... organizationalstructure of home health care pose achallenge for determining safe and effec-tive strategies for treating depressed eld-erly home care patients.(Am J Psychiatry 2002; 159:1367–1374) Home care ... two decades, use of home care services andthe sector itself have grown rapidly. Between 1987 and1997, Medicare’s spending for home care rose at an annualrate of 21%, and home care’s share of ... morecomplex care in the home (11).This study is the first, to our knowledge, to investigatemajor depression among elderly recipients of home care1368 Am J Psychiatry 159:8, August 2002 HOME HEALTH CARE...