Evidence-based care for depression in Maine: dissemination of the Kaiser Permanente Nurse Telecare Program.
This paper describes the program model, implementation and preliminary results from a dissemination of a nurse case management program for treating depression in primary care. The program design was modeled after the Kaiser Permanente Nurse TeleCare program, which in a randomized clinical trial had previously demonstrated significant improvement in depression outcomes and patient satisfaction over usual care. As illustrated in this pilot by patient outcomes measured using the Hamilton Depression Rating Scale, the SF-12 Mental Health Composite Score, and the Work Role, Household and Leisure Time Functioning, the authors believe that it is possible to implement successful interventions in smaller primary care practices in community-based settings.
Pearson
Brian
B
Maine Health Information Center, P.O. Box 360, Manchester, Maine 04351, USA. bpearson@mhic.org
Katz
Steven E
SE
Soucie
Valerie
V
Hunkeler
Enid
E
Meresman
Joel
J
Rooney
Ted
T
Amick
Benjamin C
BC
D000328:Adult; D003866:Depressive Disorder / Q000628:therapy*; D004502:Education, Medical, Continuing; D019317:Evidence-Based Medicine; D005260:Female; D006279:Health Maintenance Organizations; D006801:Humans; D008281:Maine; D008297:Male; D008875:Middle Aged; D009726:Nurses / Q000458:organization & administration*; D011320:Primary Health Care / Q000458:organization & administration*; D017216:Telemedicine; D013689:Telephone