The current efforts and challenges around secondary prevention program for the elderly with depression from the viewpoint of community general support center staff

The purpose of this study was to describe the current effort and challenges of the secondary prevention program for the elderly with depression from the viewpoint of community general support center staff.A qualitative study was conducted involving interviews with twenty-two staff in community general support centers.The main category of the current effort in the program was to try to link the person to services to maintain their daily life. They focused on collecting information of home-bound people, assessed the person's needs with respect to their behavior and daily life, and tried to link a person to services to maintain community people's daily life. The main category regarding challenges of the program was difficulties managing a person with depression. They had difficulties collecting information, assessing, linking the elderly to services or treatments, and finding time.To improve the secondary prevention for the elderly with depression : to improve the staff's knowledge and techniques of the program respecting on their perspective putting more emphasis on the quality of life of the elderly than on their depression itself, to create a network with local government staff and community organizations, to spread of the depression knowledge to community people, and to reform the care system including finance and human resources, were needed.