title: A collaborative care approach to depression treatment for Asian Americans.
abstract: OBJECTIVE This study examined effectiveness of collaborative care for depression among Asians treated either at a community health center that focuses on Asians (culturally sensitive clinic) or at general community health centers and among a matched population of whites treated at the same general community clinics. METHODS For 345 participants in a statewide collaborative care program, use of psychotropic medications, primary care visits with depression care managers, and depression severity (as measured with the nine-item Patient Health Questionnaire) were tracked at baseline and 16 weeks. RESULTS After adjustment for differences in baseline demographic characteristics, all three groups had similar treatment process and depression outcomes. Asian patients served at the culturally sensitive clinic (N=129) were less likely than Asians (N=72) and whites (N=144) treated in general community health clinics to be prescribed psychotropic medications. CONCLUSIONS Collaborative care for depression showed similar response rates among all three groups.
authors: Department of Psychiatry and Behavioral Sciences, University of Washington, 1959 N.E. Pacific St., Seattle, WA 98195-6560, USA. annar22@uw.edu
authors: Anna D H
authors: AD
authors: Ratzliff
authors: Karen
authors: K
authors: Ni
authors: Ya-Fen
authors: YF
authors: Chan
authors: Mijung
authors: M
authors: Park
authors: Jürgen
authors: J
authors: Unützer
mesh_terms: D000328:Adult; D000368:Aged; D000928:Antidepressive Agents / Q000627:therapeutic use; D001213:Asian / Q000523:psychology*; D016022:Case-Control Studies; D003151:Community Health Centers; D003153:Community Health Services / Q000379:methods*; D003299:Cooperative Behavior; D003866:Depressive Disorder / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011320:Primary Health Care / Q000379:methods*; D016896:Treatment Outcome; D044465:White People / Q000523:psychology
chemical_list: D000928:Antidepressive Agents
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