title: Impacting late life depression: integrating a depression intervention into primary care.
abstract: 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.
authors.affiliation: Center for Health Services Research, UCLA Neuropsychiatric Institute, 10920 Wilshire Boulevard, Suite 300, Los Angeles, CA 90024-7082, USA. soishi@ucla.edu
authors.forename: Sabine M
authors.initials: SM
authors.lastname: Oishi
authors.forename: Rebecca
authors.initials: R
authors.lastname: Shoai
authors.forename: Wayne
authors.initials: W
authors.lastname: Katon
authors.forename: Christopher
authors.initials: C
authors.lastname: Callahan
authors.forename: Jürgen
authors.initials: J
authors.lastname: Unützer
authors.forename: Patricia
authors.initials: P
authors.lastname: Arean
authors.forename: Christopher
authors.initials: C
authors.lastname: Callahan
authors.forename: Richard
authors.initials: R
authors.lastname: Della Penna
authors.forename: Linda
authors.initials: L
authors.lastname: Harpole
authors.forename: Mark
authors.initials: M
authors.lastname: Hegel
authors.forename: Polly Hitchcock
authors.initials: PH
authors.lastname: Noel
authors.forename: Marc
authors.initials: M
authors.lastname: Hoffing
authors.forename: Enid M
authors.initials: EM
authors.lastname: Hunkeler
authors.forename: Wayne
authors.initials: W
authors.lastname: Katon
authors.forename: Stuart
authors.initials: S
authors.lastname: Levine
authors.forename: Elizabeth H B
authors.initials: EH
authors.lastname: Lin
authors.forename: Eugene
authors.initials: E
authors.lastname: Oddone
authors.forename: Sabine
authors.initials: S
authors.lastname: Oishi
authors.forename: Jürgen
authors.initials: J
authors.lastname: Unützer
authors.forename: John
authors.initials: J
authors.lastname: Williams
mesh_terms: 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*