Introduction According to the U.S. Census Bureau, seniors are an important and rapidly growing segment of the United States population. There are approximately 40 million seniors age 65 and older residing in the United States and this is expected to more than double by 2050 (Population Reference Bureau, 2015). This projection is due to advancements in healthcare facilities and better education (Population Reference Bureau, 2015). As people age, they face various physical, psychological and social changes that affect their quality of life. More specifically, transitions associated with later life such as retirement, medical problems, death of a loved one, reduced social networks lead to depression in the aging population. (National Alliance on Mental Illness, 2009). Depression has been found to be one of the most common mental disorders among adults aged 65 years and older (National Alliance on Mental Illness, 2009). Depression is associated with anxiety and distress that can lead to physical, mental and social impairments. The presence of depressive disorders often has a negative impact on the course and complicates the treatment of other chronic diseases as well (National Alliance on Mental Illness, 2009). According to the National Alliance of Mental Illness there are more than two million of the 40 million Americans aged 65 and older. older adults suffering from some form of depression (National Alliance of Mental Illness (NAMI), 2009). Furthermore, it has been found in epidemiological and other community-based studies that older adults who are homebound due to multiple chronic diseases and disabilities suffered from depressive symptoms more than those who are able to walk without assistive devices (Choi, Sire & Bruce, 2013). Homebound seniors are… the focus of the paper… a therapy for late-life depression. Society of Biological Psychiatry, 52: 293-303. Forsman, A. K., & Nordmyr, J. (2011). Psychosocial interventions to promote mental health and prevent depression among older adults. International Health Promotion, Vol.26 No.SIAyalon, L., Fialova, D., Arean, P.A. et al. (2010). Challenges associated with recognizing and treating depression in older recipients of home care services. International Psychogeriatric, 22:4, 514-522 Duckworth.(2009).MentalIllness.Retrievedfrom: http://www.nami.org/Template.cfm?Section=By_Illness&template=/ContentManagement/ContentDisplay.cfm&ContentID=7515Centers for disease prevention and National Association of Chronic Disease Directors (2009). The state of mental health and aging in America. Retrieved from http://www.cdc.gov/aging/pdf/mental_health_brief_2.pdf
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