title: Does integrated care improve treatment for depression? A systematic review.
abstract: Care management-based interventions promoting integrated care by combining primary care with mental health services in a coordinated and colocated manner are increasingly popular; yet, the benefits of specific approaches are not well established. We conducted a systematic review of integrated care trials in US primary care settings to assess whether the level of integration of provider roles or care process affects clinical outcomes. Although most trials showed positive effects, the degree of integration was not significantly related to depression outcomes. Integrated care appears to improve depression management in primary care patients, but questions remain about its specific form and implementation.
authors.affiliation: Minnesota Evidence-based Practice Center, University of Minnesota School of Public Health, Minneapolis, Minnesota, USA. butl0092@umn.edu
authors.forename: Mary
authors.initials: M
authors.lastname: Butler
authors.forename: Robert L
authors.initials: RL
authors.lastname: Kane
authors.forename: Donna
authors.initials: D
authors.lastname: McAlpine
authors.forename: Roger
authors.initials: R
authors.lastname: Kathol
authors.forename: Steven S
authors.initials: SS
authors.lastname: Fu
authors.forename: Hildi
authors.initials: H
authors.lastname: Hagedorn
authors.forename: Timothy
authors.initials: T
authors.lastname: Wilt
mesh_terms: D002986:Clinical Trials as Topic; D003299:Cooperative Behavior; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D003863:Depression / Q000628:therapy*; D006801:Humans; D008605:Mental Health Services; D011320:Primary Health Care; D011787:Quality of Health Care; D016896:Treatment Outcome; D014481:United States