University of Iowa School of Social Work, University of Iowa, Iowa City, IA 52242, USA.
Am J Geriatr Psychiatry. 2010 Mar;18(3):266-75. doi: 10.1097/JGP.0b013e3181c29431.
To determine the percentage of nursing home (NH) social services (SSs) departments that screen at-risk residents for depression. To report characteristics of SS departments that "usually or always" are involved in depression screening.
Cross-sectional, nationally representative survey.
NHs.
1,071 Nursing Home Social Service Directors.
Survey.
Over two-thirds (68.5%) of the SS directors reported that their department was "usually" or "always" involved in screening at-risk residents for depression. Preliminary findings from this exploratory study indicate the odds of screening for depression increased if the SS director had a degree in social work; if the NH was part of a chain; and by U.S. region. NHs in the Northeast were less likely, and those in the Midwest and West were more likely, than their southern counterparts to head up SSs departments that screen for depression.
Future research and clinical practice related to NH depression screening and treatment should include social workers. SS staff, especially those educated in social work, can be an important resource to NH staff, residents, and family members. The federal government holds NHs responsible for psychosocial care, including psychosocial depression care.
确定对有风险的居民进行抑郁筛查的养老院（NH）社会服务（SS）部门的百分比。报告“通常”或“总是”参与抑郁筛查的 SS 部门的特征。
横断面，全国代表性调查。
NH。
1071 名养老院社会服务主任。
调查。
超过三分之二（68.5%）的 SS 主任报告说，他们的部门“通常”或“总是”参与筛查有风险的居民的抑郁情况。这项探索性研究的初步结果表明，如果 SS 主任拥有社会工作学位；如果 NH 是连锁机构的一部分；以及按美国地区划分，那么进行抑郁筛查的可能性就会增加。与南部同行相比，东北部的 NH 不太可能，中西部和西部的 NH 更有可能领导进行抑郁筛查的 SS 部门。
与 NH 抑郁筛查和治疗相关的未来研究和临床实践应包括社会工作者。SS 工作人员，尤其是受过社会工作教育的人员，可以成为 NH 工作人员、居民和家庭成员的重要资源。联邦政府对 NH 负责心理社会护理，包括心理社会抑郁护理。
