title: Collaborative care for depression in primary care: how psychiatry could "troubleshoot" current treatments and practices.
abstract: The bulk of mental health services for people with depression are provided in primary care settings. Primary care providers prescribe 79 percent of antidepressant medications and see 60 percent of people being treated for depression in the United States, and they do that with little support from specialist services. Depression is not effectively managed in the primary care setting. Collaborative care based on a team approach, a population health perspective, and measurement-based care has been proven to treat depression more effectively than care as usual in a variety of settings and for different populations, and it increases people's access to medications and behavioral therapies. Psychiatry has the responsibility of supporting the primary care sector in delivering mental health services by disseminating collaborative care approaches under recent initiatives and opportunities made possible by the Affordable Care Act (ACA).
authors.affiliation: Yale School of Medicine, New Haven, Connecticut 06511, USA. andres.barkil@yale.edu
authors.forename: Andres
authors.initials: A
authors.lastname: Barkil-Oteo
mesh_terms: D000928:Antidepressive Agents / Q000191:economics / Q000627:therapeutic use; D003299:Cooperative Behavior; D003863:Depression / Q000188:drug therapy / Q000191:economics / Q000628:therapy*; D006801:Humans; D008603:Mental Health; D011320:Primary Health Care / Q000191:economics; D011570:Psychiatry
chemical_list: D000928:Antidepressive Agents
keywords: antidepressants; collaborative care; primary care