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Table 1 Role of the registered nurse versus the personal support worker in the interprofessional nurse-led intervention

From: An interprofessional nurse-led mental health promotion intervention for older home care clients with depressive symptoms

Registered nurse

Personal support worker

Provides care coordination and liaises with interprofessional (IP) team, including the home care case manager, the primary care physician, and other home care providers

Monthly case conferences with the RN to discuss client status and response to treatment

In-home assessment for depressive symptoms using the GDS-15

In-home assessment for depressive symptoms using the GIP-28

In-home assessment for depression risk factors using standardized tools

Identifies and reports depression risk factors to the RN

Conducts medication review and supports antidepressant management in collaboration with clients and their primary care physician using best practice guidelines.

Reminds clients about medications, monitors medication use, monitors and reports side effects, worsening of symptoms, suicide ideation and risk and other behaviors to the RN, assists clients with medications as required

Provides social and behavioral activation

Provides social and behavioral activation and an in-home exercise program

Assesses the client’s problem-solving strengths and limitations using the problem-solving test and provides problem-solving therapy

Provides problem-solving therapy in collaboration with the RN

Provides client and caregiver with intensive support

Provides client and caregiver with intensive support

Educates the client and family caregiver about depression using printed materials

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