Effectiveness of a depression disease management program in improving depression and work function--a pilot study.
OBJECTIVE
We examined whether there were differences in depression and work function outcomes among primary care and specialty mental health patients treated by the Michigan Depression Outreach and Collaborative Care (M-DOCC), a depression care management program, developed by the University of Michigan Depression Center. In addition, we examined the relationship between depressive symptoms and workplace functioning among M-DOCC enrollees over time.


METHODS
We used mixed model and logistic regression analyses.


RESULTS
Despite baseline differences in patient characteristics between primary care and specialty care patients, the location of treatment setting was not a significant predictor of depression or work function outcomes over time among patients enrolled in a depression care management program. Patients in both treatment settings showed significant decreases in depressive and functional impairment over time, with improvements in these symptoms occurring concurrently. Patients with greater case severity were less likely to demonstrate depression and work function improvements over time, and more severe side effects were associated with fewer depression symptom improvements over time.


CONCLUSIONS
Both depression and work function outcomes improved over time among patients enrolled in a depression care management program, and this improvement did not differ based on whether a patient was treated in a primary or specialty care setting.
Zivin
Kara
K
Dept. of Veterans Affairs, Ann Arbor, Michigan, USA. kzivin@umich.edu
Kerber
Kevin
K
Kuebler
Julie
J
Jiang
QingMei
Q
Walters
Heather
H
Klinkman
Michael
M
McInnis
Melvin
M
Valenstein
Marcia
M
D000328:Adult; D000928:Antidepressive Agents / Q000009:adverse effects / Q000627:therapeutic use; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation*; D019468:Disease Management; D005260:Female; D006801:Humans; D008297:Male; D055118:Medication Adherence; D008605:Mental Health Services; D008875:Middle Aged; D017060:Patient Satisfaction; D010555:Personality Inventory; D010865:Pilot Projects; D011320:Primary Health Care; D012017:Referral and Consultation; D012050:Rehabilitation, Vocational
D000928:Antidepressive Agents