Last edited by Shakacage
Saturday, July 11, 2020 | History

2 edition of Improving Depression Outcomes in Primary Care found in the catalog.

Improving Depression Outcomes in Primary Care

Lisa Rubenstein

Improving Depression Outcomes in Primary Care

A User"s Guide to Implementing the Partners in Care Approach

by Lisa Rubenstein

  • 52 Want to read
  • 16 Currently reading

Published by Rand Corp .
Written in English

    Subjects:
  • Mental Illness,
  • Psychology

  • The Physical Object
    FormatPaperback
    Number of Pages32
    ID Numbers
    Open LibraryOL11487251M
    ISBN 100833028405
    ISBN 109780833028402

      The study by researchers from RAND Health and UCLA is the first to examine very-long-term outcomes of practice-based quality improvement programs designed to improve primary care for depression. The study assigned 46 primary care practices across different sites in the United States to either their usual care for depression or to programs that. with depression are managed and treated in primary care,8 interventions targeted at health care professionals have also been proposed to improve the management of depression.9 Thus, the aim of this study was to analyse literature reviews reporting the outcome of non-pharmacological interventions directed towards improving the treatment of.

    Improving Primary Care for Depression in Late Life: The Design of a Multicenter Randomized Trial Medical Care, Vol. 39, No. 8 Correlates of Depression in Older Latinos. The Community Preventive Services Task Force (CPSTF) recommends collaborative care for the management of depressive disorders based on strong evidence of effectiveness in improving depression symptoms, adherence to treatment, response to treatment, and remission and recovery from depression.. The CPSTF also finds that collaborative care models provide good economic value .

    The underdiagnosis and undertreatment of depression in primary care settings has led to the development of a set of clinical practice guidelines (Depression Guideline Panel, a,b). Insufficient awareness among providers that the elderly will benefit from treatment is also a . for older adults, the availability of mental health therapy in primary care settings means they can be treated for common conditions such as anxiety or depression at the time they present with physical health needs. Older people achieve good outcomes from .


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Improving Depression Outcomes in Primary Care by Lisa Rubenstein Download PDF EPUB FB2

Improving outcomes for patients with major depression is not as simple as prescribing a new treatment: the whole process of care needs to be enhanced. The table summarises 12 different trials of enhanced care for major depression in primary care settings. Both effective and ineffective interventions used treatment guidelines, patient Cited by: Researchers have tested a range of interventions to improve primary care management of major depression to address the poor outcomes these patients often achieve.

1 – 6 The most successful of these interventions have utilized mental health professionals as part of multi-faceted interventions to provide extended consultation on medication management 7 – 9 or to provide psychotherapy in the Cited by: outcomes of care provided to this heterogeneous group of primary care patients with major depression.

We antici-pated the intervention would be more effective in improving outcomes among patients beginning a new treatment episode, because patients who remained depressed after treatment might be more treatment-resistant.

Neither theCited by: Get this from a library. Improving depression outcomes in primary care: a user's guide to implementing the Partners in Care approach.

[Lisa V Rubenstein; United States. Agency for Healthcare Research and Quality.; Rand Corporation.] -- The Partners in Care (PIC) approach to improving care for depression is a synthesis of knowledge gained during a decade of health services research on.

OBJECTIVE: To determine whether redefining primary care team roles would improve outcomes for patients beginning a new treatment episode for major depression. DESIGN: Following stratification, 6 of 12 practices were randomly assigned to the intervention condition.

Intervention effectiveness was evaluated by patient reports of 6-month change in point depression symptom Cited by: Improving Depression Outcomes in Community Primary Care Practice. A Randomized Trial of the QuEST Intervention Article (PDF Available) in Journal of General Internal Medicine 16(3) Since appropriate care management has shown to improve outcomes for depressed seniors in primary care settings (Unutzer and Park, ), understanding depression in this large population offers.

Abstract. Purpose: To clarify whether screening adults for depression in primary care settings improves recognition, treatment, and clinical outcomes. Data Sources: The MEDLINE® database was searched from through August Other relevant articles were located through other systematic reviews; focused searches of MEDLINE® from to ; the Cochrane depression, anxiety, and.

Real Behavior Change in Primary Care: Improving Patient Outcomes and Increasing Job Satisfaction [Robinson PhD, Patricia J., Gould MD MPH, Debra A., Strosahl PhD, Kirk D.] on *FREE* shipping on qualifying offers.

Real Behavior Change in Primary Care: Improving Patient Outcomes and Increasing Job SatisfactionReviews: 8. effective in improving depression outcomes in primary-care settings. Search terms: Depression, depression in primary care, nursing role, organizational changes and depression treatment, role of nursing in treating depression in Spain Enric Aragonès, MD, PhD, is a Family Physician, Germán López-Cortacans, RMN, BTh, is a Primary Care Nurse.

“The Affordable Care Act and the Mental Health Parity Act are bringing many previously uncared for patients into primary care. Depression is a multiplier for. Despite efforts to educate primary care providers, depression is often undetected or undertreated in primary care settings.

The main objective of this study was to determine the impact of a low-intensity, care management intervention on depression treatment outcomes of patients in a VA primary care.

Annual healthcare spending on behavioral health already exceeds $ billion in the U.S., and demand for behavioral health care is skyrocketing. Access hasn't kept up with the growing need, and the trend shows few signs of improvement.

Bythe demand for psychiatric care is projected to exceed the capacity of the psychiatric workforce by 25%. The behavioral health treatment gap poses a. The section on educational and organisational interventions to improve the management and outcome of depression in primary care settings builds upon a review of all guideline implementation strategies commissioned by the UK NHS HTA programme 21 and a Cochrane review of mental health workers in primary care.

22 An additional search was carried. We identified several modifiable correlates of depression outcomes – generalized anxiety disorder, substance use disorders, and social isolations. Addressing these correlates has the potential to improve depression outcomes when collaborative care is implemented in an HIV primary care clinic.

Disclosures. In spite of this dire predicament, many interventions have shown promise in improving care and outcomes for persons afflicted with depression and diabetes. Each disorder has a relatively standardized evidence-based approach that when applied systematically and aggressively results in improved outcomes for the majority of patients.

Improving Depression Outcomes in Primary Care. (PIC) approach to improving care for depression. The User’s Guide also contains references to key studies and to many materials relevant to treating depression in primary care.

The PIC approach is a synthesis of knowledge gained during a decade of health services research on depression by. Accurate diagnoses and quality care are vital in a primary care setting. Treating Adults. Adults are also more likely to be seen in a primary care setting than within a mental health system.

Primary care providers deliver half of the mental health care for common conditions such as anxiety, ADHD, depression, behavioral problems, and substance use. Dr. Katon et al. reported that while an IMPACT model of collaborative care for depression delivered by clinician-supervised care managers significantly improved depression outcomes in primary care patients with diabetes, it did not significantly improve glycemic control as assessed by glycosylated hemoglobin (HbA1c) levels.

In simple, readable prose, they outline a strategy with wide implications for improving primary care practice." —Robert McGrath, PhD, professor of psychology at Fairleigh Dickinson University "This book is a tremendous resource to primary care providers and providers of behavioral health in primary care.

Major depression is a treatable cause of pain, suffering, disability and death, yet primary care clinicians detect major depression in only one-third to one-half of their patients with major depression (Williams Jr, ; Schonfeld, ).

Additionally, more than 80% of patients with depression have a medical comor-bidity (Klinkman, Patricia J. Robinson, PhD, is director of training and program evaluation at Mountainview Consulting Group, Inc., a firm that assists health care systems with integrating behavioral health services into primary care is coauthor of Real Behavior Change in Primary Care and The Mindfulness and Acceptance Workbook for exploring primary care psychology as a researcher.He continued, “There is a great deal of effort ongoing to help primary care physicians be more aware of and identify patients with depression.” But efforts that reinforce the variety of available treatments and that help primary care physicians understand the importance of treatment outcomes are still needed.