TY - JOUR
KW - Adult
KW - Asian Americans/psychology
KW - Cooperative Behavior
KW - Cultural Competency
KW - Delivery of Health Care, Integrated/organization & administration/utilization
KW - Depression/diagnosis/ethnology/therapy
KW - Feasibility Studies
KW - Female
KW - Health Services Accessibility
KW - Humans
KW - Male
KW - Mental Health Services/organization & administration/utilization
KW - Patient Acceptance of Health Care/ethnology/statistics & numerical data
KW - Patient Care Team
KW - Pilot Projects
KW - Primary Health Care/organization & administration/utilization
KW - Socioeconomic Factors
KW - Treatment Outcome
AU - K. Kwong
AU - H. Chung
AU - K. Cheal
AU - J. C. Chou
AU - T. Chen
A1 - 
AB - This study describes a culturally relevant intervention using a collaborative depression care model to integrate mental health and primary care services for depressed low income Chinese-Americans at a community health center. A total of 6,065 patients were screened for depression. Of the 341 who screened positive, 57 participated and were randomly assigned to receive either enhanced physician care with care management (32) or enhanced physician care only (25). All enrolled participants were assessed at baseline and 4 monthly follow-up visits for depression, physical and mental health functioning, and perceived stigma toward receiving depression care, to determine the impact, if any, of their mental health treatment. Both groups reported significant reduction of depressive symptoms and improved mental health functioning from baseline to follow-up assessments although there was no significant difference between the two groups. Although the study found no advantage to adding the care management component in the treatment of depression, screening and assertive treatment of immigrant Chinese Americans who tend to underutilize mental health services is important and consistent with the increased adoption of team based care models in patient centered medical homes. High refusal rates for enrollment in the study have implications for future study designs for this group.
BT - Community mental health journal
C5 - Healthcare Disparities
CP - 2
CY - United States
DO - 10.1007/s10597-011-9459-9
IS - 2
JF - Community mental health journal
N2 - This study describes a culturally relevant intervention using a collaborative depression care model to integrate mental health and primary care services for depressed low income Chinese-Americans at a community health center. A total of 6,065 patients were screened for depression. Of the 341 who screened positive, 57 participated and were randomly assigned to receive either enhanced physician care with care management (32) or enhanced physician care only (25). All enrolled participants were assessed at baseline and 4 monthly follow-up visits for depression, physical and mental health functioning, and perceived stigma toward receiving depression care, to determine the impact, if any, of their mental health treatment. Both groups reported significant reduction of depressive symptoms and improved mental health functioning from baseline to follow-up assessments although there was no significant difference between the two groups. Although the study found no advantage to adding the care management component in the treatment of depression, screening and assertive treatment of immigrant Chinese Americans who tend to underutilize mental health services is important and consistent with the increased adoption of team based care models in patient centered medical homes. High refusal rates for enrollment in the study have implications for future study designs for this group.
PP - United States
PY - 2013
SN - 1573-2789; 0010-3853
SP - 157
EP - 165
EP - 
T1 - Depression care management for Chinese Americans in primary care: A feasibility pilot study
T2 - Community mental health journal
TI - Depression care management for Chinese Americans in primary care: A feasibility pilot study
U1 - Healthcare Disparities
U2 - 22015960
U3 - 10.1007/s10597-011-9459-9
VL - 49
VO - 1573-2789; 0010-3853
Y1 - 2013
ER -