Staffing for Depression Care in Primary Care Clinics



The Depression Improvement Across Minnesota, Offering A New Direction (DIAMOND) collaborative care initiative, supported by the Institute for Clinical Systems Improvement, provided similar training and support for 87 primary care clinics but varied staffing and care manager positions. Care managers were registered nurses, certified medical assistants, or licensed practice nurses.

New published research indicates that clinics with care managers, regardless of type, that were solely dedicated to depression care had significantly higher enrollment rates and marginally significant higher remission rates than clinics with care managers with multiple roles. However, type of care manager was not associated with differing outcomes, suggesting that more highly trained and costly managers may not be necessary to provide cost-effective collaborative care.

For additional resources on the DIAMOND initiative, see the Academy for Integrating Behavioral Health and Primary Care at: