Anxiety & Depression Association of America

Leveraging Adult Protective Service Interaction to Offer Evidence-Based Treatment for Depression in Elder Neglect/Self Neglect

Purpose

The purpose of this study is to test the feasibility and acceptability of an evidence-based treatment for depression delivered over an ipad, computer, or smartphone can help Adult Protective Services (APS) clients with their activities of daily living to evaluate whether reductions on measures of depression and apathy (a) mediate reduced Elder Neglect/Self Neglect (EN/SN) behaviors; and (b) whether secondary posited mediating mechanisms are also active in impacting depression and apathy

Condition

Depression in Old Age

Eligibility

Eligible Ages: Over 65 Years
Eligible Sex: All
Accepts Healthy Volunteers: No

Inclusion Criteria

APS Case in APS Region VI- Must have open case - PHQ 9 score- Must have score of nine (9) or more

Exclusion Criteria

Previous mental health diagnosis of bipolar disorder, psychotic disorders, and moderate to severe dementia - Assessment of Consent Proxy- Those who need assessment of consent proxy - Suicidal Intent (as indexed by PhQ-9 question 9)- Those scoring 2 or 3 - Current Alcohol and Drug Dependency- As evidenced by Cut down, Annoyed, Guilty, and Eye-opener (CAGE) score of 3 or more

Study Design

Phase: N/A
Study Type: Interventional
Allocation: Randomized
Intervention Model: Parallel Assignment
Primary Purpose: Treatment
Masking: None (Open Label)

Arm Groups

Arm	Description	Assigned Intervention
Active Comparator APS Treatment as Usual		Behavioral: APS Treatment as Usual APS agencies conduct in-home investigations of alleged abuse and neglect against disabled and older adults. Investigations result in short-term stop-gap measures, primarily brief case-management centering on referral linkage to community-based services and provision of resource allocation. No direct psychological services or treatments are provided by APS, however referral to other services is also standard.
Experimental Intervention-Behavioral Activation (BA)		Behavioral: Intervention-Behavioral Activation (BA) Participants will be will be guided through 8 one-hour sessions via home telehealth by the study community health worker. Each weekly < 60 minute BA session will include modules focusing on 1) Psychoeducation for depression and techniques for self-management, including pharmacologic and psychosocial treatment options; 2) Introduction of BA and guided problem-solving techniques to enhance self efficacy for managing depression and other chronic illnesses; 3) BA and problem-solving techniques to support medication management and adherence strategies; 4) BA to develop strategies and techniques for communicating with health providers and/or support resources to foster positive mood and self management; and 5) Developing a relapse prevention plan, which includes identifying triggers for lower functioning, support resources, and practice of BA techniques.

Recruiting Locations

More Details

Status: Recruiting
Sponsor: The University of Texas Health Science Center, Houston

Study Contact

Leila Wood, PhD, MSSW
(713) 486-2700
Leila.G.Wood@uth.tmc.edu

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.