A geriatric evaluation and management programme prevented functional decline and reduced depression in high risk older adults.

Intervention Patients were allocated to GEM (n=294), consisting of a home visit by a social worker, 2 visits to the GEM clinic, and 6 months of management by an interdisciplinary team, or usual care (n=274) for a mean 6 months. A team comprising a geriatrics nurse practitioner, a geriatrician, a social worker, and a nurse assessed patients, set intervention priorities, created a plan of care, and provided comprehensive care. Patients had monthly clinic visits and regular telephone calls between visits.