TY  - JOUR
PY  - 2019//
TI  - Collaborative care for depression of adults and adolescents: measuring the effectiveness of screening and treatment uptake
JO  - Psychiatric services
A1  - Thompson, Hale
A1  - Faig, Walter
A1  - Gupta, Neha
A1  - Lahey, Rebecca
A1  - Golden, Robyn
A1  - Pollack, Mark
A1  - Karnik, Niranjan
SP  - 604
EP  - 607
VL  - 70
IS  - 7
N2  - 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>
LA  - en
SN  - 1075-2730
UR  - http://dx.doi.org/10.1176/appi.ps.201800257
ID  - ref1
ER  -