ArticleJournal of general internal medicine2020
A Roadmap for Institutionalizing Collaborative Care for Depression in a Large Integrated Healthcare System.
Article in Journal of general internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Real-world implementation of Collaborative Care in the United States: a systematic review.BMC primary care · 2026Pooled it
- Bridging Health Equity, Quality Improvement, and Patient Safety: A Framework for Medical Student Education.Learning health systems · 2026Article
- Psychiatry Consultation Clinic: A Model that Improves Access to Care and Corresponds to Decreased Anxiety and Depressive Symptoms.Administration and policy in mental health · 2026Article
- Comparing In-Person, Telephonic, and Video-Based Treatment of Depression in Adult Primary Care During the COVID-19 Pandemic.The Permanente journal · 2025Article
- Virtual Collaborative Care Versus Specialty Psychiatry Treatment for Depression or Anxiety.The Journal of clinical psychiatry · 2024Observational
- Telehealth Collaborative Care Led by Clinical Pharmacists for People With Psychosis or Bipolar Disorder: A Propensity Weighted Comparison With Usual Psychiatric Care.The Journal of clinical psychiatry · 2024Article
- Nurses' experiences of a screening and associated psychosomatic consultation service for mental comorbidities in somatic care inpatients - a qualitative study.Frontiers in psychiatry · 2023Article
- Evaluating Implementation and Outcomes of the Achieving Depression and Anxiety Patient-Centered Treatment Collaborative Care Program in a Large, Integrated Health Care System: A Mixed Methods Observational Study Protocol.The Permanente journal · 2022Article
- Trends in U.S. Depression Prevalence From 2015 to 2020: The Widening Treatment Gap.American journal of preventive medicine · 2022Article
- Closing the Care Gap for People with Severe and Persistent Mental Illness: Collaborative Care, Telehealth, and Clinical Pharmacy.NEJM catalyst innovations in care delivery · 2022Article
- Responding to the Call: a New JGIM Area of Emphasis for Implementation and Quality Improvement Sciences.Journal of general internal medicine · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCollaborative models for depression have not been widely adopted throughout the USA, possibly because there are no successful roadmaps for implementing these types of models.
objectiveTo provide such a roadmap through a case study of the institutionalization of a depression care management (DCM) initiative for adult depression in a large healthcare system serving over 300,000 adults with depression.
designA retrospective observational program evaluation. Program evaluation results are presented for those patients enrolled in the initiative from January 1, 2015, to December 31, 2018.
participantsOver a 4-year period, 17,052 patients were treated in the DCM program. In general, participants were women (76%), were Hispanic (47%), spoke English (84%), and were 51.1 ± 18.3 years old, the majority of whom were 30-64 years old (57%).
interventionThe collaborative care portion of the DCM initiative (DCM program) was implemented by a collaborative care team containing a treatment specialist, an assessment specialist, administrative staff, a primary care physician, and a psychiatry physician. MAIN MEASURES: The main outcome measures were total score on the 9-item Patient Health Questionnaire (PHQ-9). Outcomes were improvement (defined as at least 50% reduction in symptoms) and remission (defined as a PHQ-9 less than 5) of depression symptoms. Follow-up of depression symptoms was also collected at 6 months following discharge. KEY
resultsThe average course of treatment in 2018, after full implementation, was 4.6 ± 3.0 months; 62% of patients experienced improvement in symptoms, and 45% experienced remission of their depression at the time of discharge. These rates were maintained at the 6-month follow-up.
conclusionsCollaborative care for depression can be institutionalized in large healthcare systems and be sustained with a specific, detailed roadmap that includes workflows, training, treatment guidelines, and clear documentation standards that are linked to performance metrics. Extensive stakeholder engagement at every level is also critical for success.
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