|Research Centre||DCRC Assessment and Better Care|
|Partner Institution||The University of Sydney|
Depression, with or without dementia superimposed, is recognised as the most common psychiatric disorder in the elderly.
Studies continue to report the problems associated with under-detection, under-diagnosis and under-treatment of late-life depression, in particular in people with dementia in RACFs. A fundamental issue for these stems from an inadequate assessment of late-life depression, particularly in RACF populations, where limited workforce capabilities and capacity lead to RACF staff poor awareness of the importance of early recognition and impede timely and appropriate assessment and management of depression.
The CSDD (Cornell Depression) has been widely accepted and utilised as a measure of depression for people with dementia. The Australian Government adopted the CSDD as part of the mandatory Aged Care Funding Instrument (ACFI) as the means of allocating subsidy to residential aged care providers.
However, it is not known how reliably the CSDD is administered by staff from RACFs, since there is no standardised process in place to assess their knowledge and skill base prior to administering the CSDD. It is important to identify the best depression instrument and assessment process, since depression identification is an essential factor in ensuring that residents receive quality care as well as determining adequate funding levels for individual residents.
The proposed study provided new insights as to how assessment of depression can best occur in RACFs.