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Centre for Policy on Ageing | |
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| Telephone-delivered cognitive-behavioral therapy for older, rural veterans with depression and anxiety in home-based primary care | | Author(s) | Terri L Barrera, Jeremy P Cummings, Maria Armento |
| Journal title | Clinical Gerontologist, vol 40, no 2, March-April 2017 |
| Publisher | Taylor and Francis, March-April 2017 |
| Pages | pp 114-123 |
| Source | http://www.tandfonline.com |
| Keywords | Depression ; Anxiety ; Armed Forces ; Psychiatric treatment ; Telephone ; Therapeutic services [domiciliary] ; General practice ; Rural areas ; Case studies ; United States of America. |
| Annotation | Rural housebound older adults are at increased risk for anxiety and depression, and they have limited access to mental health services. These individuals face many barriers to receiving evidence-based mental health treatment and would benefit from interventions that increase access to and efficiency of care. This study evaluated use of a telephone-delivered, modular, cognitive behavioural therapy (CBT) intervention for both late-life depression and anxiety delivered to rural, housebound Veterans. It presents three cases to illustrate the flexible adaptation of the intervention for use among older Veterans enrolled in home-based primary care, with varying symptom presentations and functional limitations. The Veterans received 7 to 9 sessions of the CBT intervention, with ordering of skill modules based on symptom presentation and determined collaboratively between patient and therapist. The three Veterans showed improvement in depression and/or anxiety symptoms following treatment and provided positive feedback regarding their experiences in this program. These results suggest that telephone-delivered CBT is acceptable to older adults, can be tailored to individual patient needs, and is a way of increasing access to mental health care to housebound individuals in rural areas. (RH). |
| Accession Number | CPA-171124207 A |
| Classmark | ENR: ENP: VMM: LP: UJ: N3: L5: RL: 69P: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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