Elderly Depression

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Elderly Depression

  1. 1. How to help elderly family members, friends and neighbors who may be depressed Nili Raquel Larish, MPH 2011
  2. 2. What is depression? <ul><li>Everybody feels sad sometimes. </li></ul><ul><li>_____ ______ ______ ______ ______ ______ ______ </li></ul><ul><li>Mon. Tues. Wed. Thurs. Fri. Sat. Sun. </li></ul><ul><li>But with depression, you feel sad a lot. </li></ul><ul><li>______ ______ ______ ______ ______ ______ ______ </li></ul><ul><li>Mon. Tues. Wed. Thurs. Fri. Sat. Sun. </li></ul>
  3. 3. What can cause depression in the elderly? <ul><li>Living alone </li></ul><ul><li>Losing a loved one </li></ul><ul><li>Living on less money </li></ul><ul><li>Disabling illness </li></ul><ul><li>Recent surgery </li></ul><ul><li>Use of some medicines </li></ul><ul><li>Other big life changes </li></ul>(Oslin, Datto, Kallan, Katz, Edell & Tenhave, 2002.)
  4. 4. How can you tell if someone is depressed? <ul><li>Elderly may not want to talk about it. </li></ul><ul><li>But if they are depressed, there are signs you should know: </li></ul><ul><li>emotional </li></ul><ul><li>physical </li></ul><ul><li>thinking problems </li></ul><ul><li>If 5 of the signs last for at least two weeks , </li></ul><ul><li>this may mean depression. </li></ul><ul><li>(American Psychiatric Association. 2002). </li></ul>
  5. 5. Signs of Depression <ul><li>Emotional: </li></ul><ul><ul><li>Feeling sad </li></ul></ul><ul><ul><li>Feeling stressed </li></ul></ul><ul><ul><li>Feeling guilty </li></ul></ul><ul><ul><li>Not wanting to do what they usually like </li></ul></ul><ul><ul><li>Crying </li></ul></ul><ul><ul><li>Moody </li></ul></ul><ul><ul><li>Wanting to be alone </li></ul></ul><ul><ul><li>Thinking about suicide </li></ul></ul>(Depression Alliance, 2008)
  6. 6. Signs of Depression <ul><li>Physical: </li></ul><ul><ul><li>Eating too much or too little </li></ul></ul><ul><ul><li>Gaining or losing weight </li></ul></ul><ul><ul><li>Sleeping too much or too little </li></ul></ul><ul><ul><li>Constipation </li></ul></ul><ul><ul><li>Feeling tired </li></ul></ul><ul><ul><li>Not wanting sex </li></ul></ul>(Depression Alliance, 2008)
  7. 7. Signs of Depression <ul><li>Thinking problems: </li></ul><ul><ul><li>Hard to focus and make decisions </li></ul></ul><ul><ul><li>Hard to remember things </li></ul></ul>(Depression Alliance, 2008)
  8. 8. How common is it? <ul><li>Depression affects almost 20% of Americans who are over the age of 65. </li></ul><ul><li>That’s almost 7 million people in the U.S. </li></ul><ul><li>In New York City, 430,000 people suffer from depression. </li></ul>(Ramos, n.d.)
  9. 9. How you can help <ul><li>Offer emotional support: </li></ul><ul><li>Spend time together </li></ul><ul><li>Make them feel loved and wanted </li></ul><ul><li>Ask them how they are doing </li></ul><ul><li>Encourage them to stay active and make friends </li></ul><ul><li>Not sure what to say? The Best Things To Say To Someone Who Is Depressed </li></ul>
  10. 10. How you can help <ul><li>Take them out! </li></ul><ul><li>There’s lots to do right in Washington Heights: </li></ul><ul><li>Weekly free jazz </li></ul><ul><li>fitness walks </li></ul><ul><li>walking tours </li></ul><ul><li>tai-chi </li></ul><ul><li>Want to know what’s going on in the neighborhood ? calendar of events. </li></ul>
  11. 11. How you can help <ul><li>S.T.A.R Senior Center </li></ul><ul><li>650 West 187th Street, New York, NY 10033. </li></ul><ul><li>Tel: 212-781-8331, web: http://starseniorcenter.org/home.html </li></ul><ul><li>Riverstone Senior Life Services </li></ul><ul><li>99 Fort Washington Avenue, New York, NY 10032. Tel: 212-927-5600, web: http://www.riverstonenyc.org/ </li></ul><ul><li>e-mail: [email_address] </li></ul><ul><li>Encourage them to join a neighborhood senior center: </li></ul>
  12. 12. How you can help <ul><li>ARC XVI Fort Washington Senior Center: </li></ul><ul><li>21 Wadsworth Avenue, New York, NY 10033. </li></ul><ul><li>Tel: 212-781-5700   </li></ul><ul><li>Free </li></ul><ul><li>Activities in English and Spanish </li></ul><ul><li>Health Services </li></ul><ul><li>Offers breakfast and lunch </li></ul><ul><li>ARC XVI Inwood Senior Center: </li></ul><ul><li>84 Vermilyea Avenue, New York, NY 10034. </li></ul><ul><li>Tel: 212-567-3200 </li></ul><ul><li>Free </li></ul><ul><li>Arts and crafts </li></ul><ul><li>Bingo, dominoes, pool </li></ul><ul><li>ESL classes </li></ul><ul><li>Yoga </li></ul><ul><li>Field Trips </li></ul><ul><li>More neighborhood senior centers: </li></ul>
  13. 13. How you can help <ul><li>Isabella Senior Resource Center: </li></ul><ul><li>4026 Broadway near 169th street </li></ul><ul><li>Open Tues., Wed. and Fri., 9:00 AM – 5:00 PM. </li></ul><ul><li>Tel: 212-342-9619 </li></ul><ul><li>Free </li></ul><ul><li>Has info on health Insurance, prescription insurance and Medicare and Medicaid counseling. </li></ul><ul><li>Links you to neighborhood resources . </li></ul><ul><li>Washington Heights/Inwood Council on Aging (WHICOA): </li></ul><ul><li>Tel: 212-781-5700, e-mail: [email_address] </li></ul><ul><li>Helps area seniors </li></ul><ul><li>Works to create programs </li></ul><ul><li>Meets monthly </li></ul><ul><li>Involves leaders from all the area senior centers. </li></ul><ul><li>Get more info or get involved: </li></ul>
  14. 14. How you can help <ul><li>- Talking to their doctor can help them feel better and get treatment. </li></ul><ul><li>- If they are not sure what to say to their doctor, help them with this </li></ul><ul><li>list of questions. </li></ul><ul><li>- Use this checklist to remind them what info to bring to the doctor’s visit. </li></ul><ul><li>Encourage them to talk to their doctor: </li></ul>
  15. 15. How you can help <ul><li>Mobile Crisis Service </li></ul><ul><li>Tel: 212-342-5797 </li></ul><ul><li>Get tested at home. </li></ul><ul><li>Medicaid and Medicare accepted, and nobody is turned away. </li></ul><ul><li>May take up to 5 days to make an appointment. </li></ul><ul><li>Follow-up appointment for treatment is made near home, and clients are taken to the appointment. </li></ul><ul><li>In English and Spanish. </li></ul><ul><li>Mental Health Outreach Program for Homebound Elderly </li></ul><ul><li>513 W 166 th , Tel: 212-342-5799 </li></ul><ul><li>Get care at home. </li></ul><ul><li>Testing and treatment </li></ul><ul><li>Must live above155 th St, be over the age of 60. </li></ul><ul><li>Help them arrange to get tested for depression at home: </li></ul>
  16. 16. How you can help <ul><li>Hispanic Treatment Program for Depression and Anxiety </li></ul><ul><li>1051 Riverside Drive, Room 3200, Unit 69. </li></ul><ul><li>Tel: 212-543-5367, Web: http ://www.nyspi.org </li></ul><ul><li>Free treatment/medication </li></ul><ul><li>Up to age 70 </li></ul><ul><li>For Hispanics only </li></ul><ul><li>Services offered in English and Spanish </li></ul><ul><li>Adult and Late Life Depression Research Center </li></ul><ul><li>1051 Riverside Drive, 1 st Floor, Rm 1501 Tel: 212-543-5825, 212-543-5067(Spanish) </li></ul><ul><li>Web: http://www.nyspi.org / </li></ul><ul><li>Free treatment </li></ul><ul><li>Must be at least 50 years old </li></ul><ul><li>Talk to them about getting free medicine through a study in the neighborhood: </li></ul>
  17. 17. Is there a quiz for depression in the elderly? <ul><li>Yes! It’s called the Geriatric Depression Scale, or GDS. </li></ul><ul><li>It has 15 questions, all answered with “yes” or “no”. </li></ul><ul><li>The quiz is on the next slide. </li></ul><ul><li>You can also pick up a copy of the quiz at the front desk, to take home with you or give to a loved one. </li></ul><ul><li>People over 65 should choose the best answers for how they felt this past week. </li></ul>
  18. 18. GDS Quiz <ul><li>Are you basically satisfied with your life? yes or NO </li></ul><ul><li>Have you dropped many of your activities and interests? YES or no </li></ul><ul><li>Do you feel that your life is empty? YES or no </li></ul><ul><li>Do you often get bored? YES or no </li></ul><ul><li>Are you in good spirits most of the time? yes or NO </li></ul><ul><li>Are you afraid that something bad is going to happen to you? YES or no </li></ul><ul><li>Do you feel happy most of the time? yes or NO </li></ul><ul><li>Do you often feel helpless? YES or no </li></ul><ul><li>Do you prefer to stay at home, rather than going out and doing new things? YES or no </li></ul><ul><li>Do you have more problems with memory than most? YES or no </li></ul><ul><li>Do you think it is wonderful to be alive now? yes or NO </li></ul><ul><li>Do you feel pretty worthless the way you are now? YES or no </li></ul><ul><li>Do you feel full of energy? yes or NO </li></ul><ul><li>Do you feel that your situation is hopeless? YES or no </li></ul><ul><li>Do you think that most people are better off than you are? YES or no </li></ul><ul><li>Over 5 answers in green may mean depression , over 10 almost always means depression. </li></ul>
  19. 19. References <ul><li>American Psychiatric Association. (2002). Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revised. Washington, DC., 356-419. </li></ul><ul><li>Depression Alliance. (2008). Impact of Depression on Daily Life. Retrieved from http://www.depressionalliance.org/PDF/inside-story-report.pdf </li></ul><ul><li>Oslin, D.W., Datto, C.J., Kallan, M.J. Katz, I.R., Edell, W.S. and Tenhave, T. (2002). Association between medical morbidity and treatment outcomes in late-life depression. Journal of American Geriatrics Society, 50, 823-828. </li></ul><ul><li>Ramos, S. (n.d.) General introduction to depression [PowerPoint slides.] Retrieved from http://www.nyc.gov/html/doh/html/dmh/dmh-depression-initiative.shtml </li></ul><ul><li>Sheikh, J.I., Yesavage, J.A.: Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. Clinical Gerontology : A Guide to Assessment and Intervention 165-173, NY: The Haworth Press, 1986. </li></ul>

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