scholarly journals Depressive Symptoms in Recipients of Home- and Community-Based Services in the United States: Are Older Adults Receiving the Care They Need?

2017 ◽  
Vol 25 (12) ◽  
pp. 1351-1360 ◽  
Author(s):  
Renee Pepin ◽  
Amanda Leggett ◽  
Amanda Sonnega ◽  
Shervin Assari
Keyword(s):  
United States ◽  
Older Adults ◽  
Depressive Symptoms ◽  
The United States ◽  
Community Based ◽  
Community Based Services

Home and Community Based Services (HCBS) Waivers: A Nationwide Study of the States

2013 ◽  
Vol 51 (1) ◽  
pp. 1-21 ◽  
Author(s):  
Mary C. Rizzolo ◽  
Carli Friedman ◽  
Amie Lulinski-Norris ◽  
David Braddock
Keyword(s):  
United States ◽  
Developmental Disabilities ◽  
Real Time ◽  
The United States ◽  
Fiscal Year ◽  
Intellectual And Developmental Disabilities ◽  
Medicaid Program ◽  
Community Based ◽  
Waiver Program ◽  
Community Based Services

Abstract In fiscal year (FY) 2009, the Medicaid program funded over 75% of all publicly funded long-term supports and services (LTSS) for individuals with intellectual and developmental disabilities (IDD) in the United States (Braddock et al., 2011). The majority of spending was attributed to the Home and Community Based Services (HCBS) Waiver program. In FY 2009, federal–state spending for the HCBS Waiver program reached over $25.1 billion and constituted almost half of total funding across the nation that year (Braddock et al., 2011). Considerable effort has been spent investigating Medicaid program expenditures, however, due in part to the unique and state-specific nature of HCBS programs, national-level analysis on the types of services offered to individuals with IDD has not been available. A full understanding of the supports available through the Medicaid program is critical as the United States considers strategies for economic recovery among competing state and federal budget priorities. This article presents the results of an analysis of 88 Medicaid HCBS Section 1915(c) waiver applications for individuals with intellectual and developmental disabilities in 41 states and the District of Columbia. It analyzes IDD data and trends close to the real time intent of states and empowers advocates in presenting timely solutions to real-time issues.

Association Between Smell, Taste, and Depression in Nationally Representative Sample of Older Adults in the United States

2020 ◽  
Vol 34 (3) ◽  
pp. 369-374 ◽  
Author(s):  
Jamiluddin J. Qazi ◽  
James H. Wilson ◽  
Spencer C. Payne ◽  
Jose L. Mattos
Keyword(s):  
United States ◽  
Older Adults ◽  
Multivariate Analysis ◽  
Depressive Symptoms ◽  
Representative Sample ◽  
Survey Design ◽  
Univariate Analysis ◽  
The United States ◽  
Logistic Regression Models ◽  
Taste Dysfunction

Objectives To characterize the association between quantitative olfactory dysfunction (OD) and gustatory dysfunction and depression in older adults. Methods The 2013–2014 National Health and Nutrition Examination Survey (NHANES) data were used to investigate the relationship between smell and taste dysfunction and depression. Adults aged 65 years and older were included in the analysis. For smell status, subjects were divided into hyposmia, anosmia, and OD (hyposmia + anosmia) using the Pocket Smell Test. For taste status, subjects were evaluated using quinine, 1M NaCl, and 0.32M NaCl solutions. Indicator variables were made for subjects with both smell and taste dysfunction to determine whether a combination of symptoms could predict depression. Depression status was evaluated by the 9-item Patient Health Questionnaire using accepted cutoff values. Relevant demographic, socioeconomic, and comorbid factors were included in multivariate logistic regression models, which accounted for the complex survey design of NHANES. Results A total of 931 subjects aged 65 years or older were included in the weighted analysis. Anosmia significantly predicted depressive symptoms in multivariate analysis (odds ratio [OR] = 2.484, P = .032) but not univariate. In univariate analysis, hyposmia + anosmia (OR = 2.193, P = .006) and hyposmia (OR = 2.512, P < .001) significantly predicted depression. Significance was lost in multivariate analysis. Conclusions Smell dysfunction is an independent predictor of depressive symptoms in a representative sample of older adults in the United States after adjusting for relevant demographic factors and comorbidities.

scholarly journals Moderating Effect of Psychological Resilience on Functional Impairment in Relation to Subsequent Depression

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 484-484
Author(s):  
Shinae Choi ◽  
Eun Ha Namkung
Keyword(s):  
United States ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Functional Impairment ◽  
Later Life ◽  
Well Being ◽  
The United States ◽  
Ordinary Least Squares ◽  
Psychological Resilience ◽  
The Impact

Abstract The growing prevalence of functional impairment is a serious concern due to its relation to decreased quality of life in later life. Guided by the social convoy model and the stress process model, the present study investigated whether psychological resilience, particularly optimism and mastery moderated an association between functional impairment and subsequent depressive symptoms in later life. This study used data derived from two population-based national studies in the United States: 2012 and 2016 waves of the Health and Retirement Study (N = 5,035) and 2004 and 2013 waves of the Midlife in the United States (N = 2,476). Ordinary least squares regression was used to estimate the impact of optimism and mastery, respectively, on the associations between functional impairment (baseline measure at wave(t-1), changes over the study period from wave(t-1) to wave(t)) on subsequent changes in depressive symptoms. Across both studies, we found that having and developing functional impairment are related to increased number of depressive symptoms. Optimism independently predicted decreased depressive symptoms over the study periods and buffered the negative effects of functional impairment on depressive symptoms across the two studies. Specifically, the mitigating effects of optimism on depressive symptoms were greater for those with more numbers of functional limitations. The findings suggest that psychological resilience plays a key role in decreasing depressive symptoms, especially for midlife and older adults with functional impairment. The results also demonstrate the importance of examining both optimism and mastery when investigating psychological resilience and emotional well-being in older adults.

Retirement, Pensions, and Depressive Symptoms Among Older Adults in China, England, Mexico, and the United States

2019 ◽  
Vol 92 (1) ◽  
pp. 40-64 ◽  
Author(s):  
Peiyi Lu ◽  
Mack Shelley
Keyword(s):  
United States ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Age Groups ◽  
Depression Scale ◽  
The United States ◽  
Epidemiologic Studies ◽  
Private Pensions ◽  
Public And Private ◽  
The Family

This study explores the associations of retirement, and of public and private pensions, with older adults’ depressive symptoms by comparing differences between countries and age groups. Harmonized data were analyzed from the family of Health and Retirement Study in 2012–2013 from China, England, Mexico, and the United States ( n =  97,978). Respondents were asked if they were retired and received public or private pensions. Depressive symptom was measured by the Center for Epidemiologic Studies Depression Scale. Retirement was significantly associated with higher depressive symptoms for the United States and with lower depressive symptoms for Mexico and England. Public pension was significantly associated with lower depressive symptoms for Mexico and with higher depressive symptoms for the United States and China. Private pension was significantly associated with lower depressive symptoms for the United States, China, and England. Our study shows that continuity theory demonstrates cross-national variation in explaining the association between retirement and depressive symptoms.

scholarly journals Community-Based Supports and Services for Older Adults: A Primer for Clinicians

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Eugenia L. Siegler ◽  
Sonam D. Lama ◽  
Michael G. Knight ◽  
Evelyn Laureano ◽  
M. Carrington Reid
Keyword(s):  
United States ◽  
Older Adults ◽  
Primary Care ◽  
Health Care ◽  
The United States ◽  
Models Of Care ◽  
Community Based ◽  
Half Century ◽  
History Of ◽  
Primary Care Clinicians

Although 20% of adults 60 years and older receive community-based supports and services (CBSS), clinicians may have little more than a vague awareness of what is available and which services may benefit their patients. As health care shifts toward more creative and holistic models of care, there are opportunities for CBSS staff and primary care clinicians to collaborate toward the goal of maintaining patients’ health and enabling them to remain safely in the community. This primer reviews the half-century history of these organizations in the United States, describes the most commonly used services, and explains how to access them.

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