Project ADAPT: a program to assess depression and provide proactive treatment in rural areas

The Gerontologist
Marilyn LuptakTeresa McCarthy

Abstract

We describe and evaluate a project designed to pilot test an evidence-based clinical intervention for assessing and treating depression in older adults in rural primary care clinics. Project ADAPT-Assuring Depression Assessment and Proactive Treatment-utilized existing primary care resources to overcome barriers to sustainability experienced by similar projects. This multifaceted intervention, which was structured after the successful IMPACT (Improving Mood/Promoting Access to Collaborative Treatment) research intervention, used on-site geriatric depression specialists, clinic staff training, team collaboration, and depression practice guidelines to improve depression care for rural elders. IMPACT screening and assessment instruments and treatment protocols were modified for use by less highly trained staff already employed by the rural primary care clinics. Patient and provider depression educational materials and depression screening and monitoring protocols were provided by means of regional training sessions and phone contact. Evaluation data were collected by mail and phone surveys. Although Project ADAPT materials and training were initially developed for providers in rural primary care clinics, most participants came fro...Continue Reading

References

Sep 13, 2000·Clinical Psychology Review·B Edelstein
Apr 11, 2002·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·J M Geller
Dec 11, 2002·JAMA : the Journal of the American Medical Association·Jürgen UnützerUNKNOWN IMPACT Investigators. Improving Mood-Promoting Access to Collaborative Treatment
Mar 5, 2004·JAMA : the Journal of the American Medical Association·Martha L BruceGeorge S Alexopoulos
Apr 8, 2004·JAMA : the Journal of the American Medical Association·Paul CiechanowskiJames LoGerfo
Jan 27, 2005·Annals of Family Medicine·Benjamin W Van VoorheesDaniel E Ford

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Citations

Jan 21, 2010·Diabetes Spectrum : a Publication of the American Diabetes Association·Mary de GrootFrank Schwartz

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