J Korean Acad Community Health Nurs.  2012 Dec;23(4):376-385. 10.12799/jkachn.2012.23.4.376.

Effects of Tailored Case Management using a Gatekeeper for the Depressed Single-household Elderly Population: Focusing on the Mental Health Case Management

• Choi YJ
• Won MR

• KMID: 2292781
• DOI: http://doi.org/10.12799/jkachn.2012.23.4.376

Abstract

PURPOSE
The aim of this study was to evaluate the effects of tailored case management using a gatekeeper on depression and life satisfaction in the single-household elderly population.
METHODS
The design of Quasi experiment was applied to compare the variables before and after the management. Ninety-seven people who had depression categorized by the Korean Geriatric Depression Scale.
RESULTS
Depression (t=11.22, p<.001) and life satisfaction (t=-5.36, p<.001) were improved after management in comparison to the results of pre-tests, and the differences were statistically significant. The difference in the pre-test and post-test scores of the support system (chi2=13.89, p<.001) were significant, while the differences in the perception of depression (chi2=.02, p=.891) and coping methods (chi2=.34, p=.558) were not statistically significant.
CONCLUSION
Tailored case management using a gatekeeper is effective to reduce the degree of depression and improve life satisfaction in the single-household elderly population having depression. This study offers a model of individualized as well as systemic mental health care for the community of single-house hold elderly people as an effective means for prevention of and early intervention in depression.

Keyword

Elderly; Gatekeeping; Case management; Depression; Satisfaction

MeSH Terms

Aged
Case Management
Depression
Early Intervention (Education)
Gatekeeping
Humans
Mental Health

Figure

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  Figure 1 A study on process.

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