TY - JOUR
KW - Asian Americans/psychology
KW - Boston
KW - Cooperative Behavior
KW - Cultural Competency/organization & administration
KW - Depressive Disorder, Major/ethnology/therapy
KW - Emigrants and Immigrants/psychology
KW - Feasibility Studies
KW - Female
KW - Humans
KW - Male
KW - Mass Screening
KW - Middle Aged
KW - Patient Acceptance of Health Care/ethnology/statistics & numerical data
KW - Primary Health Care/organization & administration
KW - Psychiatric Status Rating Scales
KW - Questionnaires
KW - Treatment Outcome
AU - A. Yeung
AU - I. Shyu
AU - L. Fisher
AU - S. Wu
AU - H. Yang
AU - M. Fava
A1 - 
AB - OBJECTIVES: We examined the feasibility and effectiveness of using culturally sensitive collaborative treatment (CSCT) to improve recognition, engagement, and treatment of depressed Chinese Americans in primary care. METHODS: Chinese American patients in a primary care setting (n = 4228) were screened for depression. The primary study outcome was treatment engagement rate, and the secondary outcome was treatment response. RESULTS: Of the study participants, 296 (7%) screened positive for depression, 122 (41%) of whom presented for a psychiatric assessment; 104 (85%) were confirmed with major depressive disorder, and 100 (96%) of these patients were randomized into treatment involving either care management or usual care. Patients in the care management and usual care groups did not differ in terms of their outcomes. CSCT resulted in a nearly 7-fold increase in treatment rate among depressed patients in primary care. CONCLUSIONS: CSCT is both feasible and effective in improving recognition and treatment engagement of depressed Chinese Americans. Care management may have limited effects on depressed patients treated by psychiatrists, given that these patients tend to have favorable responses in general.
BT - American Journal of Public Health
C5 - Healthcare Disparities
CP - 12
CY - United States
DO - 10.2105/AJPH.2009.184911
IS - 12
JF - American Journal of Public Health
N2 - OBJECTIVES: We examined the feasibility and effectiveness of using culturally sensitive collaborative treatment (CSCT) to improve recognition, engagement, and treatment of depressed Chinese Americans in primary care. METHODS: Chinese American patients in a primary care setting (n = 4228) were screened for depression. The primary study outcome was treatment engagement rate, and the secondary outcome was treatment response. RESULTS: Of the study participants, 296 (7%) screened positive for depression, 122 (41%) of whom presented for a psychiatric assessment; 104 (85%) were confirmed with major depressive disorder, and 100 (96%) of these patients were randomized into treatment involving either care management or usual care. Patients in the care management and usual care groups did not differ in terms of their outcomes. CSCT resulted in a nearly 7-fold increase in treatment rate among depressed patients in primary care. CONCLUSIONS: CSCT is both feasible and effective in improving recognition and treatment engagement of depressed Chinese Americans. Care management may have limited effects on depressed patients treated by psychiatrists, given that these patients tend to have favorable responses in general.
PP - United States
PY - 2010
SN - 1541-0048; 0090-0036
SP - 2397
EP - 2402
EP - 
T1 - Culturally sensitive collaborative treatment for depressed chinese americans in primary care
T2 - American Journal of Public Health
TI - Culturally sensitive collaborative treatment for depressed chinese americans in primary care
U1 - Healthcare Disparities
U2 - 20966373
U3 - 10.2105/AJPH.2009.184911
VL - 100
VO - 1541-0048; 0090-0036
Y1 - 2010
ER -