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The proposal context outlines the foundation’s goals to improve outcomes for older adults with depression by strengthening family, friends, clinics, and community-based organizations (CBOs). Background describes the burden, risk factors, and treatment gaps in late-life depression, and summarizes evidence for collaborative care models in primary settings and community programs, including effectiveness and 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Proposals  \nArchstone Foundation  \nArchstone Foundation is a private nonprofit grantmaking foundation whose mission is to prepare society in meeting the needs of an aging population. Archstone Foundation’s current funding priorities include, Depression in Late-Life, Family Caregiving, and Aging in Community.  \nIn June 2014, Archstone Foundation Board of Directors, as part of the Foundation’s Depression in Late-Life Initiative, awarded a four-year grant to the University of Washington (UW), and the University of California, Davis (UC Davis), to support the Care Partners: Bridging Families, Clinics, and Communities to Advance Late-Life Depression Care project. The four-year project, commissioned by Archstone Foundation, supported community-engaged partners who worked together to improve care for older adults with depression by strengthening the involvement of family, friends, and community-based organizations (CBOs) in depression care. To support organizations participating in the project, Archstone Foundation engaged experts Jürgen Unützer, MD, MPH, MA, at the University of Washington’s AIMS Center (Advancing Integrated Mental Health Solutions), and Ladson Hinton, MD, at the University of California, Davis.  \nIn July 2015, Archstone Foundation, awarded two-year grants to seven sites throughout California that were interested in further developing partnership between clinics and community partners (i.e., CBOs and / or family care partners) when implementing collaborative care to improve late-life depression care. In 2017, four of the original sites in the Care Partners program were awarded continuation funding for an additional three years. This group of Phase 2, Cohort 1 projects began in July 2017, and will continue through June 2020. Archstone Foundation also approved plans for the addition of a second cohort to join the learning collaborative of Care Partners sites in July 2018. The UW / UC Davis technical assistance and evaluation team is supporting this effort to identify and select a second cohort of sites interested in enhancing collaborative care through partnerships with CBOs working with older adults or through engaging the family and/or friends of older adults with depression in their care.  \nBackground on Late-Life Depression  \nDepression is common among older adults, and it comes at a high cost to patients and their families. Major depression affects 2 to 5% of community dwelling older adults, up to 10% of older adults in primary care clinics, and up to 30% of older adults with chronic medical illnesses. Late-life depression impairs quality of life, the ability to function, and to enjoy late-life. It is associated with increased health care costs, family stress, and increased risk of suicide. Depression is the most important and arguably the most treatable risk factor for completed suicide.  \nOver the past two decades, there has been significant progress in the ability to diagnose and treat depression in older adults. Research has demonstrated that collaborative care programs in primary care (i.e., IMPACT: Improving Mood – Promoting Access to Collaborative Treatment), where primary care physicians are supported by mental health professionals to treat depression in older adults, can dramatically improve the effectiveness and cost-effectiveness of depression treatment. Collaborative care models in the community, such as PEARLS, are also effective at engaging older adults in depression care and improving depression outcomes. Despite advances, older adults suffering with depression often times do not access, or fail to engage sufficiently in, treatment. Vulnerable groups at particularly high risk for ineffective depression care include: 1) minorities; 2) older men; and 3) older adults with multiple medical problems, less formal education, and/or lower soc","cbCaidvXWQYA5sMy","https://ap.wps.com/l/cbCaidvXWQYA5sMy","pdf",65065,9,"English","# Depression in Late-Life Initiative\n## Care Partners: Bridging Families, Clinics, and Communities to Advance Late-Life Depression Care\n## Phase 2, Cohort 2\n## Request for Proposals\n# Background on Late-Life Depression\n## Prevalence, impacts, and risk factors\n# Collaborative Care for Late-Life Depression\n## Patient-centered collaborative care approach\n## Evidence for effectiveness and cost-effectiveness","[{\"question\":\"What is the purpose of this Request for Proposals from Archstone Foundation?\",\"answer\":\"It solicits participation to support the Care Partners effort to advance late-life depression care through collaborative, community-engaged partnerships involving families, clinics, and community-based organizations.\"},{\"question\":\"Why does Archstone Foundation focus on late-life depression care?\",\"answer\":\"Late-life depression is common, harms quality of life and function, increases health care costs and family stress, and is linked to heightened suicide risk, while many older adults do not access or adequately engage in treatment.\"},{\"question\":\"How does the proposal define collaborative care for older adults with depression?\",\"answer\":\"Collaborative care is a patient-centered model delivered in primary care, using chronic illness care principles, coordinated teams, and evidence-based treatments such as antidepressant medications and brief counseling strategies (e.g., Problem Solving Treatment).\"}]","Care Partners: Bridging Families, Clinics, and Communities to Advance Late-Life Depression Care - Request for Proposals - Phase 2, Cohort 2 - Archstone Foundation | PDF",1789535936]