@article{ref1,
title="Collaborative care for depression of adults and adolescents: measuring the effectiveness of screening and treatment uptake",
journal="Psychiatric services",
year="2019",
author="Thompson, Hale and Faig, Walter and Gupta, Neha and Lahey, Rebecca and Golden, Robyn and Pollack, Mark and Karnik, Niranjan",
volume="70",
number="7",
pages="604-607",
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. <br><br>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. <br><br>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. <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="1075-2730",
doi="10.1176/appi.ps.201800257",
url="http://dx.doi.org/10.1176/appi.ps.201800257"
}