Evidence map›Paper›PMID 25727117›Full record

ArticlePsychiatric services (Washington, D.C.)2015

Comorbid depression and substance abuse among safety-net clients in Los Angeles: a community participatory study.

Evelyn T Chang, Kenneth B Wells, James Gilmore, Lingqi Tang, Anna U Morgan, Starr Sanders, Bowen Chung

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01699789 (CPIC is a Community Partnered Participatory Research), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01699789 nacompletednot on this map

CPIC is a Community Partnered Participatory Research (CPPR) Project of Community and Academic Partners Working Together to Learn the Best Way to Reduce Depression in Our Communities.

TypeinterventionalSponsorRANDRan2009 to 2016Enrolled1,246ConditionsDepression, Information Dissemination, Social Determinants of HealthArmsQuality Improvement Program, Resources for Services Expert Team, Community Engagement and Planning Council
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Evelyn T ChangDr. Chang is with the Department of General Internal Medicine, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles (e-mail: evelynchang.md@gmail.com ). Dr. Wells, Dr. Tang, and Dr. Chung are with the Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at the University of California, Los Angeles (UCLA). Dr. Wells and Dr. Chung conducted this work in their roles with the RAND Corporation. Mr. Gilmore is with Behavioral Health Services, Inc., Los Angeles, California. Dr. Morgan is with the Division of General Internal Medicine, Harbor-UCLA Medical Center, Los Angeles. Ms. Sanders is with The House of Uhuru, Los Angeles. A summary of these findings was presented at a meeting of the California-Hawaii Regional Society of General Internal Medicine, Los Angeles, February 2, 2013, and at a meeting of the AcademyHealth Behavioral Health Interest Group, Baltimore, June 22, 2013.
Kenneth B Wells
James Gilmore
Lingqi Tang
Anna U Morgan
Starr Sanders
Bowen Chung
Harbor–UCLA Medical Center · USUCLA Health · USBehavioral Health Services · USHouse Clinic · US

Funding

UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
The Role of Social Networks in Treatment Engagement for MinoritiesP30MH082760 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KOEGEL, PAUL · 2008 to 2012
$8.6M
RESEARCH NETWORK DEVELOPMENT CORE (PAGE 472)P30MH068639 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI WELLS, KENNETH B. · 2003 to 2007
$8.0M
COMMUNITY PARTNERS IN CARER01MH078853 · NIMH · RAND CORPORATION · PI WELLS, KENNETH B. · 2007 to 2011
$6.0M
DREW_UCLA Connect_Community Partnered Resources to Improve Depression OutcomesG08LM011058 · NLM · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI CHUNG, BOWEN, MELDRUM, MARCIA L · 2011 to 2013
$279k
NCATS NIH HHS UL1 TR000124NCATS NIH HHS UL1TR000124NIMH NIH HHS P30 MH068639NIMH NIH HHS P30MH068639NIMH NIH HHS P30 MH082760NIMH NIH HHS P30MH082760NIMH NIH HHS R01 MH078853NIMH NIH HHS R01MH078853NLM NIH HHS G08 LM011058
6 · The paper itself

Abstract

objectiveDepression and substance abuse are common among low-income adults from racial-ethnic minority groups who receive services in safety-net settings, although little is known about how clients differ by service setting. This study examined characteristics and service use among depressed, low-income persons from minority groups in underresourced communities who did and did not have a substance abuse history.

methodsThe study used cross-sectional baseline client data (N=957) from Community Partners in Care, an initiative to improve depression services in Los Angeles County. Clients with probable depression (eight-item Patient Health Questionnaire) from substance abuse programs were compared with depressed clients with and without a history of substance abuse from primary care, mental health, and social and community programs. Sociodemographic, health status, and services utilization variables were examined.

resultsOf the 957 depressed clients, 217 (23%) were from substance abuse programs; 269 (28%) clients from other sectors had a substance abuse history, and 471 (49%) did not. Most clients from substance abuse programs or with a substance abuse history were unemployed and impoverished, lacked health insurance, and had high rates of arrests and homelessness. They were also more likely than clients without a substance abuse history to have depression or anxiety disorders, psychosis, and mania and to use emergency rooms.

conclusionsClients with depression and a substance abuse history had significant psychosocial stressors and high rates of service use, which suggests that communitywide approaches may be needed to address both depression and substance abuse in this safety-net population.

Indexed as

Community Mental Health ServicesAdultCross-Sectional StudiesDepressive DisorderFemaleHumansLos AngelesMaleMiddle AgedMinority GroupsPovertySubstance-Related Disorders

Identifiers

PMID25727117
PMCPMC4349209
OpenAlexW2042803736

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.