Bring It Up: An Adapted Collaborative Care Model for Depression in a Safety‐Net Primary Care Clinic

Autor: Lisa Ochoa‐Frongia, Maria E. Garcia, Tamara Bendahan, Andrea N. Ponce, Cristina Calderon, Margo Pumar, Karen Yee, Dean Schillinger, Rachel Loewy, Christina Mangurian
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Psychiatric Research and Clinical Practice, Vol 6, Iss 2, Pp 42-50 (2024)
Druh dokumentu: article
ISSN: 2575-5609
20230060
DOI: 10.1176/appi.prcp.20230060
Popis: Objective Over 90 clinical trials demonstrate the efficacy of the collaborative care model (CoCM) to treat depression in primary care but there is significant variability in real‐world CoCM implementation and scalability. This study aimed to determine the feasibility and effectiveness of an adapted CoCM in a safety‐net primary care setting. Methods Bring It Up! (BIU) is a pilot trial comparing an adapted CoCM (intervention group) to usual care (historical controls) for primary care safety‐net clinic patients with depression. Inclusion criteria: (1) age ≥18; (2) Patient Health Questionnaire‐9 (PHQ‐9) score ≥10; and (3) major depressive disorder diagnosis. Patients who completed ≥6 months of treatment upon rolling enrollment (April 1, 2018–October 31, 2019) were included. Historical controls completed ≥6 months of usual care in 2017. BIU included all aspects of CoCM except accountable care and leveraged existing staff rather than a dedicated care manager. The primary outcome was depression remission (PHQ‐9
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