key issues
Treating later-life depression
Specialist mental health services for older people
Summary
6. Securing well-being in older age
Developing a strategy to secure well-being
Key elements in well-being
Addressing threats to well-being
Developing a preventative approach
7. Summary and conclusions
Nature and scale of later-life depression
The experience of the illness
Risk and vulnerability
Service delivery and practice
From treating depression to supporting well-being
References
Appendix A: Search strategy
Appendix B: Longitudinal studies on ageing
Appendix C: A framework of risk and protective factors in securing quality in ageing
Appendix A: Search strategy
Appendix B: Longitudinal studies on ageing
Appendix C: A framework of risk and protective factors in securing quality in ageing
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Sociology: Social Gerontology
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