title: Differences in patients' perceived helpfulness of depression treatment provided by general medical providers and specialty mental health providers.
abstract: OBJECTIVE
  This study examined the differences in the level of perceived helpfulness of treatments received for a major depressive episode (MDE) from a general medical provider only, a specialty mental health provider only or both.
  
  
  METHODS
  This study examined a sample of 8900 respondents from the 2008-2012 National Survey on Drug Use and Health aged 18-64 who had past 12-month MDE (based on criteria specified in the Diagnostic and Statistical Manual of Mental Disorders, Fourth edition) and received treatment for depression. Generalized ordered logistic regression analyses were conducted to estimate the association between the type of treatment providers and perceived helpfulness of depression treatment.
  
  
  RESULTS
  Adults who received depression treatment from either specialty mental health providers alone or from both specialty mental health providers and general medical providers in the past year were more likely to report that treatment helped them. The differences persisted after adjusting for sociodemographic characteristics, comorbid health conditions, receipt of depression medication and severity of depression (adjusted odds ratios across level of perceived helpfulness ranged from 1.63 to 3.96).
  
  
  CONCLUSIONS
  This finding calls for greater attention to factors associated with provider type and organizational context that may contribute to differences in perceived helpfulness of depression treatment.
authors.affiliation: Substance Abuse & Mental Health Services Administration, Center for Behavioral Health Statistics and Quality, Rockville, MD. Electronic address: Janet.Kuramoto-Crawford@samhsa.hhs.gov.
authors.forename: S Janet
authors.initials: SJ
authors.lastname: Kuramoto-Crawford
authors.affiliation: Substance Abuse & Mental Health Services Administration, Center for Behavioral Health Statistics and Quality, Rockville, MD. Electronic address: Beth.Han@samhsa.hhs.gov.
authors.forename: Beth
authors.initials: B
authors.lastname: Han
authors.affiliation: Substance Abuse & Mental Health Services Administration, Center for Behavioral Health Statistics and Quality, Rockville, MD. Electronic address: Laura.Jacobus-Kantor@samhsa.hhs.gov.
authors.forename: Laura
authors.initials: L
authors.lastname: Jacobus-Kantor
authors.affiliation: Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; Department of Psychiatry, Johns Hopkins University, Baltimore, MD. Electronic address: rmojtab1@jhu.edu.
authors.forename: Ramin
authors.initials: R
authors.lastname: Mojtabai
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D003376:Counseling; D003865:Major Depressive Disorder / Q000628:therapy*; D005260:Female; D058005:General Practitioners; D006282:Health Personnel / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008605:Mental Health Services; D008875:Middle Aged; D016017:Odds Ratio; D017060:Patient Satisfaction; D010465:Perception; D010821:Physicians, Family; D011568:Psychiatric Nursing; D011570:Psychiatry; D011584:Psychology; D000068217:Social Workers; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Adults; Depression; Mental health services; Treatment