Does Integrated Care Improve Treatment for Depression?

Mary E. Butler · Robert L Kane · Donna D. McAlpine · Roger G. Kathol · Steven S. Fu · Hildi Hagedorn +1 more

61 citations0/0 files storedJournal of Ambulatory Care Management

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Mental Health Treatment and Access Psychiatric care and mental health services Primary Care and Health Outcomes

Abstract

Care management-based interventions promoting integrated care by combining primary care with mental health services in a coordinated and colocated manner are increasingly popular; yet, the benefits of specific approaches are not well established. We conducted a systematic review of integrated care trials in US primary care settings to assess whether the level of integration of provider roles or care process affects clinical outcomes. Although most trials showed positive effects, the degree of integration was not significantly related to depression outcomes. Integrated care appears to improve depression management in primary care patients, but questions remain about its specific form and implementation.

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References

1998The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions.2005Twelve-Month Use of Mental Health Services in the United States 2002Collaborative Care Management of Late-Life Depression in the Primary Care Setting 1995Collaborative management to achieve treatment guidelines. Impact on depression in primary care 2006Collaborative Care for Depression 2001The Quality of Care for Depressive and Anxiety Disorders in the United States 2004Reducing Suicidal Ideation and Depressive Symptoms in Depressed Older Primary Care Patients 1996A Multifaceted Intervention to Improve Treatment of Depression in Primary Care

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2014System-level intersectoral linkages between the mental health and non-clinical support sectors: a qualitative systematic review 2015Association of Adolescent Depressive Symptoms With Health Care Utilization and Payer-Incurred Expenditures 2022Co-ordinated care for people affected by rare diseases: the CONCORD mixed-methods study

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