At a glance
ClinicalIndex Comparison Record- ✓Age 55 years or older
- ✓Capacity to consent as assessed by elder mistreatment staff
- ✓Significant depression with PHQ-9 score ≥10
- ✓Currently needs elder mistreatment services
- ✕Active suicidal ideation (MADRS item 10 >4)
- ✕Cannot speak English
- ✕Psychiatric diagnoses other than unipolar depression or generalized anxiety disorder
- ✕Mini-Mental Exam score ≤23 (cognitive impairment)
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
EM/PROTECT: Improving Depression in Elder Mistreatment Victims
In Brief
A clinical study evaluating EM/PROTECT and EM/MH for Depression. Completed, enrolled 40 participants across 2 sites.
Detailed Summary
The investigators developed EM/PROTECT, a behavioral intervention for depressed EM (elderly mistreatment) victims, to work in synergy with EM mistreatment resolution services that provide safety planning, support services, and links to legal services. PROTECT is built on a model which postulates that chronic stress promotes dysfunction of the cognitive control (CCN) and reward networks, impairing the victims' ability to flexibly respond to the environment and limits their reward activities. PROTECT therapists work with victims to develop action plans to reduce stress, and to increase rewarding experiences. EM/PROTECT has been designed in an iterative process with community EM providers of the New York City (NYC) Department for the Aging (DFTA) to use agencies' routine PHQ-9 depression screening and referral for service. In the current study, the investigators will compare the effectiveness of EM/PROTECT with EM enriched with staff training in linking EM victims to community mental health services (EM/MH). The investigators intend to enroll 80 subjects that will participate in the study for approximately 12 weeks.
Study Details
Timeline
Interventions
EM/PROTECT is a behavioral intervention for depressed elder mistreatment (EM) victims designed to work in synergy with EM mistreatment resolution services that provide safety planning, support services, and links to legal services
EM/MH provides individuals experiencing elder mistreatment with support services from staff trained in linking elder mistreatment victims to community mental health services.