Collaborative Stepped-Care and Productive Ageing Program for Older People With Depressive Symptoms

Summary

The Jockey Club Holistic Support Project for Elderly Mental Wellness (JC JoyAge) has developed and implemented a collaborative stepped care model for older persons at-risk of or with depression in four districts in Hong Kong since 2015 (Clinical Trials Identifier: NCT03593889). Results from JC JoyAge show that the collaborative stepped-care model is effective in improving older persons' mental wellness, and the specialised training and engagement of Peer Supporters are effective in building capacity in the community. The proposed impact extension programme lasts for four years (from 2020 to 2023), and the overall goal is to expand the JC JoyAge model to all 18 districts in Hong Kong, to provide integrated and evidence-based mental health services to older adults with subclinical depressive symptoms, with the hope of model adoption in regular service upon project completion.

Conditions

• Depressive Symptoms

Interventions

BEHAVIORAL

Collaborative stepped care and peer support

Case identification will be done through open referral and outreach activities such as street booth, talks, and home visits. For older adults with mild depressive symptoms (PHQ-9 score 5-9), 6-8 weeks of indicated prevention with psychoeducation or low-intensity psychotherapy would be provided by the project social workers in DECC. For participants with moderate depressive symptoms (PHQ-9 score 10-14), 6-8 weeks high-intensity clinical intervention, mainly group cognitive behavioral therapy (CBT), would be provided by project social workers from DECC and ICCMW. For those with moderately severe depressive symptoms (PHQ-9 score 15-19), 8-10 weeks individual CBT or group CBT at higher frequency would be provided by the project social workers from ICCMW. In the progress review when a client is assessed to meet the discharge criteria, a 2-month exit plan involving a Peer Supporter follow-up is invoked.

Sponsors & Collaborators

• Aberdeen Kai-fong Welfare Association

  collaborator OTHER

• Caritas Medical Centre, Hong Kong

  collaborator OTHER

• Christian Family Service Centre

  collaborator OTHER

• Haven of Hope Hospital

  collaborator OTHER

• Hong Kong Christian Service

  collaborator OTHER

• Hong Kong Sheng Kung Hui Lady MacLehose Centre

  collaborator UNKNOWN

• Hong Kong Sheng Kung Hui Welfare Council Limited

  collaborator OTHER

• Hong Kong Young Women's Christian Association

  collaborator OTHER

• New Life Psychiatric Rehabilitation Association

  collaborator OTHER

• St. James' Settlement

  collaborator OTHER

• The Hong Kong Society for the Aged

  collaborator UNKNOWN

• The Mental Health Association of Hong Kong

  collaborator OTHER

• Neighbourhood Advice-Action Council

  collaborator OTHER

• Tung Wah Group of Hospitals

  collaborator OTHER

• The University of Hong Kong

  lead OTHER

Principal Investigators

• Terry Lum, PhD · The University of Hong Kong

Study Design

Allocation

NA

Purpose

PREVENTION

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Min Age

60 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2020-01-01

Primary Completion

2023-12-31

Completion

2024-06-30

Countries

• Hong Kong

Study Locations