TY - JOUR
AU - J. Unutzer
AU - A. C. Carlo
AU - R. Arao
AU - M. Vredevoogd
AU - J. Fortney
AU - D. Powers
AU - J. Russo
A1 - 
AB - Randomized controlled trials have demonstrated that the collaborative care model for depression in primary care is more effective than usual care, but little is known about the effectiveness of this approach in real-world settings. We used patient-reported outcome data from 11,303 patients receiving collaborative care for depression in 135 primary care clinics to examine variations in depression outcomes. The average treatment response across this large sample of clinics was substantially lower than response rates reported in randomized controlled trials, and substantial outcome variation was observed. Patient factors such as initial depression severity, clinic factors such as the number of years of collaborative care practice, and the degree of implementation support received were associated with depression outcomes at follow-up. Our findings suggest that the level of implementation support could be an important influence on the effectiveness of collaborative care model programs.
AD - Jürgen Unützer (unutzer@uw.edu) is a professor in the Department of Psychiatry and Behavioral Sciences, University of Washington, in Seattle, Washington.; Andrew C. Carlo is a senior fellow in the Department of Psychiatry and Behavioral Sciences, University of Washington.; Robert Arao is a research scientist in the Department of Psychiatry and Behavioral Sciences, University of Washington.; Melinda Vredevoogd is a research program manager in the Department of Psychiatry and Behavioral Sciences, University of Washington.; John Fortney is a professor in the Department of Psychiatry and Behavioral Sciences, University of Washington.; Diane Powers is a research scientist in the Department of Psychiatry and Behavioral Sciences, University of Washington.; Joan Russo is an associate professor in the Department of Psychiatry and Behavioral Sciences, University of Washington.
BT - Health affairs (Project Hope)
C5 - Education & Workforce
CP - 11
CY - United States
DO - 10.1377/hlthaff.2019.01714
IS - 11
JF - Health affairs (Project Hope)
LA - eng
M1 - Journal Article
N2 - Randomized controlled trials have demonstrated that the collaborative care model for depression in primary care is more effective than usual care, but little is known about the effectiveness of this approach in real-world settings. We used patient-reported outcome data from 11,303 patients receiving collaborative care for depression in 135 primary care clinics to examine variations in depression outcomes. The average treatment response across this large sample of clinics was substantially lower than response rates reported in randomized controlled trials, and substantial outcome variation was observed. Patient factors such as initial depression severity, clinic factors such as the number of years of collaborative care practice, and the degree of implementation support received were associated with depression outcomes at follow-up. Our findings suggest that the level of implementation support could be an important influence on the effectiveness of collaborative care model programs.
PP - United States
PY - 2020
SN - 1544-5208; 0278-2715
SP - 1943
EP - 1950
EP - 
T1 - Variation In The Effectiveness Of Collaborative Care For Depression: Does It Matter Where You Get Your Care?
T2 - Health affairs (Project Hope)
TI - Variation In The Effectiveness Of Collaborative Care For Depression: Does It Matter Where You Get Your Care?
U1 - Education & Workforce
U2 - 33136506
U3 - 10.1377/hlthaff.2019.01714
VL - 39
VO - 1544-5208; 0278-2715
Y1 - 2020
Y2 - Nov
ER -