Citation

Thompson H, Faig W, Gupta N, Lahey R, Golden R, Pollack M, Karnik N. Psychiatr. Serv. 2019; 70(7): 604-607.

Affiliation

Department of Psychiatry, College of Medicine (Thompson, Faig, Gupta, Pollack, Karnik) and Social Work and Community Health (Lahey, Golden), Rush University Medical Center, Chicago.

Copyright

(Copyright © 2019, American Psychiatric Association)

DOI

10.1176/appi.ps.201800257

PMID

31023189

Abstract

OBJECTIVE: This study analyzed effectiveness of screening, referrals, and treatment uptake of a collaborative care for depression intervention across 10 primary care clinics in Chicago.

METHODS: Between November 2016 and December 2017, patients (N=25,369) were screened with the Patient Health Questionnaire-2 and the Patient Health Questionnaire-9 on the basis of an eligibility algorithm. Electronic health record data were analyzed for sample characteristics, screening rates, referrals, and treatment pathways. To identify disparities, a test of proportions was conducted between eligible and screened patients as well as referred and treated patients.

RESULTS: Screenings, referrals, and uptake occurred proportionately across subgroups except for patients ages 12-17. Adolescent age was associated with disproportionate Patient Health Questionnaire-9 screenings and with treatment disengagement.

CONCLUSIONS: The intervention shows promise in expanding access to care and reducing disparities. Greater access to psychotherapies and innovative treatment modalities, particularly for adolescents, may improve overall treatment uptake.

Language: en

Keywords

Collaborative care; Depression; Health disparities; Population health; Primary care; Screening