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

Yun-Jung Choi; Mi-Ra Won

doi:10.12799/jkachn.2012.23.4.376

Journal List > J Korean Acad Community Health Nurs > v.23(4) > 1058276

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

Original Article

Journal of Korean Academy of Community Health Nursing

Journal of Korean Academy of Community Health Nursing 2012; 23(4): 376-385.

Published online: 31 December 2012

DOI: https://doi.org/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-

Yun-Jung Choi¹, Mi-Ra Won²

¹Red Cross College of Nursing, Chung-Ang University, Seoul, Korea.

²Department of Nursing, Daewon University, Jecheon, Korea.

Corresponding author: Won, Mi-Ra. Department of Nursing, Daewon University, 274 Daehak-ro, Jecheon 390-702, Korea. Tel: +82-10-9095-1247, happysgmr@paran.com

Received 26 March 2012 Accepted 19 December 2012

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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 (χ²=13.89, p<.001) were significant, while the differences in the perception of depression (χ²=.02, p=.891) and coping methods (χ²=.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.

Keywords: Elderly, Gatekeeping, Case management, Depression, Satisfaction

Figures and Tables

Figure 1

A study on process.

Table 1

The Means of the Major Variables and Subject Characteristics (N=97)

Table 2

Differences of Depression Perception level, Depression Coping Method and Support Systems between the Pre-intervention and Post-intervention. (N=97)

Table 3-1

Differences of SWLS and K-GDS Score between the Pre-intervention and Post-intervention (N=97)

SWLS=satisfaction with life scale; K-GDS=Korean geriatric depression scale.

Table 3-2

Categories Differences of SWLS and K-GDS between the Pre-intervention and Post-intervention (N=97)

SWLS=satisfaction with life scale; K-GDS=Korean geriatric depression scale.

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