Trial reportThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2016
Improving Mental Health Treatment Initiation among Depressed Community Dwelling Older Adults.
Trial report in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions to Increase Depression Treatment Initiation in Primary Care Patients: a Systematic Review.Journal of general internal medicine · 2018Pooled it
- An Embedded Model of Care to Address Depression in the In-Home Aged Care Setting.Australasian journal on ageing · 2026Article
- Barriers and Facilitators to Implementation of Mental Health Task Sharing Among Older Chinese Adults: A Qualitative Study.Administration and policy in mental health · 2025Article
- Improved outcomes for depressed elder abuse victims with video-delivered psychotherapy during COVID-19.Psychotherapy research : journal of the Society for Psychotherapy Research · 2025Article
- Suicide in late life: A viewpoint.Preventive medicine · 2021Article
- Religious coping and acceptability and outcome of short-term psychotherapeutic treatments for depression among low-income homebound older adults.Aging & mental health · 2021Article
- Community delivery of brief therapy for depressed older adults impacted by Hurricane Sandy.Translational behavioral medicine · 2020Article
- Psychosocial Suicide Prevention Interventions in the Elderly: A Mini-Review of the Literature.Frontiers in psychology · 2018Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
objectiveDepression screening has been widely implemented in community settings to increase detection of late-life depression. Rates of treatment initiation are low without additional structured follow-up, however. The current study evaluates the effectiveness of a brief psychosocial intervention, Open Door, designed to improve initiation of mental health treatment among clients of aging service meals programs.
designOlder adult social service clients with depressive symptoms were randomized to either the Open Door intervention or a Service Referral control condition. In Open Door, the counselor collaborates with the client to identify and address both attitudinal and structural barriers to seeking mental health treatment. Independent research assessments were conducted 12 and 24 weeks after baseline to document treatment initiation (at least one session).
resultsAt follow up, 64.6% (104 out of 161) of participants had initiated a provider visit. Participants in Open Door were more likely to initiate treatment compared with those in the control condition (χ(2) = 5.83, df = 2, p = 0.016). Among participants with at least mild depressive symptoms, Open Door remained significantly more effective than the control condition (p < 0.05). In multivariate analyses controlling for gender differences, both participation in the Open Door group and depression severity predicted treatment initiation (χ(2) = 15.18, df = 3, p = 0.002).
conclusionsHigh rates of depression have been documented among older adults receiving social services (case management or home meals). The Open Door program offers a useful strategy to overcome the barriers to treatment initiation while fitting within the responsibilities of aging service staff. The intervention can improve initiation of late-life depression care.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.