Depression in Elderly Clients

According to the World Health Organization, depression is the fourth leading cause of morbidity and mortality worldwide, and it is expected to rise to the second leading cause by 2020 (WHO, 2012). Depression has been shown to increase morbidity, mortality, and healthcare costs while delaying recovery and contributing to poorer prognoses (Park & Unützer, 2011). The population over 65 is growing rapidly, and healthcare providers must learn to properly care for this group. Primary care providers are failing to screen and treat their elderly clients for depression. Glasser, Vogels, and Gravdal (2009) found that depression is discussed at only 7% of office visits with primary care providers. Kaplan, Adamek, and Martin (2001) found that 75% of elders who committed suicide had been seen by their primary care providers in the previous 30 days. This project focuses on depression in the elderly, which effects up to 23% of clients 65 and older. Depression is known to increase healthcare costs and utilization, adding to the already enormous financial burden this country faces. Suicide rates in the elderly are also very high, but depression screening is done infrequently. The purpose of this project is to educate providers on depression epidemiology, suicide rates, and healthcare costs. Primary care providers will be presented with validated screening tools and evidenced-based treatment options for use in their practice. An initial chart review of clients 65 and older reveled providers in the Intermountain Sunset Clinic are screening their older patients for depression at16.4% of visits. This information was presented along with rates on depression and suicide, healthcare costs, and morbidity during an educational session with providers. During this session, validated screening tools and evidenced based treatment options were reviewed. A second chart review six weeks after the educational session showed screening rates increased to 20.3% There is ample literature available for primary care providers to access on this topic. The gap comes in the lack of depression screening and treatment by providers. This project focused on increasing awareness of the frequency of depression in elders in providers who are in position to improve the lives of this population.