Usual care psychotherapy for depression in a large managed behavioral health organization.
Evidence-based psychotherapies to treat depression are available, yet it remains unknown the extent to which these practices are used in routine care for depression. Using survey and administrative data, we sought to describe usual care psychotherapy for depression for adult patients receiving care through a large, managed behavioral health care organization. Data from 420 patients receiving psychotherapy for depression and 159 of their therapists provide evidence that some practitioners are using evidence-based psychotherapy techniques for depression, but also demonstrate the need for improved tools to monitor and improve quality of psychotherapy in usual care.
RAND Corporation, Santa Monica, CA 90407-2138, USA. hepner@rand.org
Kimberly A
KA
Hepner
Gregory L
GL
Greenwood
Francisca
F
Azocar
Jeanne
J
Miranda
M Audrey
MA
Burnam
D000293:Adolescent; D000328:Adult; D000928:Antidepressive Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003156:Community Mental Health Services / Q000379:methods*; D003865:Major Depressive Disorder / Q000628:therapy*; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017064:Process Assessment, Health Care; D011594:Psychometrics; D011613:Psychotherapy / Q000379:methods*; D011787:Quality of Health Care; D012959:Socioeconomic Factors; D055815:Young Adult
D000928:Antidepressive Agents