title: [Primary care and mental health care collaboration in patients with depression: Evaluation of a pilot experience].
abstract: OBJECTIVE
  To implement and assess a collaborative experience between Primary Care (PC) and Mental Health (MH) in order to improve the care of patients with depression.
  
  
  METHODS
  Pilot collaborative project from a participatory action research approach during 2013.
  
  
  METHODS
  Basque Country. Osakidetza (Basque Health Service). Bizkaia and Gipuzkoa.
  
  
  METHODS
  The study included 207 professionals from general practice, nursing, psychiatry, psychiatric nursing, psychology and social work of 9 health centres and 6 mental health centres of Osakidetza.
  
  
  METHODS
  Shared design and development of four axes of intervention: 1) Communication and knowledge between PC and MH professionals, 2) Improvement of diagnostic coding and referral of patients, 3) Training programmes with meetings and common Clinical Practice Guidelines, and 4) Evaluation.
  
  
  METHODS
  Intervention and control questionnaires to professionals of the centres on the knowledge and satisfaction in the PC-MH relationship, joint training activities, and assessment of the experience. Osakidetza registers of prevalences, referrals and treatments. Follow-up meetings.
  
  
  RESULTS
  Improvement in the 4 axes of intervention in the participant centres compared with the controls. Identification of factors to be considered in the development and sustainability of PC-MH collaborative care.
  
  
  CONCLUSIONS
  The pilot experience confirms that collaborative projects promoted by PC and MH can improve depression care and the satisfaction of professionals. They are complex projects that need simultaneous interventions adjusted to the particularities of the health services. Multidisciplinary and continuous participation and management and information system support are necessary for their implementation.
authors.affiliation: Centro de Salud de Alza, OSI Donostia, Osakidetza, Donostia-San Sebastián, España; Unidad de Investigación de Atención Primaria-OSIs Gipuzkoa, Osakidetza, Donostia-San Sebastián, España. Electronic address: ccalderong@telefonica.net.
authors.forename: Carlos
authors.initials: C
authors.lastname: Calderón
authors.affiliation: Centro de Salud de Iztieta, OSI Donostia, Osakidetza, Errenteria, España; Unidad de Investigación de Atención Primaria-OSIs Gipuzkoa, Osakidetza, Donostia-San Sebastián, España.
authors.forename: Laura
authors.initials: L
authors.lastname: Balagué
authors.affiliation: Red de Salud Mental de Gipuzkoa, Osakidetza, Donostia-San Sebastián, España.
authors.forename: Álvaro
authors.initials: Á
authors.lastname: Iruin
authors.affiliation: Centro de Salud Mental de Basauri, Red de Salud Mental de Bizkaia, Osakidetza, Basauri, España.
authors.forename: Ander
authors.initials: A
authors.lastname: Retolaza
authors.affiliation: Centro de Salud Mental de Zarautz, Red de Salud Mental de Gipuzkoa, Osakidetza, Zarautz, España.
authors.forename: Jon
authors.initials: J
authors.lastname: Belaunzaran
authors.affiliation: Unidad de Gestión Sanitaria, OSI Donostia, Osakidetza, Donostia-San Sebastián, España.
authors.forename: Javier
authors.initials: J
authors.lastname: Basterrechea
authors.affiliation: Unidad de Investigación de Atención Primaria-OSIs Gipuzkoa, Osakidetza, Donostia-San Sebastián, España.
authors.forename: Isabel
authors.initials: I
authors.lastname: Mosquera
mesh_terms: D003863:Depression / Q000628:therapy*; D006801:Humans; D008605:Mental Health Services; D010348:Patient Care Team; D010865:Pilot Projects; D011320:Primary Health Care; D013030:Spain
keywords: Action research; Atención Primaria; Atención colaborativa; Collaborative care; Depresión; Depression; Investigación-acción; Mental Health; Primary Care; Salud Mental