{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T14:07:06Z","timestamp":1790345226190,"version":"4.1.0"},"reference-count":54,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australas J Ageing"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Depression is increasingly common among older Australians receiving home care, yet symptoms are often under\u2010recognised and access to evidence\u2010based psychological treatment remains limited. This paper introduces EMBED, a new model of care designed to improve detection, escalation and management of depression within routine home care service delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We describe the development of an evidence\u2010informed model of care for the Australian home care setting. The model draws on clinical guidelines, published evidence on late\u2010life depression and psychological treatment, implementation evidence from aged care and consultation with frontline staff, managers, senior leaders and consumer representatives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The EMBED model comprises four integrated components: (i) workforce training to improve the knowledge, attitudes and self\u2010efficacy of home care workers; (ii) routine screening to support early identification of symptoms and deterioration; (iii) structured clinical assessment to guide escalation and treatment planning; and (iv) tailored psychological intervention using lifestyle therapy and behavioural activation. The intervention was designed to be stratified according to symptom severity, responsive to older people's preferences and feasible for delivery within aged care services and through health service collaboration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The EMBED model offers a practical approach to addressing a major gap in current home care practice by embedding mental health capability into usual aged care service delivery. Further research is required to determine its effectiveness and cost\u2010effectiveness, as well as implementation requirements in the Australian home care context to enable providers to better support the growing population of older people with symptoms of depression.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajag.70220","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T12:15:12Z","timestamp":1786623312000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["An Embedded Model of Care to Address Depression in the In\u2010Home Aged Care Setting"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8106-7976","authenticated-orcid":false,"given":"Tanya E.","family":"Davison","sequence":"first","affiliation":[{"name":"Silverchain  Melbourne Victoria Australia"},{"name":"Monash University  Melbourne Victoria Australia"},{"name":"Swinburne University of Technology  Melbourne Victoria Australia"},{"name":"Federation University  Ballarat Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8049-2540","authenticated-orcid":false,"given":"Marissa","family":"Dickins","sequence":"additional","affiliation":[{"name":"Silverchain  Melbourne Victoria Australia"},{"name":"Monash University  Melbourne Victoria Australia"},{"name":"Federation University  Ballarat Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1470-0190","authenticated-orcid":false,"given":"Julie","family":"Kelly","sequence":"additional","affiliation":[{"name":"Swinburne University of Technology  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9260-7368","authenticated-orcid":false,"given":"Sunil","family":"Bhar","sequence":"additional","affiliation":[{"name":"Swinburne University of Technology  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Smith","sequence":"additional","affiliation":[{"name":"Silverchain  Melbourne Victoria Australia"},{"name":"Monash University  Melbourne Victoria Australia"},{"name":"Curtin University  Perth Western Australia Australia"},{"name":"Queensland University of Technology  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Older Australians","author":"AIHW","year":"2024"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.14871"},{"key":"e_1_2_12_4_1","volume-title":"Mental Health in Aged Care","author":"AIHW","year":"2024"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anzjph.2025.100289"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.2190\/AG.68.1.c"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00127\u2010020\u201001914\u20109"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2015.10.013"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajag.13396"},{"key":"e_1_2_12_10_1","volume-title":"Depression in Adults: Treatment and Management","author":"National Institute for Health and Care Excellence","year":"2022"},{"key":"e_1_2_12_11_1","volume-title":"RACGP Aged Care Clinical Guide (Silver Book)","author":"Royal Australian College of General Practitioners","year":"2019"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40520\u2010024\u201002731\u20109"},{"key":"e_1_2_12_13_1","volume-title":"Mental Health\u2010Related Prescriptions","author":"Australian Institute of Health and Welfare","year":"2025"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.5706"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/ap.12209"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jagp.2015.11.005"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/s43587\u2010022\u201000203\u20101"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glv139"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41999\u2010021\u201000535\u2010y"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0034821"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.12725"},{"key":"e_1_2_12_22_1","volume-title":"Final Report: Care, Dignity and Respect","author":"Royal Commission into Aged Care Quality and Safety","year":"2021"},{"key":"e_1_2_12_23_1","volume-title":"Strengthened Aged Care Quality Standards \u2013 February 2025 \u2013 Revised Final Draft","author":"Department of Health, Disability and Ageing","year":"2025"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610210000153"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607860902774428"},{"key":"e_1_2_12_26_1","volume-title":"Aged Care Worker Survey 2024 Report","author":"Department of Health and Aged Care","year":"2024"},{"key":"e_1_2_12_27_1","volume-title":"Foundations in Mental Health Training","author":"Silverchain","year":"2025"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1080\/03601277.2026.2675408"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlr.0000093487.78664.3c"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2012.738412"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610211002146"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1300\/J018v05n01_09"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525\u20101497.2001.016009606.x"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/0006\u20103223(88)90038\u20108"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2024.03.065"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2023.05.011"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215\u20100366(24)00316\u2010X"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00391\u2010020\u201001805\u20103"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD013059.pub2"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.117.205021"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1177\/23337214241300652"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.15648"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2666\u20107568(23)00238\u20106"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010014\u20100107\u2010y"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1155\/hsc\/3221914"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1080\/15622975.2022.2112074"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.1177\/0004867420979353"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877\u2010024\u201005597\u20108"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2021.3539"},{"key":"e_1_2_12_50_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102022\u2010064694"},{"key":"e_1_2_12_51_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22242"},{"key":"e_1_2_12_52_1","doi-asserted-by":"publisher","DOI":"10.2196\/72953"},{"key":"e_1_2_12_53_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14440"},{"key":"e_1_2_12_54_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.13.1569"},{"key":"e_1_2_12_55_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102318\u201014\u201062"}],"container-title":["Australasian Journal on Ageing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajag.70220","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajag.70220","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajag.70220","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T13:50:54Z","timestamp":1790344254000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajag.70220"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,13]]},"references-count":54,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/ajag.70220"],"URL":"https:\/\/doi.org\/10.1111\/ajag.70220","archive":["Portico"],"relation":{},"ISSN":["1440-6381","1741-6612"],"issn-type":[{"value":"1440-6381","type":"print"},{"value":"1741-6612","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,13]]},"assertion":[{"value":"2025-11-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70220"}}