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Multiculturalism and Social Work | San Francisco State University

Mental health service utilization among frail, low-income elders: Perceptions of home service providers and elders in the community.

Author: Rogers, Anissa; Barusch, Amanda
Author Background:
Date 2000
Type Journal
Journal Title: Journal-of-Gerontological-Social-Work.
Volume/Pages Vol 34(2): 23-38
Subject Matter Aging, Depression, Community of Care, Research
Abstract Examined the extent to which service providers in a community-based care program accurately identified and referred elders with symptoms of depression. Interviews were conducted with 79 frail, low-income elders (aged 60-101 yrs) using the Center for Epidemiologic Studies Depression Scale (CES-D) to gauge depressive symptomatology. Reviews of their case files were then conducted to determine, first, the extent to which case managers recognized depressive symptoms and second, the extent to which respondents who screened with significant symptoms were referred for mental health services. Results suggest an imperfect association between CES-D scores and case managers' perceptions and referrals. Only 31% of those who screened for depression received counseling. Because the majority of participants in this study consisted of Caucasian women, caution is recommended in generalizing results of the study to ethnic minority or male elderly. Additional studies need to address issues of diversity to ascertain whether the findings apply to different groups of elderly. (PsycINFO Database Record (c) 2000 APA, all rights reserved)