Abstract
Care for depression in late life is often less successful in primary care than in carefully controlled clinical trials. Collaborative care models attempt to integrate mental health services into primary care. The authors conducted two focus groups and semi-structured individual interviews with all Depression Clinical Specialists (DCSs) working with Project IMPACT (Improving Mood: Promoting Access to Collaborative Treatment), a study testing a collaborative care intervention for late life depression, to examine integration of the intervention model into primary care. DCSs described key intervention components, including supervision from a psychiatrist and a liaison primary care provider, weekly team meetings, computerized patient tracking, and outcomes assessment tools as effective in supporting patient care. DCSs discussed details of protocols, training, environmental set-up, and interpersonal factors that seemed to facilitate integration. DCSs also identified research-related factors that may need to be preserved in the real world. Basic elements of the IMPACT model seem to support integration of late life depression care into primary care. Research-related components may need modification for dissemination.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 75-89 |
| Number of pages | 15 |
| Journal | Psychiatric Quarterly |
| Volume | 74 |
| Issue number | 1 |
| DOIs | |
| State | Published - 2003 |
| Externally published | Yes |
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Keywords
- Aging
- Depression
- Integration
- Primary care
ASJC Scopus subject areas
- Psychiatry and Mental health
Cite this
Impacting late life depression : Integrating a depression intervention into primary care. / Oishi, Sabine M.; Shoai, Rebecca; Katon, Wayne; Callahan, Christopher; Unützer, Jürgen; Arean, Patricia; Della Penna, Richard; Harpole, Linda; Hegel, Mark; Noel, Polly H; Hoffing, Marc; Hunkeler, Enid M.; Levine, Stuart; Lin, Elizabeth H B; Oddone, Eugene; Williams, John.
In: Psychiatric Quarterly, Vol. 74, No. 1, 2003, p. 75-89.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Impacting late life depression
T2 - Integrating a depression intervention into primary care
AU - Oishi, Sabine M.
AU - Shoai, Rebecca
AU - Katon, Wayne
AU - Callahan, Christopher
AU - Unützer, Jürgen
AU - Arean, Patricia
AU - Della Penna, Richard
AU - Harpole, Linda
AU - Hegel, Mark
AU - Noel, Polly H
AU - Hoffing, Marc
AU - Hunkeler, Enid M.
AU - Levine, Stuart
AU - Lin, Elizabeth H B
AU - Oddone, Eugene
AU - Williams, John
PY - 2003
Y1 - 2003
N2 - Care for depression in late life is often less successful in primary care than in carefully controlled clinical trials. Collaborative care models attempt to integrate mental health services into primary care. The authors conducted two focus groups and semi-structured individual interviews with all Depression Clinical Specialists (DCSs) working with Project IMPACT (Improving Mood: Promoting Access to Collaborative Treatment), a study testing a collaborative care intervention for late life depression, to examine integration of the intervention model into primary care. DCSs described key intervention components, including supervision from a psychiatrist and a liaison primary care provider, weekly team meetings, computerized patient tracking, and outcomes assessment tools as effective in supporting patient care. DCSs discussed details of protocols, training, environmental set-up, and interpersonal factors that seemed to facilitate integration. DCSs also identified research-related factors that may need to be preserved in the real world. Basic elements of the IMPACT model seem to support integration of late life depression care into primary care. Research-related components may need modification for dissemination.
AB - Care for depression in late life is often less successful in primary care than in carefully controlled clinical trials. Collaborative care models attempt to integrate mental health services into primary care. The authors conducted two focus groups and semi-structured individual interviews with all Depression Clinical Specialists (DCSs) working with Project IMPACT (Improving Mood: Promoting Access to Collaborative Treatment), a study testing a collaborative care intervention for late life depression, to examine integration of the intervention model into primary care. DCSs described key intervention components, including supervision from a psychiatrist and a liaison primary care provider, weekly team meetings, computerized patient tracking, and outcomes assessment tools as effective in supporting patient care. DCSs discussed details of protocols, training, environmental set-up, and interpersonal factors that seemed to facilitate integration. DCSs also identified research-related factors that may need to be preserved in the real world. Basic elements of the IMPACT model seem to support integration of late life depression care into primary care. Research-related components may need modification for dissemination.
KW - Aging
KW - Depression
KW - Integration
KW - Primary care
UR - http://www.scopus.com/inward/record.url?scp=0038348652&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0038348652&partnerID=8YFLogxK
U2 - 10.1023/A:1021197807029
DO - 10.1023/A:1021197807029
M3 - Article
C2 - 12602790
AN - SCOPUS:0038348652
VL - 74
SP - 75
EP - 89
JO - Psychiatric Quarterly
JF - Psychiatric Quarterly
SN - 0033-2720
IS - 1
ER -