Purpose: 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…

Investigated the efficacy of bibliotherapy with mildly to moderately depressed older adults (N=29). Observed significant treatment effects with cognitive bibliotherapy superior to the attention control on all measures. Suggests self-help programs may be a viable alternative or adjunct to meeting the mental health needs of the older adult.…

Examined efficacy of experimental program in which older adult workers (N=84) in senior companions or foster grandparent programs viewed a video program describing how mental health professionals can help people with various problems. Found members who had viewed program were more disposed to utilize mental health services than were control group…

Details a demonstration project which was developed to train older adult volunteers as mental health paraprofessionals for nursing homes. Discusses the effectiveness of the program for residents, as well as benefits to the staff. Includes details of recruitment, training and supervision of volunteers, services they provide, and problems…

Purpose: To promote health and maintain independence, Just for Us provides financially sustainable, in-home, integrated care to medically fragile, low-income seniors and disabled adults living in subsidized housing. Design and Methods: The program provides primary care, care management, and mental health services delivered in patient's homes by a…