A Statewide Effort to Implement Collaborative Care for Depression

Reach and Impact for All Patients With Depression

Dados Bibliográficos

ID9103380
AutoresRebecca C Rossom (0000-0002-9531-914X, HealthPartners Institute, autor correspondente), Leif I Solberg (0000-0001-5509-1139, HealthPartners Institute, autor correspondente), Emily D Parker (0000-0002-6219-4360, HealthPartners Institute, autor correspondente), A Lauren Crain (0000-0002-5050-945X, HealthPartners Institute, autor correspondente), Robin R Whitebird (0000-0002-8700-5415, H ea lt hP ar tn er s, autor correspondente), Robin Whitebird (HealthPartners Institute), Michael V Maciosek (0000-0002-8164-8858, H ea lt hP ar tn er s, autor correspondente), Michael Maciosek (HealthPartners Institute), Beth A Molitor (H ea lt hP ar tn er s, autor correspondente), Beth Molitor (HealthPartners Institute), Michael Trangle (HealthPartners Behavioral Health, Minneapolis, MN), Jürgen Unützer (0009-0005-6585-7835, Division of Integrated Care and Public Health, University of Washington AIMS Center, Seattle, WA)
Ano2016
Volume54
Fascículo11
Páginas992-997
Data de publicação2016-11-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoMedical Care (JOURNAL)
Identificadores do periódicoISSN: 0025-7079 • E-ISSN: 1537-1948
EditoraOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000000602
PMID27479596
OpenAlexW2509276042
IdiomaEN
Citações recebidas1
Referências citadas14

BACKGROUND: Little is known about the reach and impact of collaborative care for depression outside of clinical trials. OBJECTIVE: The objective of this study was to examine the effect of a collaborative care intervention for depression on the rates of depression diagnosis, use of specific depression codes, and treatment intensification. RESEARCH DESIGN: Evaluation of a staggered, multiple baseline implementation initiative. SUBJECTS: Patients receiving depression care in primary care clinics throughout Minnesota from February 2008 through March 2011. MEASURES: Data regarding depression diagnosis rates and codes, and measures of antidepressant intensification were provided by health insurers. RESULTS: Depression Improvement Across Minnesota: Offering a New Direction (DIAMOND) affected neither rates of depression recognition nor use of depression diagnostic codes, and the overall reach of DIAMOND was disappointingly small. Patients in DIAMOND had more episodes of treatment intensification than non-DIAMOND patients, but we were unable to account for depression severity in our analysis. CONCLUSIONS: DIAMOND did not affect depression recognition or diagnostic coding, but may have affected treatment intensification. Our results suggest that even strongly evidence-based interventions may have little contamination effects on patients not enrolled in the new care model

Coding (social sciences) · Collaborative Care · Depression (economics) · Intervention (counseling) · Mental health · Psychiatry · Psychological intervention · Digital Mental Health Interventions · Medicine · Mental Health Treatment and Access · Treatment of Major Depression