TY - JOUR
AU - M. Stern
AU - T. Ma
AU - H. Verkerke
AU - S. L. Ngo
AU - J. Jackson
AU - J. Taylor
A1 - 
AB - The collaborative care model (CoCM) is an evidence-based model shown to improve treatment of depression and anxiety in the primary care setting. However, there is limited research on CoCM outcomes in underserved populations and which factors impact outcomes. We performed a retrospective chart review to examine GAD-7 scores for patients (N = 1,034) seen in primary care clinics within an urban, safety-net hospital system. The Wilcoxon signed-rank test and linear mixed models were used. Our population was 81% female and 89% self-identified Black or African American. There were significant reductions on GAD-7 scores from baseline to 3-, 6-, 9-, and 12-months follow-up (p < .001). The analysis suggested gender, patient age, clinic setting, and number of visits were significant. The effect sizes for these covariates were 0.94, 3.77, 1.98, and 0.74, respectively. Further research including patients' social determinants of health and comorbidities may help refine CoCM and optimize its effectiveness.
AD - Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA. marsha.smith@emory.edu.; Grady Health System, Atlanta, GA, USA. marsha.smith@emory.edu.; Department of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University, Atlanta, GA, USA.; Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.; Grady Health System, Atlanta, GA, USA.; Emory University School of Medicine, Atlanta, GA, USA.; Department of Psychiatry and Behavioral Sciences, Morehouse School of Medicine, Atlanta, GA, USA.
AN - 41145851
BT - Community Ment Health J
C5 - Healthcare Disparities
CP - 2
DA - Feb
DO - 10.1007/s10597-025-01530-4
DP - NLM
ET - 20251027
IS - 2
JF - Community Ment Health J
LA - eng
N2 - The collaborative care model (CoCM) is an evidence-based model shown to improve treatment of depression and anxiety in the primary care setting. However, there is limited research on CoCM outcomes in underserved populations and which factors impact outcomes. We performed a retrospective chart review to examine GAD-7 scores for patients (N = 1,034) seen in primary care clinics within an urban, safety-net hospital system. The Wilcoxon signed-rank test and linear mixed models were used. Our population was 81% female and 89% self-identified Black or African American. There were significant reductions on GAD-7 scores from baseline to 3-, 6-, 9-, and 12-months follow-up (p < .001). The analysis suggested gender, patient age, clinic setting, and number of visits were significant. The effect sizes for these covariates were 0.94, 3.77, 1.98, and 0.74, respectively. Further research including patients' social determinants of health and comorbidities may help refine CoCM and optimize its effectiveness.
PY - 2026
SN - 0010-3853
SP - 355
EP - 363+
ST - Collaborative Care for Anxiety: Differences in Patient and Clinic-Level Characteristics on Treatment Outcomes in a Safety-Net Hospital System
T1 - Collaborative Care for Anxiety: Differences in Patient and Clinic-Level Characteristics on Treatment Outcomes in a Safety-Net Hospital System
T2 - Community Ment Health J
TI - Collaborative Care for Anxiety: Differences in Patient and Clinic-Level Characteristics on Treatment Outcomes in a Safety-Net Hospital System
U1 - Healthcare Disparities
U3 - 10.1007/s10597-025-01530-4
VL - 62
VO - 0010-3853
Y1 - 2026
ER -