Evidence map›Paper›PMID 26567934›Full record

ArticlePsychiatric services (Washington, D.C.)2016

Unpacking Collaborative Care for Depression: Examining Two Essential Tasks for Implementation.

Yuhua Bao, Benjamin G Druss, Hye-Young Jung, Ya-Fen Chan, Jürgen Unützer

Abstract read
In one paragraph

Article in Psychiatric services (Washington, D.C.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  10. Collaborative Mental Health Care in Canada: Challenges, Opportunities and New Directions.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2023
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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

5 authors.

Yuhua BaoDr. Bao and Dr. Jung are with the Department of Healthcare Policy and Research, Weill Cornell Medical College, New York City (e-mail: yub2003@med.cornell.edu ). Dr. Bao is also with the Department of Psychiatry, Weill Cornell Medical College. Dr. Druss is with the Rollins School of Public Health, Emory University, Atlanta, Georgia. Dr. Chan and Dr. Unützer are with the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle.
Benjamin G DrussDr. Bao and Dr. Jung are with the Department of Healthcare Policy and Research, Weill Cornell Medical College, New York City (e-mail: yub2003@med.cornell.edu ). Dr. Bao is also with the Department of Psychiatry, Weill Cornell Medical College. Dr. Druss is with the Rollins School of Public Health, Emory University, Atlanta, Georgia. Dr. Chan and Dr. Unützer are with the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle.
Hye-Young JungDr. Bao and Dr. Jung are with the Department of Healthcare Policy and Research, Weill Cornell Medical College, New York City (e-mail: yub2003@med.cornell.edu ). Dr. Bao is also with the Department of Psychiatry, Weill Cornell Medical College. Dr. Druss is with the Rollins School of Public Health, Emory University, Atlanta, Georgia. Dr. Chan and Dr. Unützer are with the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle.
Ya-Fen ChanDr. Bao and Dr. Jung are with the Department of Healthcare Policy and Research, Weill Cornell Medical College, New York City (e-mail: yub2003@med.cornell.edu ). Dr. Bao is also with the Department of Psychiatry, Weill Cornell Medical College. Dr. Druss is with the Rollins School of Public Health, Emory University, Atlanta, Georgia. Dr. Chan and Dr. Unützer are with the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle.
Jürgen UnützerDr. Bao and Dr. Jung are with the Department of Healthcare Policy and Research, Weill Cornell Medical College, New York City (e-mail: yub2003@med.cornell.edu ). Dr. Bao is also with the Department of Psychiatry, Weill Cornell Medical College. Dr. Druss is with the Rollins School of Public Health, Emory University, Atlanta, Georgia. Dr. Chan and Dr. Unützer are with the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle.

Funding

Value-based Purchasing in Implementation of Depression Care in Community ClinicsR01MH104200 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI BAO, YUHUA · 2014 to 2016
$1.3M
Designing Payment and Performance Evaluation for Depression Care ManagementK01MH090087 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI BAO, YUHUA · 2010 to 2014
$782k
NIMH NIH HHS 1R01MH104200NIMH NIH HHS K01 MH090087NIMH NIH HHS K01MH090087NIMH NIH HHS R01 MH104200
6 · The paper itself

Abstract

objectiveThis study examined how two key process-of-care tasks of the collaborative care model (CCM) predict patient depression outcomes.

methodsRegistry data were from a large implementation of the CCM in Washington State and included 5,439 patient-episodes for patients age 18 or older with a baseline Patient Health Questionnaire-9 (PHQ-9) score of ≥10 and at least one follow-up contact with the CCM care manager within 24 weeks of initial contact. Key CCM tasks examined were at least one care manager follow-up contact within four weeks of initial contact and at least one psychiatric consultation between weeks 8 and 12 for patients not responding to treatment by week 8. Clinically significant improvement in depression symptoms was defined as achieving a PHQ-9 score of <10 or a 50% or more reduction in PHQ-9 score compared with baseline. Bivariate and multivariate (logistic and proportional hazard models) analyses were conducted to examine how fidelity with either task predicted outcomes. All analyses were conducted with the original sample and with a propensity score-matched sample.

resultsFour-week follow-up was associated with a greater likelihood of achieving improvement in depression (odds ratio [OR]=1.63, 95% confidence interval [CI]=1.23-2.17) and a shorter time to improvement (hazard ratio=2.06, CI=1.67-2.54). Psychiatric consultation was also associated with a greater likelihood of improvement (OR=1.44, CI=1.13-1.84) but not with a shorter time to improvement. Propensity score-matched analysis yielded very similar results.

conclusionsFindings support efforts to improve fidelity to the two process-of-care tasks and to include these tasks among quality measures for CCM implementation.

Indexed as

Outcome Assessment, Health CareAdolescentAdultDepressionFemaleFollow-Up StudiesHumansMaleMental Health ServicesMiddle AgedPrimary Health CareWashingtonYoung Adult

Identifiers

PMID26567934
PMCPMC5445658

What OpenQuestion holds

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Registered trials

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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.