Effectiveness of home treatment for elderly people with depression: randomised controlled trial

• Published in: British journal of psychiatry 2010-12, Vol.197 (6), p.463-467
• Main Authors: Klug, Günter, Hermann, Gerhard, Fuchs-Nieder, Brigitte, Panzer, Manuela, Haider-Stipacek, Andrea, Zapotoczky, Hans Georg, Priebe, Stefan
• Format: Article
• Language: English
• Subjects: Activities of Daily Living; Aged; Ambulatory Care - economics; Austria; Cost analysis; Cost-Benefit Analysis; Dementia; Depressive Disorder, Major - economics; Depressive Disorder, Major - therapy; Female; Frailty; Geriatrics; Health Services for the Aged - economics; Health Services for the Aged - organization & administration; Home based treatment; Home Care Services; Hospitalization; Hospitalization - economics; Hospitalization - statistics & numerical data; Humans; Inpatient care; Intervention; Male; Mental depression; Mental disorders; Mental health care; Nursing care; Nursing homes; Nursing Homes - economics; Nursing Homes - statistics & numerical data; Older people; Outcome and Process Assessment (Health Care); Patient admissions; Patients; Population; Psychiatric Status Rating Scales; Psychiatric-mental health nursing; Psychiatrists; Psychiatry; Psychotherapy; Quality of Life
• ISSN: 0007-1250; 1472-1465
• DOI: 10.1192/bjp.bp.110.083121

There is little evidence available about what service models are effective in the treatment of elderly people with depression. To test the effectiveness of home treatment for elderly people with depression living independently. In a randomised controlled trial, 60 out-patients aged over 64 years with major depression were allocated to a home treatment model over a 1-year period or to conventional psychiatric out-patient care. The primary outcome was the level of depressive symptoms after 3 and 12 months. The secondary outcomes were global functioning, subjective quality of life (SQOL), admissions to nursing homes, duration of psychiatric hospital treatments and the cost of care. Individuals receiving home treatment had significantly fewer symptoms of depression, better global functioning and a higher SQOL at 3 months and at 12 months. Over 1 year they had fewer admissions to nursing homes, spent less time in psychiatric in-patient care and the cost of care was lower. Home treatment appears an effective and cost-effective service model for elderly people with depression.