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  1. Madden-Baer, Rose DNP, RN, MHSA, BC-PHCNS, CPHQ, CHCE, COS-C
  2. McConnell, Eleanor PhD, RN, GCNS, BC
  3. Rosati, Robert J. PhD
  4. Rosenfeld, Peri PhD
  5. Edison, Ilaina MBA, RN


Depression affects 14% to 46% of homebound elderly and is costly and disabling. Home health agencies face significant challenges delivering effective depression care. In response, an evidence-based depression care model was developed in a home health agency. Twelve-month program evaluation data demonstrated a 2.99 mean reduction in depression scores (P < .0001) on the Geriatric Depression Scale and confirmed that a clinically effective, operationally feasible, and financially sustainable depression care model can be implemented in home health care.