Psychotherapy in Nontraditional Settings: A Case of In-Home Cognitive-Behavioral Therapy With a Depressed Older Adult
Abstract
The underuse of psychological services among older adults is quite common. A variety of barriers contribute to this problem, one of which involves the difficulties associated with getting to appointments. The inability to attend appointments is frequently attributable to the occurrence of age-related physical limitations leaving the individual homebound. This case study offers an illustration of cognitive-behavioral psychotherapy in the treatment of a depressed homebound older adult with limited social and financial resources. Special consideration is given to difficulties often experienced by older adults and the unconventional circumstances associated with providing in-home psychotherapy.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Common barriers to accessing mental health care include stigma, travel difficulties, lack of time, physical limitations, and little knowledge about mental health issues.
“Among the most common barriers to accessing mental health care resources are the stigma associated with mental illness, travel difficulties for patients, lack of time, physical limitations, and little knowledge about mental health issues and when to see a professional (Byatt et al., 2012;Maxfield & Segal, 2008).”
From The Unified Protocol for Transdiagnostic Treatment of Perinatal Depression: A Case Study (2020) · cites this paper as Maxfield & Segal, 2008
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
Diagnostic and Statistical Manual of Mental Disorders.
Widiger, T. A. (2000) · Oxford University Press eBooks · doi:10.1037/10518-009 · Cited by 19,767 · see citing works
Cognitive Therapy in Depression
Kovács, M. (1980) · Journal of the American Academy of Psychoanalysis · doi:10.1521/jaap.1.1980.8.1.127 · Cited by 3,422 · see citing works
Cognitive Therapy for Depression
Butler, A. C., & Beck, A. T. (1996) · PsycEXTRA Dataset · doi:10.1037/e555342011-003 · Cited by 686 · see citing works
Consensus Statement on the Upcoming Crisis in Geriatric Mental Health
Jeste, D. V., Alexopoulos, G. S., Bartels, S. J., Cummings, J. L., Gallo, J. J., Gottlieb, G. L., Halpain, M. C., Palmer, B. W., Patterson, T. L., Reynolds, C. F., et al. (1999) · Archives of General Psychiatry · doi:10.1001/archpsyc.56.9.848 · Cited by 517 · see citing works
Psychotherapy with Older Adults
Knight, B. G. (2004) · Sage eBooks · doi:10.4135/9781452204574 · Cited by 278 · see citing works
Cognitive Behaviour Therapy with Older People
Laidlaw, K., Thompson, L. W., Dick‐Siskin, L., & Gallagher‐Thompson, D. (2003) · doi:10.1002/9780470713402 · Cited by 238 · see citing works
Thompson, L. W., Coon, D. W., Gallagher-Thompson, D. E., Sommer, B. R., & Koin, D. (2001) · American Journal of Geriatric Psychiatry · doi:10.1097/00019442-200108000-00006 · Cited by 211 · see citing works
Evidence-Based Psychotherapies for Depression in Older Adults
Scogin, F. R., Welsh, D. L., Hanson, A., Stump, J., & Coates, A. (2005) · Clinical Psychology Science and Practice · doi:10.1093/clipsy.bpi033 · Cited by 202 · see citing works
Attitudes towards mental health care in younger and older adults: similarities and differences
Robb, C., Haley, W. E., Becker, M. A., Polivka, L. A., & Chwa, H.-J. (2003) · Aging & Mental Health · doi:10.1080/1360786031000072321 · Cited by 163 · see citing works
Personality Disorders and Older Adults: Diagnosis, Assessment, and Treatment
(2007) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e318126bd8b · Cited by 142 · see citing works
Qualls, S. H., Segal, D. L., Norman, S., Niederehe, G., & Gallagher-Thompson, D. E. (2002) · Professional Psychology Research and Practice · doi:10.1037/0735-7028.33.5.435 · Cited by 121 · see citing works
Self-citationProfessional Boundaries in Nontraditional Settings.
Knapp, S. J., & Slattery, J. M. (2004) · Professional Psychology Research and Practice · doi:10.1037/0735-7028.35.5.553 · Cited by 71 · see citing works
Mental disorders in older adults
(2021) · Bloomsbury Professional eBooks · doi:10.5040/9781526521927.chapter-016 · Cited by 39 · see citing works
Overcoming obstacles in providing mental health treatment to older adults: Getting in the door.
Yang, J. A., & Jackson, C. L. (1998) · Psychotherapy · doi:10.1037/h0087697 · Cited by 37 · see citing works
In-Home Cognitive Behavior Therapy for a Depressed Mother in a Home Visitation Program
Ammerman, R. T., Bodley, A. L., Putnam, F. W., Lopez, W. L., Holleb, L. J., Stevens, J., & Van Ginkel, J. B. (2007) · Clinical Case Studies · doi:10.1177/1534650106286533 · Cited by 28 · see citing works
Treatment of Clinical Depression in Caregivers of Spouses With Dementia
Kaplan, C. P., & Gallagher-Thompson, D. E. (1995) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.9.1.35 · Cited by 11 · see citing works
Psychotherapy With Older Adults
Knight, B. G. (2007) · PsycTHERAPY Dataset · doi:10.1037/v00219-001 · Cited by 10 · see citing works
Richardson, L., & Reid, C. L. (2006) · Clinical Psychologist · doi:10.1080/13284200600690453 · Cited by 6 · see citing works
Rosqvist, J., Thomas, J. C., Egan, D., & Haney, B. J. (2002) · Clinical Case Studies · doi:10.1177/1534650102001002001 · Cited by 6 · see citing works
Services and supports to the homebound elderly with mental health needs.
Lipsman, R. (1996) · PubMed · Cited by 5 · see citing works
(2012) · Routledge eBooks · doi:10.4324/9780203726044 · Cited by 2 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Taking counselling and psychotherapy outside: Destruction or enrichment of the therapeutic frame?
Jordan, M., & Marshall, H. (2010) · European Journal of Psychotherapy & Counselling · doi:10.1080/13642537.2010.530105 · Cited by 83 · see citing works
Moving beyond counselling and psychotherapy as it currently is – taking therapy outside
Jordan, M. (2014) · European Journal of Psychotherapy & Counselling · doi:10.1080/13642537.2014.956773 · Cited by 44 · see citing works
Bettis, J., Kakkar, S., & Chan, C. D. (2020) · Adultspan Journal · doi:10.1002/adsp.12087 · Cited by 18 · see citing works
The Unified Protocol for Transdiagnostic Treatment of Perinatal Depression: A Case Study
Crespo-Delgado, E., Martínez-Borba, V., & Osma, J. (2020) · Clinical Case Studies · doi:10.1177/1534650120951266 · Cited by 14 · see citing works
Yang, J. A., Garis, J., Jackson, C., & McClure, R. (2009) · Clinical Gerontologist · doi:10.1080/07317110902896356 · Cited by 14 · see citing works
Cognitive Behavior Therapy With Mindfulness and Acceptance Skills for the Treatment of Older Adults
Marino, P., DePasquale, A., & Sirey, J. A. (2015) · Clinical Case Studies · doi:10.1177/1534650114556147 · Cited by 9 · see citing works
Attitudes of Counselors Regarding Ethical Situations Encountered by In-Home Counselors
Lauka, J. D., Remley, T. P., & Ward, C. A. (2013) · The Family Journal · doi:10.1177/1066480712465822 · Cited by 7 · see citing works
Wyman‐Chick, K. A. (2012) · Clinical Case Studies · doi:10.1177/1534650112436679 · Cited by 5 · see citing works
Goel, M., & Fuller‐Thomson, E. (2025) · Archives of Gerontology and Geriatrics Plus · doi:10.1016/j.aggp.2025.100187 · Cited by 2 · see citing works
Increasing Nutritional Adherence in an African American Woman With Type 2 Diabetes
Steers, M. E., Renn, B. N., & Feliciano, L. (2013) · Clinical Case Studies · doi:10.1177/1534650113514291 · Cited by 1 · see citing works
A Novel In-Home Relapse Prevention Treatment for Anorexia Nervosa
Sproch, L. E., & Anderson, K. P. (2018) · Clinical Case Studies · doi:10.1177/1534650118799198 · Cited by 1 · see citing works
Birdsey, N. (2020) · Clinical Case Studies · doi:10.1177/1534650120964869 · Cited by 1 · see citing works
How Class Background Influences Negative Countertransference in Outreach Therapy
Patterson, K. (2013) · OhioLink ETD Center (Ohio Library and Information Network) · Cited by 1 · see citing works
- Authors
- Maxfield, M., & Segal, D. L.
- Affiliations
- University of Colorado Colorado Springs (US)
- Venue
- Clinical Case Studies
- Publisher
- SAGE Publications
- Published
- 2008-04
- Volume
- 7
- Issue
- 2
- Pages
- 154-166
- ISSN
- 1534-6501 (ISSN-L)
- 1552-3802
- OpenAlex
- W1981657157
- Cited by
- 13
- References
- 22
- Citations by year
- 2025: 1 · 2020: 3 · 2018: 1 · 2015: 1 · 2014: 1 · 2013: 3 · 2012: 1
- FWCI
- 0.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Case Studies (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Keywords
- home-based psychotherapy, older adults, depression, homebound older adults, cognitive behavioral therapy, barriers to mental health care, transportation barriers, low-income patients
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
