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This review captures a broad range of mental health interventions for older adults over the age of 55 years. depression, mental health, older adults, interventions) and databases (e.g.Psych Info, Pub Med, Web of Knowledge), the literature search identified 104 articles published between January, 2011, and October, 2012 (See for a complete list of search terms and sources).A range of social and organizational factors work in concert to affect the mental health behaviors of older adults, including perceived stigma about mental illness and help-seeking, beliefs and attitudes toward emotional problems, awareness of problems and available services, as well as the availability of age-appropriate and culturally appropriate mental health care .
Studies examining the effects of race, culture, and ethnicity on mental health status and service utilization suggest that the current mental health system under-serves racial and ethnic minority groups , but not enough research has been done on older adults.
In light of population aging and the growing diversity among older adults, the development of effective and culturally appropriate interventions is critical in addressing the health and mental health disparities affecting minority older adults.
Studies that reported any contact with any organization or program outside the home were classified as community-based (n = 4).
Recently published literature syntheses and meta-analyses examining the effectiveness of depression treatment modalities span a number of service delivery settings.
Currently, depression in older adults is treated mainly in primary care or home-based settings, as opposed to specialty mental health settings.
These care settings do not always take into consideration the influence of the social context of service delivery on service use.
We then reviewed the titles and abstracts to identify service-oriented intervention studies, and exclude studies that focused on the effectiveness of pharmacotherapy or reported on population-based surveys.
This review yielded 27 articles; of these, 21 were included for analysis in this paper.
The weight of the available population based survey evidence, on noninstitutionalized elderly only, suggests a moderate relationship between self-reported physical inactivity and symptoms of depression.
Although evidence-based depression interventions exist, relatively few older adults seek care from mental health specialists.