ArticleBMC health services research2020
Implementing collaborative care to reduce depression for rural native American/Alaska native people.
Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Real-world implementation of Collaborative Care in the United States: a systematic review.BMC primary care · 2026Pooled it
- Systematic review of Indigenous involvement and content in mental health interventions and their effectiveness for Indigenous populations.The Australian and New Zealand journal of psychiatry · 2022Pooled it
- Pooled it
- Testing the effectiveness of Family Spirit Strengths (FSS) - a culturally informed intervention designed to prevent mental health and substance misuse for indigenous families through home visiting.BMC public health · 2026Article
- Understanding and Navigating the Unique Barriers Rural Primary Care Settings Face when Implementing Collaborative Care for Mental Health.Community mental health journal · 2025Article
- Clinical Variables Associated with Successful Treatment of Depression or Anxiety in Collaborative Care.The journal of behavioral health services & research · 2024Observational
- Primary Care Models and Depression Outcomes in Rural Adult Populations: A Systematic Review.Rural mental health · 2024Article
- Article
- Evidence-Based Quality Improvement: a Scoping Review of the Literature.Journal of general internal medicine · 2022Article
- Deployment of the consultation-liaison model in adult and child-adolescent psychiatry and its impact on improving mental health treatment.BMC family practice · 2021Article
- Evaluating the Cross-Cultural Measurement Invariance of the PHQ-9 between American Indian/Alaska Native Adults and Diverse Racial and Ethnic Groups.Journal of affective disorders reports · 2021Article
- Telepsychiatric Consultation as a Training and Workforce Development Strategy for Rural Primary Care.Annals of family medicine · 2020Article
- The Role of the Patient-Centered Medical Home in Treating Depression.Current psychiatry reports · 2020Review
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of this study was to identify the effects of Collaborative Care on rural Native American and Alaska Native (AI/AN) patients.
methodsCollaborative Care was implemented in three AI/AN serving clinics. Clinic staff participated in training and coaching designed to facilitate practice change. We followed clinics for 2 years to observe improvements in depression treatment and to examine treatment outcomes for enrolled patients. Collaborative Care elements included universal screening for depression, evidence-based treatment to target, use of behavioral health care managers to deliver the intervention, use of psychiatric consultants to provide caseload consultation, and quality improvement tracking to improve and maintain outcomes. We used t-tests to evaluate the main effects of Collaborative Care and used multiple linear regression to better understand the predictors of success. We also collected qualitative data from members of the Collaborative Care clinical team about their experience.
resultsThe clinics participated in training and practice coaching to implement Collaborative Care for depressed patients. Depression response (50% or greater reduction in depression symptoms as measured by the PHQ-9) and remission (PHQ-9 score less than 5) rates were equivalent in AI/AN patients as compared with White patients in the same clinics. Significant predictors of positive treatment outcome include only one depression treatment episodes during the study and more follow-up visits per patient. Clinicians were overall positive about their experience and the effect on patient care in their clinic.
conclusionsThis project showed that it is possible to deliver Collaborative Care to AI/AN patients via primary care settings in rural areas.
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