Barriers to the detection and management of depression by palliative care professional carers among their patients : perspectives from professional carers and patients' family members

Mellor, David, McCabe, Marita, Davison, Tanya E., Goldhammer, Denisa L. and Hallford, David J. 2013, Barriers to the detection and management of depression by palliative care professional carers among their patients : perspectives from professional carers and patients' family members, American journal of hospice and palliative medicine, vol. 30, no. 1, pp. 12-20.

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Title Barriers to the detection and management of depression by palliative care professional carers among their patients : perspectives from professional carers and patients' family members
Author(s) Mellor, David
McCabe, Marita
Davison, Tanya E.
Goldhammer, Denisa L.
Hallford, David J.
Journal name American journal of hospice and palliative medicine
Volume number 30
Issue number 1
Start page 12
End page 20
Total pages 9
Publisher Sage Publications
Place of publication Thousand Oaks, Calif.
Publication date 2013-02
ISSN 1049-9091
Keyword(s) depression
palliative care
detection
management
barriers
professional carers
family members
Summary Introduction: Clinical depression is highly prevalent yet underdetected and poorly managed within palliative care settings.

Objectives: This qualitative study explored the identification, monitoring, and management of symptoms of depression in patients receiving palliative care from 2 juxtaposed perspectives that are of care providers and care recipients' family members. Examining the barriers that restrict professional carers detecting and managing depression in their patients was a central focus of the study.

Methods: Focus groups were held with 18 professional carers, including 8 holding managerial positions, across 2 palliative care services, 1 regional and 1 metropolitan, which provided both inpatient and community-based care. Individual interviews were conducted with 10 family members of patients who had received or were receiving palliative care through these services.

Results: Thematic analysis of these data identified that both professional carers and family members perceived that depression is a wide-spread concern for patients receiving palliative care; however, numerous barriers were identified that affect professional carers’ ability to identify depression. These included knowledge and training deficits, low self-efficacy, prioritization of physical concerns and time constraints, patient/family characteristics, and system/process issues. These themes (and related subthemes) are discussed in this article.

Conclusions: Specialized training in depression is recommended for professional carers in order to improve their depression-related knowledge, detection skills, and self-efficacy. The ultimate goal of such training is to increase the rate of recognition of depression that in turn will lead to appropriate treatment for depressed patients.
Language eng
Field of Research 170106 Health, Clinical and Counselling Psychology
Socio Economic Objective 920410 Mental Health
HERDC Research category C1 Refereed article in a scholarly journal
Persistent URL http://hdl.handle.net/10536/DRO/DU:30051473

Document type: Journal Article
Collection: School of Psychology
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Created: Tue, 19 Mar 2013, 09:46:00 EST by Jane Moschetti

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