ABSTRACT
Depression in the elderly is often not acknowledged until the illness is well established. The general practitioner is the first link in the treatment chain. Home visiting plays an increasingly important part in the role of the occupational therapist in treating depression. If the depression is mild and purely a socio-environmental reaction it may be more appropriate for referral to a local day centre, or club, for purely social contact. If the depression is severe referral to the hospital is arranged. Outings are of two types. The social outings are of value in the initial stages of depression, providing a feeling of normality and enabling the therapist to build trust. Another type of outing is therapeutic in concept, used later in the treatment in conjunction and as an extension of the psychotherapeutic group involvement. Rehabilitation link between day hospital discharge and community integration of functional psychogeriatric patients with a diagnosis of depression.
