TY - JOUR
KW - Alaska/epidemiology
KW - Antidepressive Agents/therapeutic use
KW - Behavioral Medicine/organization & administration
KW - Community Mental Health Services/organization & administration
KW - Cooperative Behavior
KW - Cross-Sectional Studies
KW - Depressive Disorder/diagnosis/ethnology/therapy
KW - Health Services, Indigenous/organization & administration
KW - Health Surveys
KW - Humans
KW - Indians, North American/psychology
KW - Interinstitutional Relations
KW - Inuits/psychology
KW - Mass Screening/organization & administration
KW - Patient Care Team
KW - Primary Health Care/organization & administration
KW - Severity of Illness Index
AU - D. A. Dillard
AU - D. Christopher
A1 - 
AB - OBJECTIVES: To describe a collaborative between a primary care clinic and a behavioral health clinic to treat depression among Alaska Native and American Indian patients. STUDY DESIGN: Cross-sectional study. METHODS: Protocols for screening and intervention are described. The Patient Health Questionnaire identified individuals as negative or positive for DSM-IV depression. A computerized medical record was queried for descriptive data. Distribution of depression symptoms and diagnoses, antidepressant prescription, and service utilization highlight successes and weaknesses. RESULTS: Of those screened (n = 14,648), 17.2% (n = 2,534) screened positive for depression. A little more than half (57%) of positives were prescribed antidepressant medications. Roughly 55% of patients who initially screened positive scored negative for depression after follow-up. Less than half (42%) of patients who initially screened positive had received specialty behavioral health care or a mood disorder diagnosis during the previous year. CONCLUSIONS: This program successfully identified and treated the depressive symptoms of many Alaska Native and American Indian patients who had not presented for specialty care and had not previously been diagnosed as depressed. Implementing similar programs elsewhere may help address depression as a significant health concern in the Alaska Native and American Indian population. Recommendations for future investigation are delineated to guide program improvement efforts and add to the general health disparities literature.
BT - International journal of circumpolar health
C5 - Healthcare Disparities
CY - Finland
JF - International journal of circumpolar health
N2 - OBJECTIVES: To describe a collaborative between a primary care clinic and a behavioral health clinic to treat depression among Alaska Native and American Indian patients. STUDY DESIGN: Cross-sectional study. METHODS: Protocols for screening and intervention are described. The Patient Health Questionnaire identified individuals as negative or positive for DSM-IV depression. A computerized medical record was queried for descriptive data. Distribution of depression symptoms and diagnoses, antidepressant prescription, and service utilization highlight successes and weaknesses. RESULTS: Of those screened (n = 14,648), 17.2% (n = 2,534) screened positive for depression. A little more than half (57%) of positives were prescribed antidepressant medications. Roughly 55% of patients who initially screened positive scored negative for depression after follow-up. Less than half (42%) of patients who initially screened positive had received specialty behavioral health care or a mood disorder diagnosis during the previous year. CONCLUSIONS: This program successfully identified and treated the depressive symptoms of many Alaska Native and American Indian patients who had not presented for specialty care and had not previously been diagnosed as depressed. Implementing similar programs elsewhere may help address depression as a significant health concern in the Alaska Native and American Indian population. Recommendations for future investigation are delineated to guide program improvement efforts and add to the general health disparities literature.
PP - Finland
PY - 2007
SN - 1239-9736; 1239-9736
SP - 45
EP - 53
EP - 
T1 - The Southcentral Foundation depression collaborative
T2 - International journal of circumpolar health
TI - The Southcentral Foundation depression collaborative
U1 - Healthcare Disparities
U2 - 18154232
VL - 66 Suppl 1
VO - 1239-9736; 1239-9736
Y1 - 2007
ER -