PEARLS—Program to Encourage Active Rewarding Lives
The Program to Encourage Active Rewarding Lives (PEARLS) is an evidenced-based treatment program for older adults with disabilities who also have minor depression, which is recognized by the Administration on Community Living as meeting the highest criteria.
The PEARLS program is an outgrowth of a 5-year research project conducted in collaboration with the University of Washington's Health Promotion Research Center (HPRC). The research study showed PEARLS home-based depression management counseling significantly reduced depression symptoms and improved health status in chronically medically ill older adults with minor depression.
For our general PEARLS flyer, click on the image above. Other resources are listed below.
Aging and Disability Services offers no-cost, in-home, PEARLS counseling to men and women who served in the military, including their spouse and spouse survivor, aged 55+ who may be feeling down, sad, or blue. PEARLS stands for Program to Encourage Active, Rewarding LiveS.
The PEARLS program helps people feel better by identifying problems and working toward solutions. PEARLS counseling supplements—without competing—with other services for veterans.
- Feeling down, sad, or hopeless more than half the days
- Llittle interest or pleasure in doing things more than half the days
- Age 55 or older
- English speaking
- Veteran, military spouse, or spouse survivor
- Not functionally impaired by schizophrenia, schizo-affective disorder, manic depressive disorder, cognitive impairment, or current substance or alcohol abuse
An article about PEARLS for Veterans—"Program to Encourage Active Rewarding Lives Helps Kent Veteran Succeed at Problem-Solving"—appears in the November 2012 issue of AgeWise King County (also available in PDF).
To view two brief videos about PEARLS support for veterans, click on each of the images below.
This program received funding from the King County Veterans and Human Services Levy.
Scroll down for additional information and resources.
- Translating PEARLS: lessons learned from providers and participants (Frontiers in Public Health, April 27, 2015)
- Veterans Benefits and Support Services Can Change Your Life (AgeWise King County, November 2014)
- King County Veterans and Human Services Levy Makes a Difference (AgeWise King County, November 2014)
- Project Summary A brief summary of program design and results.
- Implementation of an Evidence-Based Depression Care Management Program (PEARLS): Perspectives From Staff and Former Clients Research article published in Preventing Chronic Disease, Centers for Disease Control, September 2012.
- "Community-Integrated Home-Based Depression Treatment in Older Adults" Research article published in the Journal of the American Medical Association (JAMA), April 2004.
- PEARLS Implementation Toolkit
The how-to manual for implementing PEARLS in your agency.
- "PEARLS Gives Seniors with Mild Depression New Hope" One in a series of stories by the Centers for Disease Control on successful prevention research programs, January 2007.
- PEARLS website - managed by the Center for Healthcare Improvement for Addictions, Mental Illness, and Medically Vulnerable Populations (CHAMMP)
- PEARLS Training Video
Testimonials about the effectiveness of PEARLS training for counselors and other professionals.
- VA Caregiver Support The Veterans Administration offers this website for caregivers of veterans of all ages, along with a toll-free support line: 1-855-260-3274.