Social work care coordination for older adults with depressive symptoms

In order to expand the current literature regarding depressive symptoms for older adults, this researcher explored existing research, conducted an independent study, as well as discussed implications for the field of social work. This study aimed to enhance the understanding of the protective factors and risk factors for older adults with depressive symptoms and their implications for treatment. This study used a secondary data analysis approach of 90 older adults in Santa Clara County with fee-for-service Medicare. The results of this study demonstrated a strong positive correlation between total chronic conditions and higher depressive symptom scores, even when controlling for other health related and demographic factors. Among specific diagnoses, this study found higher depressive symptom scores for individuals with chronic obstructive pulmonary disease and diabetes. These findings support existing research showing that individuals diagnosed with co-morbid chronic disease have increased rates of depressive symptom scores. The level of assistance required to complete activities of daily living were also strongly positively correlated with depressive symptom scores. Further, fair or poor self-perceived health status was positively correlated with higher depressive symptom scores. These findings reflect a need for enhanced integration between medical providers and mental health providers.