Collaborative Stepped-Care and Productive Ageing Program for Older People With Depressive Symptoms (JCJoyAge2)
Depressive Symptoms
About this trial
This is an interventional prevention trial for Depressive Symptoms focused on measuring Collaborative stepped care, Peer support, Productive ageing, Early case identification, Indicated prevention, Early treatment, Recovery oriented
Eligibility Criteria
Inclusion Criteria:
- age 60 years or above; and
- have depressive symptoms of mild level or above; and
- able to give informed consent to participate
Exclusion Criteria:
- known history of autism, intellectual disability, schizophrenia-spectrum disorder, bipolar disorder, Parkinson's disease, or dementia; and
- (temporary exclusion criteria) imminent suicidal risk; and
- difficulty in communication
Sites / Locations
- Aberdeen Kaifong Welfare Association Services CentreRecruiting
- Baptist Oi Kwan Social Service Integrated Community Centre for Mental Wellness (Kwai Tsing)Recruiting
- Baptist Oi Kwan Social ServiceRecruiting
- Caritas Cheng Shing Fung District Elderly Centre (Sham Shui Po)Recruiting
- Caritas District Elderly Centre - Yuen Long(Tin Chak Centre)Recruiting
- Caritas Wellness Link - North DistrictRecruiting
- Caritas Wellness Link Tsuen WanRecruiting
- Chan Tseng Hsi Kwai Chung District Elderly Community CentreRecruiting
- Christian Family Service Centre (Kwun Tong)Recruiting
- Christian Family Service Centre Wellness Zone - Integrated Community Centre for Mental WellnessRecruiting
- Chuk Yuen Canon Martin District Elderly Community Centre_Wai Yuen HouseRecruiting
- Ellen Li District Elderly Community Centre - Yung Shing Shopping CentreRecruiting
- Fong Shu Chuen District Elderly Community CentreRecruiting
- H.K.S.K.H. Lady MacLehose Centre Dr. Lam Chik Suen District Elderly Community CentreRecruiting
- H.K.S.K.H. Lok Man Alice Kwok Integrated Service CentreRecruiting
- H.K.S.K.H. Western District Elderly Community Centre - Integrated Home Care Services TeamRecruiting
- Haven of Hope Christian ServiceRecruiting
- Hong Kong Christian Service Bliss District Elderly Community CentreRecruiting
- Jockey Club Wong Chi Keung District Elderly Community Centre - AberdeenRecruiting
- Neighbourhood Advice-action Council (Shan King) Community Nursing Services (CNS) CentreRecruiting
- New Life Psychiatric Rehabilitation Association (Sha Tin)Recruiting
- New Life Psychiatric Rehabilitation Association (Tuen Mun)Recruiting
- New Life Psychiatric Rehabilitation Association (Yau Tsim Mong)Recruiting
- New Life Psychiatric Rehabilitation Association Islands DistrictRecruiting
- New Life Psychiatric Rehabilitation Association The Wellness Centre (Tin Shui Wai)Recruiting
- S.K.H. Holy Carpenter Church District Elderly Community Centre (Kowloon)Recruiting
- Sage Eastern District Elderly Community CentreRecruiting
- Sage Tsuen Wan District Elderly Community CentreRecruiting
- Shun On District Elderly Community CentreRecruiting
- St. James' Settlement Central & Western District Elderly Community CentreRecruiting
- St. James' Settlement Wan Chai District Elderly Community CentreRecruiting
- The Mental Health Association of Hong Kong Amity PlaceRecruiting
- The Mental Health Association of Hong Kong Tai Po DistrictRecruiting
- The Neighbourhood Advice-Action CouncilRecruiting
- The Neighbourhood Advice-Action Counil Tung Chung Intergrated Service CentreRecruiting
- The Salvation Army Tai Po Multi-service Centre for Senior CitizensRecruiting
- The Society of Rehabilitation and Crime Prevention, Hong KongRecruiting
- The Wellness Centre, New Life Psychiatric Rehabilitation Association (Kwai Chung)Recruiting
- Tseung Kwan O Aged Care Complex, Jockey Club District Elderly Community Centre cum Day Care UnitRecruiting
- Tung Wah Group of Hospitals Wilson T.S. Wang District Elderly Community CentreRecruiting
- TWGHs Lok Hong Integrated Community Centre for Mental WellnessRecruiting
- Wong Cho Tong District Elderly Community CentreRecruiting
- YWCA Ming Yue District Elderly Community CentreRecruiting
Arms of the Study
Arm 1
Experimental
Intervention group
Participants in the intervention group will receive a collaborative stepped care programme provided by registered social workers and trained Peer Supporters from aged care service units - the Districts Elderly Community Centres (DECC), and mental health service units - the Integrated Community Centre on Mental Wellness (ICCMW), all are local NGOs. In the collaborative stepped care model (see attachment Table 1), older persons are matched to the intervention module that most suits their current needs. The person does not have to start at the lowest level of intervention to progress to the next level of intervention. Rather, they enter the service with the intervention level aligned to their needs, e.g., level of risks, symptom severity (measured by the Patient Health Questionnaire, PHQ-9), and intervention response. Home visits or other format of contact will be delivered by trained Peer Supporters employed by the NGOs to detect and engage hidden cases.