TY - JOUR
KW - behavioral health integration
KW - Behavioral Medicine
KW - integrated care
KW - Organizational Learning
KW - Primary care psychiatry
KW - Psychosomatic Medicine
AU - A. D. Carlo
AU - P. J. Jeng
AU - Y. Bao
AU - J. Unutzer
A1 - 
AB - OBJECTIVE:: This study examined organizational variability of process-of-care and depression outcomes at eight community health centers (CHCs) in the years following implementation of collaborative care (CC) for depression. METHODS:: The authors used 8 years of observational data for 13,362 unique patients at eight CHCs that participated in Washington State's Mental Health Integration Program. Organization-level changes in depression and process-of-care outcomes over time were studied. RESULTS:: On average, depression outcomes improved for the first 2 years before improvement slowed, peaking at year 5. Significant organization-level variation was noted in outcomes. Improvements in depression outcomes tended to follow process-of-care measures. CONCLUSIONS:: Findings suggest that it may take 2 years after implementation of CC to fully observe depression outcome improvement at an organization level. Substantial variation between organizations in depression outcomes over time suggests that sustained attention to processes of care may be necessary to maintain initially achieved gains.
BT - Psychiatric services (Washington, D.C.)
C5 - General Literature
CP - 2
CY - United States
DO - 10.1176/appi.ps.201800249
IS - 2
JF - Psychiatric services (Washington, D.C.)
N2 - OBJECTIVE:: This study examined organizational variability of process-of-care and depression outcomes at eight community health centers (CHCs) in the years following implementation of collaborative care (CC) for depression. METHODS:: The authors used 8 years of observational data for 13,362 unique patients at eight CHCs that participated in Washington State's Mental Health Integration Program. Organization-level changes in depression and process-of-care outcomes over time were studied. RESULTS:: On average, depression outcomes improved for the first 2 years before improvement slowed, peaking at year 5. Significant organization-level variation was noted in outcomes. Improvements in depression outcomes tended to follow process-of-care measures. CONCLUSIONS:: Findings suggest that it may take 2 years after implementation of CC to fully observe depression outcome improvement at an organization level. Substantial variation between organizations in depression outcomes over time suggests that sustained attention to processes of care may be necessary to maintain initially achieved gains.
PP - United States
PY - 2019
SN - 1557-9700; 1075-2730
SP - 139
EP - 142
EP - 
T1 - The Learning Curve After Implementation of Collaborative Care in a State Mental Health Integration Program
T2 - Psychiatric services (Washington, D.C.)
TI - The Learning Curve After Implementation of Collaborative Care in a State Mental Health Integration Program
U1 - General Literature
U2 - 30453857
U3 - 10.1176/appi.ps.201800249
VL - 70
VO - 1557-9700; 1075-2730
Y1 - 2019
ER -