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Many older adults decline APS-included mental health referrals, limiting treatment access. Social disconnection can drive both depression and healthcare avoidance. This study tested an eight-week intergenerational phone-calling program to increase acceptance of depression treatment referrals.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/intergenerational-social-connections-enhance-depression-treatment-access-for-older-adults-with-self-neglect-issue-2-summary/428612/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/intergenerational-social-connections-enhance-depression-treatment-access-for-older-adults-with-self-neglect-issue-2-summary/428612.png","ImageObject",300,407,{"name":92,"@type":93},"Fans","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-01","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Why are depression treatment referrals difficult for older adults with self-neglect?","Question",{"text":113,"@type":114},"Many individuals with self-neglect have untreated depression and often decline APS-offered services, including mental health referrals, limiting treatment access.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What did the study do to improve referral acceptance?",{"text":118,"@type":114},"It developed an eight-week intergenerational phone-calling program pairing health professional students with APS self-neglect clients and screening weekly with PHQ-2.",{"name":120,"@type":111,"acceptedAnswer":121},"What were the main referral-related outcomes?",{"text":122,"@type":114},"Among 74 pairings, 54% qualified for referral, 98% were offered a referral, and 80% agreed to be referred and receive contact from a treatment center.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},428612,1790790019,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":24,"preview_page_count":4},5909892330395,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","580 Innovation in Aging, 2025, Vol. 9, No. S2  \nAbstract citation ID: igaf122.1991  \nINTERGENERATIONAL SOCIAL CONNECTIONS ENHANCE DEPRESSION TREATMENT ACCESS FOR OLDER ADULTS WITH SELF-NEGLECT  \nJason Burnett1, Jordan Brousard1, Melba Hernandez-Tejada1, and Ron Acierno2, 1. UTHealth Houston, Houston, Texas, United States, 2. The University of Texas Health Science Center, Houston, Texas, United States  \nSelf-neglect (SN) is the most reported issue to Adult Protective Services (APS) nationwide, linked to high morbidity and mortality. An estimated 50-60% of individuals with SN also suffer from untreated depression, which impairs self-management of chronic conditions. While treating depression could improve self-care, many older adults with SN decline APS-offered services, including mental health referrals. Increasing referral acceptance is crucial for improving outcomes. Social disconnection contributes to both depression and healthcare avoidance. Our study explored whether fostering meaningful social connections could increase  \nInnovation in Aging, 2025, Vol. 9, No. S2 581  \nacceptance of depression treatment referrals. We developed an eight-week intergenerational phone-calling program pairing health professional students with APS SN clients. Students screened participants weekly using the PHQ-2, offering referralsif depression was detected in two consecutive weeks. Preliminary data show that 77% of APS SN clients screened positive for depression at baseline. Among 74 pairings, 54% qualified for a referral, 98% were offered a referral, and 80% agreed to be referred and receive a contact from a treatment center and were referred. These findings strongly support intergenerational connections as a supportive strategy demonstrating that newly developed empathy-based social connections can enhance mental health referral acceptance and improve treatment access for older adults living with SN.","cbCaiq7XGNR5sEZI","https://ap.wps.com/l/cbCaiq7XGNR5sEZI","pdf",1045204,"English","# Study Background\n# Intervention Design\n## Eight-week intergenerational phone-calling\n# Screening and Referral Outcomes\n## PHQ-2 weekly screening\n# Key Findings and Implications","[{\"question\":\"Why are depression treatment referrals difficult for older adults with self-neglect?\",\"answer\":\"Many individuals with self-neglect have untreated depression and often decline APS-offered services, including mental health referrals, limiting treatment access.\"},{\"question\":\"What did the study do to improve referral acceptance?\",\"answer\":\"It developed an eight-week intergenerational phone-calling program pairing health professional students with APS self-neglect clients and screening weekly with PHQ-2.\"},{\"question\":\"What were the main referral-related outcomes?\",\"answer\":\"Among 74 pairings, 54% qualified for referral, 98% were offered a referral, and 80% agreed to be referred and receive contact from a treatment center.\"}]","INTERGENERATIONAL SOCIAL CONNECTIONS ENHANCE DEPRESSION TREATMENT ACCESS FOR OLDER ADULTS WITH SELF-NEGLECT - Issue 2 - Summary | PDF",1790647139]