Comparative Study

. 2017 Dec 1;68(12):1315-1320.

doi: 10.1176/appi.ps.201700170. Epub 2017 Nov 1.

Comparative Effectiveness of Two Models of Depression Services Quality Improvement in Health and Community Sectors

Cathy D Sherbourne¹, Wayne Aoki¹, Thomas R Belin¹, Elizabeth Bromley¹, Bowen Chung¹, Elizabeth Dixon¹, James M Gilmore¹, Megan Dwight Johnson¹, Felica Jones¹, Paul Koegel¹, Dmitry Khodyakov¹, Craig M Landry¹, Elizabeth Lizaola¹, Norma Mtume¹, Victoria K Ngo¹, Michael K Ong¹, Judith Perlman¹, Esmeralda Pulido¹, Vivian Sauer¹, Lingqi Tang¹, Yolanda Whittington¹, Ed Vidaurri¹, Pluscedia Williams¹, Aziza Lucas-Wright¹, Lily Zhang¹, Jeanne Miranda¹, Loretta Jones¹, Kenneth Wells¹

Affiliations

Affiliation

¹ Dr. Sherbourne, Dr. Koegel, Dr. Khodyakov, Dr. Ngo, Ms. Perlman, Ms. Lucas-Wright, and Dr. Wells are with RAND Health, RAND Corporation, Santa Monica, California. Dr. Wells, along with Dr. Bromley, Dr. Chung, Dr. Landry, and Dr. Miranda, is also with the Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles (UCLA). Dr. Bromley is also with the Desert Pacific Mental Illness Research, Education and Clinical Center, U.S. Department of Veterans Affairs (VA) Greater Los Angeles Healthcare System, Los Angeles. Dr. Aoki is with Los Angeles Christian Health Centers, Los Angeles. Dr. Belin is with the Department of Biostatistics, UCLA Fielding School of Public Health, Los Angeles. Dr. Dixon is with the School of Nursing, UCLA. Mr. Gilmore is with Behavioral Health Services, Los Angeles. Dr. Johnson is with the Department of Psychiatry, Kaiser Permanent of Southern California, Los Angeles. Ms. Jones, Ms. Williams, and Dr. Jones are with Healthy African American Families II, Los Angeles. Ms. Lizaola, Dr. Tang, and Ms. Zhang are with the Semel Institute Center for Health Services and Society, UCLA, Los Angeles. Ms. Mtume is with Shields for Families, Los Angeles. Dr. Ong is with the Department of Medicine, VA Greater Los Angeles Healthcare System, Los Angeles. Ms. Pulido is with L.A. Care Health Plan, Los Angeles. Ms. Sauer, now retired, was with Jewish Family Services of Los Angeles at the time of this study. Ms. Whittington is with the Los Angeles County Department of Mental Health, Los Angeles, where Mr. Vidaurri was affiliated before his retirement.

PMID: 29089009
PMCID: PMC5872839
DOI: 10.1176/appi.ps.201700170

Comparative Study

Comparative Effectiveness of Two Models of Depression Services Quality Improvement in Health and Community Sectors

Cathy D Sherbourne et al. Psychiatr Serv. 2017.

. 2017 Dec 1;68(12):1315-1320.

doi: 10.1176/appi.ps.201700170. Epub 2017 Nov 1.

Authors

Affiliation

¹ Dr. Sherbourne, Dr. Koegel, Dr. Khodyakov, Dr. Ngo, Ms. Perlman, Ms. Lucas-Wright, and Dr. Wells are with RAND Health, RAND Corporation, Santa Monica, California. Dr. Wells, along with Dr. Bromley, Dr. Chung, Dr. Landry, and Dr. Miranda, is also with the Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles (UCLA). Dr. Bromley is also with the Desert Pacific Mental Illness Research, Education and Clinical Center, U.S. Department of Veterans Affairs (VA) Greater Los Angeles Healthcare System, Los Angeles. Dr. Aoki is with Los Angeles Christian Health Centers, Los Angeles. Dr. Belin is with the Department of Biostatistics, UCLA Fielding School of Public Health, Los Angeles. Dr. Dixon is with the School of Nursing, UCLA. Mr. Gilmore is with Behavioral Health Services, Los Angeles. Dr. Johnson is with the Department of Psychiatry, Kaiser Permanent of Southern California, Los Angeles. Ms. Jones, Ms. Williams, and Dr. Jones are with Healthy African American Families II, Los Angeles. Ms. Lizaola, Dr. Tang, and Ms. Zhang are with the Semel Institute Center for Health Services and Society, UCLA, Los Angeles. Ms. Mtume is with Shields for Families, Los Angeles. Dr. Ong is with the Department of Medicine, VA Greater Los Angeles Healthcare System, Los Angeles. Ms. Pulido is with L.A. Care Health Plan, Los Angeles. Ms. Sauer, now retired, was with Jewish Family Services of Los Angeles at the time of this study. Ms. Whittington is with the Los Angeles County Department of Mental Health, Los Angeles, where Mr. Vidaurri was affiliated before his retirement.

PMID: 29089009
PMCID: PMC5872839
DOI: 10.1176/appi.ps.201700170

Abstract

Objective: The effectiveness of community coalition building and program technical assistance was compared in implementation of collaborative care for depression among health care and community sector clients.

Methods: In under-resourced communities, within 93 programs randomly assigned to coalition building (Community Engagement and Planning) or program technical assistance (Resources for Services) models, 1,018 clients completed surveys at baseline and at six, 12, or 36 months. Regression analysis was used to estimate intervention effects and intervention-by-sector interaction effects on depression, mental health-related quality of life, and community-prioritized outcomes and on services use.

Results: For outcomes, there were few significant intervention-by-sector interactions, and stratified findings suggested benefits of coalition building in both sectors. For services use, at 36 months, increases were found for coalition building in primary care visits, self-help visits, and appropriate treatment for community clients and in community-based services use for health care clients.

Conclusions: Relative to program technical assistance, community coalition building benefited clients across sectors and shifted long-term utilization across sectors.

Keywords: Coalitions; Depression; Quality improvement Community Engagement.

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Conflict of interest statement

DECLARATION OF INTERESTS

The authors report no financial relationships with commercial interests.

References

1. Kessler R, Chiu W, Demler O, et al. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry. 2005;62:617–27. - PMC - PubMed
1. Miranda J, McGuire T, Williams D, et al. Mental health in the context of health disparities. American Journal of Psychiatry. 2008;165:1102–8. - PubMed
1. Gilbody S, Bower P, Fletcher J, et al. Collaborative care for depression: A cumulative meta-analysis and review of longer-term outcomes. Archives of Internal Medicine. 2006;166:2314. - PubMed
1. Miranda J, Chung JY, Green BL, et al. Treating depression in predominantly low-income young minority women. Journal of the American Medical Association. 2003;290:57–65. - PubMed
1. Wells KB, Jones L, Chung B, et al. Community-partnered cluster-randomized comparative effectiveness trial of community engagement and planning or resources for services to address depression disparities. Journal of General Internal Medicine. 2013;28:1268–78. - PMC - PubMed

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Comparative Effectiveness of Two Models of Depression Services Quality Improvement in Health and Community Sectors

Affiliation

Comparative Effectiveness of Two Models of Depression Services Quality Improvement in Health and Community Sectors

Authors

Affiliation

Abstract

Conflict of interest statement

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical