TY - JOUR KW - Behavior Therapy KW - Counseling KW - Depressive Disorder/drug therapy/therapy KW - Education, Medical, Continuing KW - Education, Nursing KW - Humans KW - Nurses/organization & administration KW - Patient Care Team KW - Primary Health Care/organization & administration KW - Remote Consultation KW - United States AU - J. F. Meresman AU - E. M. Hunkeler AU - W. A. Hargreaves AU - A. J. Kirsch AU - P. Robinson AU - A. Green AU - E. Z. Mann AU - M. Getzell AU - P. Feigenbaum A1 - AB - The treatment of depression in primary care needs improvement. Previously, we reported that a nurse telecare intervention for treating depression in primary care clinics significantly improved treatment outcomes. The usefulness of nurse telecare, however, depends upon the feasibility of dissemination. In this report we describe nurse telecare and the steps required for implementation, and describe its dissemination in various settings. In addition to medication, which is managed by a primary care physician, the key elements of nurse telecare are focused behavioral activation, emotional support, patient education, promotion of treatment adherence, and monitoring of progress, delivered in ten brief telephone appointments over four months by primary care nurses. Support from key administrators and clinical champions is crucial to success. Nurses need "dedicated" scheduled time for telecare activities. Nurse telecare has been piloted and disseminated in diverse settings. The model required only small modifications for dissemination, and was implemented with minimal investment of resources and no negative impact on clinic operations. BT - The Psychiatric quarterly C5 - Education & Workforce CP - 1 CY - United States IS - 1 JF - The Psychiatric quarterly N2 - The treatment of depression in primary care needs improvement. Previously, we reported that a nurse telecare intervention for treating depression in primary care clinics significantly improved treatment outcomes. The usefulness of nurse telecare, however, depends upon the feasibility of dissemination. In this report we describe nurse telecare and the steps required for implementation, and describe its dissemination in various settings. In addition to medication, which is managed by a primary care physician, the key elements of nurse telecare are focused behavioral activation, emotional support, patient education, promotion of treatment adherence, and monitoring of progress, delivered in ten brief telephone appointments over four months by primary care nurses. Support from key administrators and clinical champions is crucial to success. Nurses need "dedicated" scheduled time for telecare activities. Nurse telecare has been piloted and disseminated in diverse settings. The model required only small modifications for dissemination, and was implemented with minimal investment of resources and no negative impact on clinic operations. PP - United States PY - 2003 SN - 0033-2720; 0033-2720 SP - 61 EP - 73 EP - T1 - A case report: Implementing a nurse telecare program for treating depression in primary care T2 - The Psychiatric quarterly TI - A case report: Implementing a nurse telecare program for treating depression in primary care U1 - Education & Workforce U2 - 12602789 VL - 74 VO - 0033-2720; 0033-2720 Y1 - 2003 ER -