Effects of primary care depression treatment on minority patients' clinical status and employment.
BACKGROUND
The response of ethnic minorities to mental health care is largely unstudied.


OBJECTIVE
To determine the effect of appropriate care for depression on ethnic minorities.


METHODS
Observational analysis of the effects of evidence-based depression care over 6 months on clinical outcomes and employment status is examined for ethnic minorities and nonminorities. Selection into treatment is accounted for using instrumental variables techniques, with randomized assignment to the quality improvement intervention as the identifying instrument.


METHODS
Six managed care organizations across the United States. Patients One thousand three hundred fifty-six depressed adults, including 601 white, 258 Latino, 56 African American, and 24 Asian or Native American patients. Intervention Quality improvement interventions aimed at increasing guideline-concordant depression care.


RESULTS
At 6 months, minority patients who received appropriate care, compared with those who did not receive it, had lower rates of probable depressive disorder (20.5% vs 70.5%); the findings were similar for nonminority patients (24.3% vs 71.2%). Nonminority patients who received appropriate care were found to have higher rates of employment than were those who did not receive appropriate care (71.4% vs 52.4%). This was not true of minority patients (68.2% vs 56.5%).


CONCLUSIONS
Evidence-based care for depression is equally effective in reducing depressive disorders for minority and nonminority patients. However, functional outcomes of care, such as continued employment, may be more limited for minority than nonminority patients. Because minority members are less likely to get appropriate care, efforts should be made to engage minority members in effective care for depression.
Health Services Research Center, University of California, Los Angeles- Neuropsychiatric Institute, 90024, USA. mirandaj@ucla.edu
Jeanne
J
Miranda
Michael
M
Schoenbaum
Cathy
C
Sherbourne
Naihua
N
Duan
Kenneth
K
Wells
D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D003695:Delivery of Health Care / Q000592:standards; D003866:Depressive Disorder / Q000453:epidemiology / Q000628:therapy*; D004651:Employment / Q000706:statistics & numerical data*; D005006:Ethnicity / Q000523:psychology / Q000706:statistics & numerical data*; D019317:Evidence-Based Medicine; D005260:Female; D005500:Follow-Up Studies; D019983:Guideline Adherence; D006302:Health Services Research; D006801:Humans; D008297:Male; D008329:Managed Care Programs / Q000592:standards; D008913:Minority Groups / Q000523:psychology / Q000706:statistics & numerical data*; D017063:Outcome Assessment, Health Care; D017410:Practice Guidelines as Topic; D011320:Primary Health Care / Q000592:standards; D011785:Quality Assurance, Health Care; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology