TY - JOUR
KW - collaborative care
KW - Depression
KW - Health Disparities
KW - Population health
KW - primary care
KW - Screening
AU - H. Thompson
AU - W. Faig
AU - N. Gupta
AU - R. Lahey
AU - R. Golden
AU - M. Pollack
AU - N. Karnik
A1 - 
AB - 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.
AD - Department of Psychiatry, College of Medicine (Thompson, Faig, Gupta, Pollack, Karnik) and Social Work and Community Health (Lahey, Golden), Rush University Medical Center, Chicago.; Department of Psychiatry, College of Medicine (Thompson, Faig, Gupta, Pollack, Karnik) and Social Work and Community Health (Lahey, Golden), Rush University Medical Center, Chicago.; Department of Psychiatry, College of Medicine (Thompson, Faig, Gupta, Pollack, Karnik) and Social Work and Community Health (Lahey, Golden), Rush University Medical Center, Chicago.; Department of Psychiatry, College of Medicine (Thompson, Faig, Gupta, Pollack, Karnik) and Social Work and Community Health (Lahey, Golden), Rush University Medical Center, Chicago.; Department of Psychiatry, College of Medicine (Thompson, Faig, Gupta, Pollack, Karnik) and Social Work and Community Health (Lahey, Golden), Rush University Medical Center, Chicago.; Department of Psychiatry, College of Medicine (Thompson, Faig, Gupta, Pollack, Karnik) and Social Work and Community Health (Lahey, Golden), Rush University Medical Center, Chicago.; Department of Psychiatry, College of Medicine (Thompson, Faig, Gupta, Pollack, Karnik) and Social Work and Community Health (Lahey, Golden), Rush University Medical Center, Chicago.
BT - Psychiatric services (Washington, D.C.)
C5 - Healthcare Disparities
CP - 7
CY - United States
DO - 10.1176/appi.ps.201800257
IS - 7
JF - Psychiatric services (Washington, D.C.)
M1 - Journal Article
N2 - 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.
PP - United States
PY - 2019
SN - 1557-9700; 1075-2730
SP - 604
EP - 607
EP - 
T1 - Collaborative Care for Depression of Adults and Adolescents: Measuring the Effectiveness of Screening and Treatment Uptake
T2 - Psychiatric services (Washington, D.C.)
TI - Collaborative Care for Depression of Adults and Adolescents: Measuring the Effectiveness of Screening and Treatment Uptake
U1 - Healthcare Disparities
U2 - 31023189
U3 - 10.1176/appi.ps.201800257
VL - 70
VO - 1557-9700; 1075-2730
Y1 - 2019
Y2 - Jul 1
ER -