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The British Journal of Psychiatry (2005) 186: 404-409
© 2005 The Royal College of Psychiatrists

Care staff training in detection of depression in residential homes for the elderly

Randomised trial

A. M. H. Eisses, MSc and H. Kluiter, PhD

Department of Psychiatry, Medical Faculty, University of Groningen

K. Jongenelis, MD, A.M. Pot, PhD and A.T.F. Beekman, MD, PhD

EMGOInstitute, Free University Amsterdam

J. Ormel, PhD

Department of Psychiatry, Medical Faculty, University of Groningen, The Netherlands

Correspondence: Ms Anne-Marie Eisses, Victorialaan 7, 5261AE Vught, The Netherlands. Tel: +31 736577422; Fax: +31 503619722; e-mail: A.M.H.Eisses{at}med.rug.nl

Declaration of interest None. Funding detailed in Acknowledgements.

Background Many people with depression in residential care homes for the elderly do not receive treatment because their depression remains undetected.

Aims To determine the effects of staff training on the detection, treatment and outcome of depression in residents of ten homes.

Method We conducted a randomised controlled trialin ten residential homes. The intervention consisted of a training programme for staff and collaborative evaluation by staff and a mental health specialist of residents with possible depression.

Results Recognition of depression increased more in homes where staff received the training than in the control homes. Treatment rates also increased compared with control homes, but the increase was not significant. Residents with depressive symptoms had a more favourable course when staff had received training. Moreover, the prevalence of depressive symptoms decreased, but the decrease was not significant.

Conclusions Training of care staff resultsin the increased detection of depression in the elderly, a trend towards more treatment and better outcomes.




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