Machine derived contents note: Acknowledgements -- Preface -- Introduction -- Background -- Approach -- Structure -- 1. Later life with depression: nature and prevalence -- Depression and older people -- Prevalence -- Summary -- 2. The experience of depression -- User perspectives -- The experience of care giving -- Summary -- 3. Risk and vulnerability -- A framework for understanding risk -- Background risk factors Stressors -- Protective vulnerability factors -- Summary -- 4. Accessing help from primary and community care -- Key challenges -- Primary care: getting through the gate -- Accessing help -- Barriers to access -- Community and residential settings: problems of access, treatment and support -- Summary -- 5. Models of treatment and care in later-life depression -- Key issues -- Treating later-life depression -- Specialist mental health services for older people -- Summary -- 6. Securing well-being in older age -- Developing a strategy to secure well-being -- Key elements in well-being -- Addressing threats to well-being -- Developing a preventative approach -- 7. Summary and conclusions -- Nature and scale of later-life depression -- The experience of the illness -- Risk and vulnerability -- Service delivery and practice -- From treating depression to supporting well-being -- References -- Appendix A: Search strategy -- Appendix B: Longitudinal studies on ageing -- Appendix C: A framework of risk and protective factors in securing quality in ageing
