title: Outcomes for collaborative care versus routine care in the management of postpartum depression.
abstract: BACKGROUND
  Even with routine screening, women diagnosed with postpartum depression (PPD) often experience delays in treatment with consequences affecting mother, infant, families and communities. A collaborative care management (CCM) approach may provide more timely, effective and higher quality of care for women suffering from postpartum depression.
  
  
  OBJECTIVE
  This study compared the outcomes of women diagnosed with depression within a year of giving birth, comparing management using a collaborative care model with routine primary care.
  
  
  METHODS
  In a retrospective quantitative cohort pilot study (n = 78), the outcomes of days to first follow-up, one-year healthcare utilisation, remission rates and other quality metrics were investigated.
  
  
  RESULTS
  Those who were managed with CCM had fewer days to first follow-up (6.1 versus 31.4; P < 0.01), were more likely to meet the quality metrics of three or more related contacts in the three months after diagnosis (P < 0.01), and had documented Patient Health Questionnaire (PHQ-9) or Edinburgh Postnatal Depression Scale (EPDS) measurements at 3 (P < 0.01), 6 (P < 0.01) and 12 (P < 0.01) months. With an intention to treat model, 6-month remission rates were improved with CCM (46.7 vs. 6.3%, P <0.01). Those managed collaboratively versus routinely used healthcare in the year following diagnosis at similar rates.
  
  
  CONCLUSIONS
  A CCM model offers timelier and higher quality care to women suffering from PPD, without contributing to higher healthcare utilisation.
authors: Department of Family Medicine, Neighborhood Healthsource, Minneapolis, MN, USA.
authors: Frances E
authors: FE
authors: Truitt
authors: Beatrice J
authors: BJ
authors: Pina
authors: Nicole H
authors: NH
authors: Person-Rennell
authors: Kurt B
authors: KB
authors: Angstman
mesh_terms: D000328:Adult; D019052:Depression, Postpartum / Q000628:therapy*; D005260:Female; D006801:Humans; D010348:Patient Care Team / Q000458:organization & administration*; D011320:Primary Health Care; D011569:Psychiatric Status Rating Scales; D011787:Quality of Health Care; D012189:Retrospective Studies; D018709:Statistics, Nonparametric; D016896:Treatment Outcome