Abstract
Sixty-eight community residing older adults completed a 6 week behaviorally oriented course to learn skill for coping with depression. Courses were co-led by pairs of professional mental health workers or by paraprofessional staff of centers serving seniors. There was a decline in depression from pre to post measures that was still apparent at two month followup. Both life satisfaction and activity level were also increased, while negative cognitions were decreased. Comparisons between subjects taught by the two kinds of leaders indicated that there were essentially no differences in outcome between the two groups. Positive aspects of a psychoeducational model as reflected in this course include: acceptability to elders who may not wish to identify themselves as patients; relative effectiveness in a short time for relief of depressive symptoms and related distress; and relatively low cost per participant due to the use of paraprofessionals.
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