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Collaborative depression care: history, evolution and ways to enhance dissemination and sustainability
Author(s):
Wayne Katon
,
Jürgen Unützer
,
Kenneth Wells
,
Loretta Jones
Publication date
Created:
September 2010
Publication date
(Print):
September 2010
Journal:
General Hospital Psychiatry
Publisher:
Elsevier BV
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There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.
Abstract
To describe the history and evolution of the collaborative depression care model and new research aimed at enhancing dissemination. Four keynote speakers from the 2009 NIMH Annual Mental Health Services Meeting collaborated in this article in order to describe the history and evolution of collaborative depression care, adaptation of collaborative care to new populations and medical settings, and optimal ways to enhance dissemination of this model. Extensive evidence across 37 randomized trials has shown the effectiveness of collaborative care vs. usual primary care in enhancing quality of depression care and in improving depressive outcomes for up to 2 to 5 years. Collaborative care is currently being disseminated in large health care organizations such as the Veterans Administration and Kaiser Permanente, as well as in fee-for-services systems and federally funded clinic systems of care in multiple states. New adaptations of collaborative care are being tested in pediatric and ob-gyn populations as well as in populations of patients with multiple comorbid medical illnesses. New NIMH-funded research is also testing community-based participatory research approaches to collaborative care to attempt to decrease disparities of care in underserved minority populations. Collaborative depression care has extensive research supporting the effectiveness of this model. New research and demonstration projects have focused on adapting this model to new populations and medical settings and on studying ways to optimally disseminate this approach to care, including developing financial models to incentivize dissemination and partnerships with community populations to enhance sustainability and to decrease disparities in quality of mental health care. Copyright © 2010 Elsevier Inc. All rights reserved.
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Author and article information
Journal
Title:
General Hospital Psychiatry
Abbreviated Title:
General Hospital Psychiatry
Publisher:
Elsevier BV
ISSN (Print):
01638343
Publication date Created:
September 2010
Publication date (Print):
September 2010
Volume
: 32
Issue
: 5
Pages
: 456-464
Article
DOI:
10.1016/j.genhosppsych.2010.04.001
PMC ID:
3810032
PubMed ID:
20851265
SO-VID:
fde6d9e2-7e38-4557-96c6-dfa1d3d38c66
Copyright ©
© 2010
License:
https://www.elsevier.com/tdm/userlicense/1.0/
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