Depression in residential aged care

Why your visits to family members in aged care matter more than you may think

Regular family visits really help lift the spirits of aged care residents, keeping them connected and engaged and reminding them of times past, when they were more active with family.

Depression in residential aged care

The impact of family visits on residents’ wellbeing

Depression in residential aged care is a big challenge, and it’s often tied to loneliness and feeling isolated. Unfortunately, a lot of aged care residents deal with this. Family visits can really help lift their spirits and improve their mental health, but when COVID-19 hit and visits were restricted here in Victoria, it made things even harder. 

“Many of us felt the effects of isolation during the pandemic, but for our aged care residents, the impact was even more significant. Even though at Hope we maintained family visits throughout the pandemic, visits were necessarily shorter and harder to attend if the family lived outside the restricted zone, leading to a sense of isolation and increased confusion in some cases.”

Bashar Bitar
Bashar Bitar
Operations Manager Hope Aged Care Melbourne & Swan Hill
While we may be past the strict lockdowns, the importance of family visits is something that we should not underestimate.

Depression in the elderly

Family visits and depression

A study called Family visits and depression among residential aged care residents: An integrative review by Josh D L Tan and colleagues (2023) explored the connection between family visits and depression in aged care. 

The research found that depression rates among aged care residents can be as high as 58.7%, with social isolation being one of the major contributors. According to the study, 40% of the research reviewed showed a clear link between regular family visits and lower rates of depression.

“It’s not just about the number of visits but the quality of the time spent together. For many residents, even a short visit can lift their spirits.” 

Cath McDonald
Service Manager Hope Aged Care Brunswick

Family visits help reduce feelings of loneliness and make residents feel connected to the people who care about them. And this connection can make all the difference in helping them cope with the challenges of ageing, especially when dealing with health issues or the adjustment to living in aged care. 

However, the study also pointed out that depression in aged care isn’t just about whether or not family visits happen. Other factors like culture, the resident’s personal circumstances, and the involvement of care staff also play a role.

Depression in residential aged care

“But the bottom line is that regular visits from family members have a real, positive impact on the mental wellbeing of aged care residents.” 

Cath McDonald
Service Manager Hope Aged Care Brunswick

Loneliness in the elderly

Why every visit matters

While family visits are incredibly beneficial, we also have to remember that not all residents have family who are able to visit often. Some may have lost many of their loved ones, while others have family members who are busy with work, kids, or live far away. This doesn’t mean the importance of visits should be downplayed. In fact, it means we need to stress just how much even the smallest of visits can do.

If you have a loved one in aged care, it’s easy to think, “They’ll be fine; they’re being looked after.” And yes, while their physical needs are being met, there’s an emotional aspect that only personal connections can fill. 

“Loneliness and social isolation are very real problems for many older people, and visits from family can help bridge that gap. Even a quick chat, bringing along a family photo, or simply sitting together can brighten their day and help them feel more connected.” 

Ali Ibrahim
Ali Ibrahim
Service Manager Hope Aged Care Gladstone Park & Sunshine

Visiting aged care facilities in Victoria

What we do at Hope Aged Care

At Hope Aged Care in Melbourne and Swan Hill, we understand how vital it is to look after the mental health of our residents. Family visits are important, and we do everything we can to make it easy for families to spend time with their loved ones. But we also know that sometimes, for various reasons, regular visits aren’t always possible. 

That’s why we have a range of services and activities to support the wellbeing of our residents. We offer allied health care, which includes professional support to help with physical and emotional health, making sure our residents get the care they need in a holistic way. For families who need a break or are unable to visit regularly, we provide respite care, giving them peace of mind that their loved ones are being looked after.

Depression in residential aged care

“Plus, our lifestyle activities play a big role in helping residents stay socially connected and active. From group activities to special events, there’s always something happening to keep residents engaged and provide opportunities for social interaction.” 

Bashar Bitar
Bashar Bitar
Operations Manager Hope Aged Care Melbourne & Swan Hill

These activities are designed not just to fill time, but to help fight feelings of loneliness and isolation, and we’ve seen firsthand how much of a difference they can make. 

Hope Aged Care Melbourne & Swan Hill

Conclusion

Family visits can have a profound effect on the mental wellbeing of older people in aged care, especially when it comes to reducing feelings of depression. While not every resident has regular family visitors, each visit – no matter how small – can help lift their spirits. But we also know that depression is complex and influenced by other factors, which is why at Hope Aged Care, we offer a range of services to support both the physical and mental health of our residents. 

Want to know more about this topic or about how Hope Aged Care tackles loneliness and feelings of depression?

Entry into Hope Aged Care Homes

If you’re starting to consider residential aged care for your Mum, Dad or loved one you’re probably wondering how much it will cost – and if they can afford it.

The Australian Government’s New Aged Care Act came into effect from 1 November
2025. The reforms include changes to the costs of permanent residential aged
care. These costs apply to every aged care community across Australia.

The following costs apply to those entering residential aged care after 1 November
2025. If you were approved for, or accessing, a Home Care Package on 12
September 2024, you are protected by the ‘no worse off principle’ and will pay
fees under the 1 July 2014 arrangements. 


Fees and contributions you may pay

Before you enter permanent residential care, you should have your means assessed to see if you’re eligible for Australian Government assistance with fees and accommodation costs. The fees you pay will depend on the outcome of your means assessment and what you agree on with your aged care provider.  You may need to pay some or all of these fees:

• basic daily fee

• hotelling contribution

• non-clinical care contribution

• accommodation costs

 

Basic daily fee

All residents pay this fee for daily living services, including meals, cleaning, laundry and utilities.

The maximum fee is set at 85% of the single basic age pension. This fee increases in March and September each year in line with the age pension.

Hotelling contribution

People who can afford to will contribute more towards their daily living costs through a hotelling contribution.

Services Australia will tell you if you need to pay a hotelling contribution and if so, how much you need to pay. This is based on your means assessment and changes with indexation in March and September. 

Non-clinical care contribution

People who need to pay the maximum hotelling contribution may also need to pay a non-clinical care contribution.

Services Australia will tell you if you need to pay a non-clinical care contribution and if so, how much you need to pay. This is based on your means assessment. The maximum amount changes with indexation in March and September. Daily and lifetime caps apply.

This fee ceases after a person pays it for four years, even if they have not reached the lifetime cap amount


Accommodation costs

Room prices

How much you pay for a room at your chosen aged care facility will also depend on your means assessment.

If you are eligible for assistance, the government will pay some or all of your accommodation costs to your provider. If not, you will need to pay the price that you agree with your provider.

Payment options

  • Option 1: 

A lump sum refundable accommodation deposit (RAD) that is refunded when you leave care, less any retention amounts and any fees that you agree to draw down.


A refundable accommodation deposit (RAD) retention also applies – if you pay a lump sum, your provider keeps 2% of your lump sum per year. This amount is not refunded when you leave care. After 5 years in care, no further retention amounts will be deducted.

  • Option 2: 

A daily accommodation payment (DAP) that is not refunded when you leave care.

The interest rate used to calculate a DAP is called the Maximum Permissible Interest Rate (MPIR). This is set by the Government and reviewed quarterly.

Daily accommodation payment (DAP) indexing applies – if you pay by DAP, this amount will increase due to indexation on 1 January, 1 April, 1 July and 1 October each year. Indexation does not apply to daily accommodation contributions (DAC) paid by residents eligible for government assistance with their accommodation costs.

  • Option 3: 

Any combination of a RAD and DAP.

Until you pay a RAD, you will pay a DAP. You can pay a RAD at any time after you enter care.

A RAD payment is considered an asset for aged care purposes. This means it is counted in your means assessment and may affect your hotelling contribution and non-clinical care contribution.

If you choose a combination payment, you can choose to draw your daily payment from your paid RAD. Over time, this will increase your daily payment unless you top up the lump sum. Your provider may also agree to draw other fees from the lump sum, like your basic daily fee.

 

Confirm your fees with a means assessment

To confirm your aged care fees, you will need a means assessment. This is where Services Australia or the Department of Veterans’ Affairs (DVA) assesses your income and assets. If you are a member of a couple, they will assess half of your combined income and assets, regardless of who earns the income or owns the assets.

If you choose not to have your means assessed, you will not be eligible for assistance with your accommodation and your provider can ask you to pay:

• the full hotelling contribution and non-clinical care contribution, and

• the accommodation price you agreed on before you entered care.

 

To complete a means assessment, fill in the Residential Aged Care Calculation of your cost of care form (SA457) or the Residential Aged Care Property details for Services Australia and DVA customers form (SA485). If Services Australia or DVA already have your financial details, you may not need to complete a form to have your means assessed.

 

Once your assessment is complete, Services Australia will send you a fee advice letter.

 

You should lodge your request for a means assessment as early as possible – even before you enter an aged care home. If your assessment is finished before you enter, the results are valid for 120 days unless there is a significant change in your circumstances.

 

Changes to fees after entering care

Your aged care fees and contributions do not stay the same for your time in care. They will change over time because of:

• changes to your financial circumstances

• indexation of aged care fees and thresholds

• reaching lifetime caps on certain fees.

 

Keep your financial details up to date

Once you’ve had your means assessed, you need to keep your income and assets up to date with Services Australia or DVA. You are legally required to report changes to your (and your partner’s) personal or financial circumstances within 28 days. This will help keep your aged care fees correct.

You can call Services Australia on 1800 227 475 or update your details online through MyGov.

 

Department of Veterans’ Affairs (DVA) recipients

If you are an eligible former Prisoner of War (POW) or Victoria Cross (VC) recipient, DVA may pay your basic daily fee. You may also be exempt from paying some of the contributions based on your means assessment.

You can find more information at dva.gov.au

 

Seek financial advice and education

You should seek independent financial advice before deciding how to pay for aged care. Some payment methods can affect your pension and aged care fees. If both you and your partner need to access care, each of your payment methods may affect the other’s aged care fees.

 

Financial hardship assistance

If you can’t afford your aged care fees for reasons beyond your control, you can apply for financial hardship assistance. You must meet certain eligibility criteria and will be assessed on your specific circumstances. If you’re approved for hardship assistance, the government will pay some (or all) of your aged care fees.

 

Got Questions?

We understand that residential aged care costs can be confusing. That’s why our knowledgeable and friendly team is here to help you. We’ll guide you through the options, answer your questions and help you at every stage.

Call us on (03) 9302 9300 or email us at [email protected]

Schedule of fees and charges for residential care
from 20 March 2026


This Schedule applies to residential aged care recipients. Different fees and accommodation costs apply based on the resident’s fee arrangements and accommodation arrangements.

Rates for 1 November 2025 fee and accommodation arrangements

Resident fees and contributions

Fee

Maximum daily rate

Basic daily fee 1

$66.80

Hotelling contribution 2

$22.15

Non-clinical care contribution 2

$107.32

This fee applies for permanent residential care and residential respite care.

Services Australia advises the contribution amount for a resident.

Caps on non-clinical care contribution

Non-clinical care contribution cap

Rate

Daily cap

$107.32

Lifetime cap 3

$137,917.01

A four-year cap also applies to the non-clinical care contribution. The fee ceases after a person pays it for four years, even if they have not reached the lifetime cap amount. 

 

Rates for post 1 July 2014 fee and accommodation arrangements

Resident fees and contributions

Fee

Maximum daily rate

Basic daily fee

$66.80

Means tested care fee 5

from 1 October 2025

from 1 April 2026

$403.80

$370.39

Services Australia advises the fee amount for each resident.

 

Caps on Means tested care fee

Means tested care fee caps

Rate

Lifetime cap

$86,185.23

Annual cap

$35,910.43