01:16pm Wednesday 18 October 2017

Effective care for older people with depression

Under the £1.6 million CASPER project, the York Mental Health Research Group – a partnership between the University’s Department of Health Sciences and the Hull York Medical School – is examining the effectiveness of screening and psychological treatments for people aged over 75 with depression.

People sometimes see unhappiness and clinical depression as an inevitable consequence of growing old

Dr Dean McMillan

The treatments have been specially adapted to address social isolation and physical health problems common in older people and do not require hospital referral, with people remaining under the care of their general practitioner.

Depression is directly targeted by identifying older people with symptoms of depression and offering brief evidence-based psychological treatment delivered by York-trained psychological wellbeing practitioners over the telephone.

The five-year CASPER study is funded by the NHS Health Technology Assessment Programme and involves the York Mental Health Research Group, the York Trials Unit at the University of York and academics from the Universities of Leeds and Durham. 

Dr Dean McMillan from the University of York’s Department of Health Sciences and the Hull York Medical School helped design the treatment programme. He said: “Depression is very common in older people and often goes untreated. People sometimes see unhappiness and clinical depression as an inevitable consequence of growing old. This is unfortunate as in many cases effective treatments exist.

“In the CASPER project we have developed a treatment that can be offered over the phone which directly targets depression in older people.”

Dr Helen Lewis from the University’s Department of Health Sciences manages the trial. She said: “We have now trained therapists to deliver this intervention and we began recruiting participants to CASPER in June. People registered with GP practices in York have been the first to be offered the chance to participate in the trial.

“Later this year, the trial will be rolled out in Leeds and the North East as we need to recruit 450 people to test whether the treatment offers significant benefit in reducing depression symptoms and improving people’s quality of life.”

The Mental Health Research Group at York researches into common mental health problems such as depression, anxiety and obsessive compulsive disorder (OCD). It is directed by Professor Simon Gilbody, who is also leading the CASPER project.

He said: “These disorders are disabling and often go unrecognised and under-treated, particularly in older people. As a group we look into the causes, consequences and treatments for these conditions, focusing on brief psychological treatments which can be delivered over the telephone, via computer or in the GP surgery. This is one of several publicly-funded trials which we have been commissioned to undertake on behalf of the NHS into common mental health problems.

“We are keen to expand the range of psychological and social interventions offered in the NHS, but only if they are shown to be effective and good value for money. Therefore as part of any project we work very closely with colleagues at the University in the York Trials Unit and the Centre for Health Economics.” 

Notes to editors:

  • CASPER: Collaborative care and active surveillance for screen-positive elders with sub-clinical depression: a pilot study and definitive and randomised evaluation, has received funding from the NHS Health Technology Assessment programme for 2011 to 2015.
  • The York Mental Health Research Group was founded in 2005. It researches common mental health problems such as depression and anxiety and addresses the effectiveness, efficiency and equity of mental health services across the age span. 
  • The University of York’s Department of Health Sciences is a large, multidisciplinary Department with an international reputation for world-class research and high quality teaching. For further information visit www.york.ac.uk/healthsciences.
  • The Hull York Medical School is a partnership between the Universities of Hull and York and the NHS. For further information visit www.hyms.ac.uk.

Share on:
or:

MORE FROM Mental Health and Behavior

Health news