Home-Delivered Mental Health Services for Aged Rural Home Health Care Recipients

Abstract

Home health care programs are generally able to meet a wide variety of older persons’ medical care needs, but are often unable to provide for the specialized needs of those patients who are experiencing emotional problems. This situation is most problematic in rural communities where services to meet the mental health needs of homebound elders are often not available. This article reports the results of a study that tested the efficacy of providing home-delivered psychotherapy to 78 elderly patients of a rural home health care agency. Patients who completed the brief, task-centered psychotherapeutic intervention reported improvements in their emotional well-being and indicated significant reduction of the problems associated with the target complaints that were the focus of the interventive activities. These results suggest that home-delivered psychotherapeutic interventions may have an important role to play in treating the mental health problems of older, rural, home health care recipients.