Impacting late life depression: integrating a depression intervention into primary care.
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.
Oishi
Sabine M
SM
Center for Health Services Research, UCLA Neuropsychiatric Institute, 10920 Wilshire Boulevard, Suite 300, Los Angeles, CA 90024-7082, USA. soishi@ucla.edu
Shoai
Rebecca
R
Katon
Wayne
W
Callahan
Christopher
C
Unützer
Jürgen
J
Arean
Patricia
P
Callahan
Christopher
C
Della Penna
Richard
R
Harpole
Linda
L
Hegel
Mark
M
Noel
Polly Hitchcock
PH
Hoffing
Marc
M
Hunkeler
Enid M
EM
Katon
Wayne
W
Levine
Stuart
S
Lin
Elizabeth H B
EH
Oddone
Eugene
E
Oishi
Sabine
S
Unützer
Jürgen
J
Williams
John
J
D000375:Aging; D003866:Depressive Disorder / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008281:Maine; D008603:Mental Health; D017063:Outcome Assessment, Health Care; D010348:Patient Care Team; D011320:Primary Health Care / Q000458:organization & administration*