Depression and Older People

Towards Securing Well-being in Later Life

Mary Godfrey and Tracy Denby

Depression and Older People
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Mary Godfrey and Tracy Denby

Distributed for Policy Press at the University of Bristol

64 pages | 8 1/4 x 11 3/4 | © 2004
Paper $25.00 ISBN: 9781861346421 Published November 2004 For sale in North and South America only
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.

1. Later life with depression: nature and prevalence
    Depression and older people
2. The experience of depression
    User perspectives
    The experience of care giving
3. Risk and vulnerability
    A framework for understanding risk
    Background risk factors
    Protective vulnerability factors
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
5. Models of treatment and care in later-life depression
    Key issues
    Treating later-life depression
    Specialist mental health services for older people
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
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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