TY - JOUR
KW - behavioral health integration
KW - collaborative care
KW - Depression
KW - Outcome studies
KW - primary care
KW - racially diverse patients
AU - M. A. Blackmore
AU - K. E. Carleton
AU - S. M. Ricketts
AU - U. B. Patel
AU - D. Stein
AU - A. Mallow
AU - J. P. Deluca
AU - H. Chung
A1 - 
AB - OBJECTIVE: The study compared clinical outcomes of depression treatment in primary care with a colocation model versus a collaborative care model (CoCM). METHODS: Patients (N=240) with Patient Health Questionnaire-9 (PHQ-9) scores of >/=10 treated for clinically significant depression symptoms in primary care sites implementing the CoCM or a colocation model were compared. PHQ-9 scores were collected at baseline and 12 weeks. RESULTS: From baseline to follow-up, reductions in PHQ-9 scores were 33% for the CoCM sites and 14% for the colocation sites, with an unadjusted mean difference in scores of 2.81 (p=.001). CONCLUSIONS: More patients treated in sites that used the CoCM experienced a significantly greater reduction in depression symptoms, compared with patients in sites with the colocation model. As greater adoption of integration models in primary care occurs, it will be important to consider potential implications of these results for promoting adoption of CoCM elements. Further replication of these findings is warranted.
BT - Psychiatric services (Washington, D.C.)
C5 - Healthcare Disparities
CP - 11
CY - United States
DO - 10.1176/appi.ps.201700569
IS - 11
JF - Psychiatric services (Washington, D.C.)
N2 - OBJECTIVE: The study compared clinical outcomes of depression treatment in primary care with a colocation model versus a collaborative care model (CoCM). METHODS: Patients (N=240) with Patient Health Questionnaire-9 (PHQ-9) scores of >/=10 treated for clinically significant depression symptoms in primary care sites implementing the CoCM or a colocation model were compared. PHQ-9 scores were collected at baseline and 12 weeks. RESULTS: From baseline to follow-up, reductions in PHQ-9 scores were 33% for the CoCM sites and 14% for the colocation sites, with an unadjusted mean difference in scores of 2.81 (p=.001). CONCLUSIONS: More patients treated in sites that used the CoCM experienced a significantly greater reduction in depression symptoms, compared with patients in sites with the colocation model. As greater adoption of integration models in primary care occurs, it will be important to consider potential implications of these results for promoting adoption of CoCM elements. Further replication of these findings is warranted.
PP - United States
PY - 2018
SN - 1557-9700; 1075-2730
SP - 1184
EP - 1187
EP - 
T1 - Comparison of Collaborative Care and Colocation Treatment for Patients With Clinically Significant Depression Symptoms in Primary Care
T2 - Psychiatric services (Washington, D.C.)
TI - Comparison of Collaborative Care and Colocation Treatment for Patients With Clinically Significant Depression Symptoms in Primary Care
U1 - Healthcare Disparities
U2 - 30152273
U3 - 10.1176/appi.ps.201700569
VL - 69
VO - 1557-9700; 1075-2730
Y1 - 2018
ER -