TY - JOUR
KW - Adult
KW - Aged
KW - Antidepressive Agents/therapeutic use
KW - Chronic Disease/psychology/rehabilitation
KW - Cognitive Therapy
KW - Combined Modality Therapy
KW - Comorbidity
KW - Cooperative Behavior
KW - Depressive Disorder, Major/psychology/rehabilitation
KW - Female
KW - Humans
KW - Interprofessional Relations
KW - Male
KW - Managed Care Programs
KW - Middle Aged
KW - Patient Care Team
KW - Puerto Rico
KW - Serotonin Uptake Inhibitors/therapeutic use
KW - Sertraline/therapeutic use
KW - Social Adjustment
KW - Treatment Outcome
AU - M. Vera
AU - C. Perez-Pedrogo
AU - S. E. Huertas
AU - M. L. Reyes-Rabanillo
AU - D. Juarbe
AU - A. Huertas
AU - M. L. Reyes-Rodriguez
AU - W. Chaplin
A1 - 
AB - OBJECTIVE: This study examined whether a collaborative care model for depression would improve clinical and functional outcomes for depressed patients with chronic general medical conditions in primary care practices in Puerto Rico. METHODS: A total of 179 primary care patients with major depression and chronic general medical conditions were randomly assigned to receive collaborative care or usual care. The collaborative care intervention involved enhanced collaboration among physicians, mental health specialists, and care managers paired with depression-specific treatment guidelines, patient education, and follow-up. In usual care, study personnel informed the patient and provider of the diagnosis and encouraged patients to discuss treatment options with their provider. Depression severity was assessed with the Hopkins Symptom Checklist; social functioning was assessed with the 36-item Short Form. RESULTS: Compared with usual care, collaborative care significantly reduced depressive symptoms and improved social functioning in the six months after randomization. Integration of collaborative care in primary care practices considerably increased depressed patients' use of mental health services. CONCLUSIONS: Collaborative care significantly improved clinical symptoms and functional status of depressed patients with coexisting chronic general medical conditions receiving treatment for depression in primary care practices in Puerto Rico. These findings highlight the promise of the collaborative care model for strengthening the relationship between mental health and primary care services in Puerto Rico.
BT - Psychiatric services (Washington, D.C.)
C5 - General Literature
CP - 2
CY - United States
DO - 10.1176/appi.ps.61.2.144
IS - 2
JF - Psychiatric services (Washington, D.C.)
N2 - OBJECTIVE: This study examined whether a collaborative care model for depression would improve clinical and functional outcomes for depressed patients with chronic general medical conditions in primary care practices in Puerto Rico. METHODS: A total of 179 primary care patients with major depression and chronic general medical conditions were randomly assigned to receive collaborative care or usual care. The collaborative care intervention involved enhanced collaboration among physicians, mental health specialists, and care managers paired with depression-specific treatment guidelines, patient education, and follow-up. In usual care, study personnel informed the patient and provider of the diagnosis and encouraged patients to discuss treatment options with their provider. Depression severity was assessed with the Hopkins Symptom Checklist; social functioning was assessed with the 36-item Short Form. RESULTS: Compared with usual care, collaborative care significantly reduced depressive symptoms and improved social functioning in the six months after randomization. Integration of collaborative care in primary care practices considerably increased depressed patients' use of mental health services. CONCLUSIONS: Collaborative care significantly improved clinical symptoms and functional status of depressed patients with coexisting chronic general medical conditions receiving treatment for depression in primary care practices in Puerto Rico. These findings highlight the promise of the collaborative care model for strengthening the relationship between mental health and primary care services in Puerto Rico.
PP - United States
PY - 2010
SN - 1557-9700; 1075-2730
SP - 144
EP - 150
EP - 
T1 - Collaborative care for depressed patients with chronic medical conditions: a randomized trial in Puerto Rico
T2 - Psychiatric services (Washington, D.C.)
TI - Collaborative care for depressed patients with chronic medical conditions: a randomized trial in Puerto Rico
U1 - General Literature
U2 - 20123819
U3 - 10.1176/appi.ps.61.2.144
VL - 61
VO - 1557-9700; 1075-2730
Y1 - 2010
ER -