OBJECTIVE: This study analyzed effectiveness of screening, referrals, and treatment uptake of a collaborative care for depression intervention across 10 primary care clinics in Chicago. METHODS: Between November 2016 and December 2017, patients (N=25,369) were screened with the Patient Health Questionnaire-2 and the Patient Health Questionnaire-9 on the basis of an eligibility algorithm. Electronic health record data were analyzed for sample characteristics, screening rates, referrals, and treatment pathways. To identify disparities, a test of proportions was conducted between eligible and screened patients as well as referred and treated patients. RESULTS: Screenings, referrals, and uptake occurred proportionately across subgroups except for patients ages 12-17. Adolescent age was associated with disproportionate Patient Health Questionnaire-9 screenings and with treatment disengagement. CONCLUSIONS: The intervention shows promise in expanding access to care and reducing disparities. Greater access to psychotherapies and innovative treatment modalities, particularly for adolescents, may improve overall treatment uptake.
OBJECTIVE: This study analyzed effectiveness of screening, referrals, and treatment uptake of a collaborative care for depression intervention across 10 primary care clinics in Chicago. METHODS: Between November 2016 and December 2017, patients (N=25,369) were screened with the Patient Health Questionnaire-2 and the Patient Health Questionnaire-9 on the basis of an eligibility algorithm. Electronic health record data were analyzed for sample characteristics, screening rates, referrals, and treatment pathways. To identify disparities, a test of proportions was conducted between eligible and screened patients as well as referred and treated patients. RESULTS: Screenings, referrals, and uptake occurred proportionately across subgroups except for patients ages 12-17. Adolescent age was associated with disproportionate Patient Health Questionnaire-9 screenings and with treatment disengagement. CONCLUSIONS: The intervention shows promise in expanding access to care and reducing disparities. Greater access to psychotherapies and innovative treatment modalities, particularly for adolescents, may improve overall treatment uptake.
Entities:
Keywords:
Collaborative care; Depression; Health disparities; Population health; Primary care; Screening
Authors: Amy M Bauer; Vanessa Azzone; Howard H Goldman; Laurie Alexander; Jürgen Unützer; Brenda Coleman-Beattie; Richard G Frank Journal: Psychiatr Serv Date: 2011-09 Impact factor: 3.084
Authors: Benji T Kurian; Madhukar H Trivedi; Bruce D Grannemann; Cynthia A Claassen; Ella J Daly; Prabha Sunderajan Journal: Prim Care Companion J Clin Psychiatry Date: 2009
Authors: Albert L Siu; Kirsten Bibbins-Domingo; David C Grossman; Linda Ciofu Baumann; Karina W Davidson; Mark Ebell; Francisco A R García; Matthew Gillman; Jessica Herzstein; Alex R Kemper; Alex H Krist; Ann E Kurth; Douglas K Owens; William R Phillips; Maureen G Phipps; Michael P Pignone Journal: JAMA Date: 2016-01-26 Impact factor: 56.272