OBJECTIVES: We examined the feasibility and effectiveness of using culturally sensitive collaborative treatment (CSCT) to improve recognition, engagement, and treatment of depressed Chinese Americans in primary care. METHODS:Chinese American patients in a primary care setting (n = 4228) were screened for depression. The primary study outcome was treatment engagement rate, and the secondary outcome was treatment response. RESULTS:Of the study participants, 296 (7%) screened positive for depression, 122 (41%) of whom presented for a psychiatric assessment; 104 (85%) were confirmed with major depressive disorder, and 100 (96%) of these patients were randomized into treatment involving either care management or usual care. Patients in the care management and usual care groups did not differ in terms of their outcomes. CSCT resulted in a nearly 7-fold increase in treatment rate among depressed patients in primary care. CONCLUSIONS:CSCT is both feasible and effective in improving recognition and treatment engagement of depressed Chinese Americans. Care management may have limited effects on depressed patients treated by psychiatrists, given that these patients tend to have favorable responses in general.
RCT Entities:
OBJECTIVES: We examined the feasibility and effectiveness of using culturally sensitive collaborative treatment (CSCT) to improve recognition, engagement, and treatment of depressed Chinese Americans in primary care. METHODS: Chinese American patients in a primary care setting (n = 4228) were screened for depression. The primary study outcome was treatment engagement rate, and the secondary outcome was treatment response. RESULTS: Of the study participants, 296 (7%) screened positive for depression, 122 (41%) of whom presented for a psychiatric assessment; 104 (85%) were confirmed with major depressive disorder, and 100 (96%) of these patients were randomized into treatment involving either care management or usual care. Patients in the care management and usual care groups did not differ in terms of their outcomes. CSCT resulted in a nearly 7-fold increase in treatment rate among depressedpatients in primary care. CONCLUSIONS: CSCT is both feasible and effective in improving recognition and treatment engagement of depressed Chinese Americans. Care management may have limited effects on depressedpatients treated by psychiatrists, given that these patients tend to have favorable responses in general.
Authors: M G Weiss; D R Doongaji; S Siddhartha; D Wypij; S Pathare; M Bhatawdekar; A Bhave; A Sheth; R Fernandes Journal: Br J Psychiatry Date: 1992-06 Impact factor: 9.319
Authors: Albert Yeung; Raymond Chan; David Mischoulon; Shamsah Sonawalla; Eileen Wong; Andrew A Nierenberg; Maurizio Fava Journal: Gen Hosp Psychiatry Date: 2004 Jan-Feb Impact factor: 3.238
Authors: Trina E Chang; Charlotte D Brill; Lara Traeger; C Andres Bedoya; Aya Inamori; Patrick N Hagan; Katherine Flaherty; Katherine Hails; Albert Yeung; Nhi-Ha Trinh Journal: J Immigr Minor Health Date: 2015-12
Authors: Maria E Garcia; Lisa Ochoa-Frongia; Nathalie Moise; Adrian Aguilera; Alicia Fernandez Journal: J Gen Intern Med Date: 2017-12-18 Impact factor: 5.128
Authors: Wei-Chin Hwang; Hector F Myers; Eddie Chiu; Elsie Mak; Jonathan E Butner; Ken Fujimoto; Jeffrey J Wood; Jeanne Miranda Journal: Psychiatr Serv Date: 2015-07-01 Impact factor: 3.084
Authors: Christopher J Miller; Andrew Grogan-Kaylor; Brian E Perron; Amy M Kilbourne; Emily Woltmann; Mark S Bauer Journal: Med Care Date: 2013-10 Impact factor: 2.983