title: Community Engagement Compared With Technical Assistance to Disseminate Depression Care Among Low-Income, Minority Women: A Randomized Controlled Effectiveness Study.
abstract: OBJECTIVE
  To compare the effectiveness of a (CEP) versus a technical assistance approach (Resources for Services, or RS) to disseminate depression care for low-income ethnic minority women.
  
  
  METHODS
  We conducted secondary analyses of intervention effects for largely low-income, minority women subsample (n = 595; 45.1% Latino and 45.4% African American) in a matched, clustered, randomized control trial conducted in 2 low-resource communities in Los Angeles, California, between 2010 and 2012. Outcomes assessed included mental health, socioeconomic factors, and service use at 6- and 12-month follow-up.
  
  
  RESULTS
  Although we found no intervention difference for depressive symptoms, there were statistically significant effects for mental health quality of life, resiliency, homelessness risk, and financial difficulties at 6 months, as well as missed work days, self-efficacy, and care barriers at 12 months favoring CEP relative to RS. CEP increased use of outpatient substance abuse services and faith-based depression visits at 6 months.
  
  
  CONCLUSIONS
  Engaging health care and social community programs may offer modest improvements on key functional and socioeconomic outcomes, reduce care barriers, and increase engagement in alternative depression services for low-income, predominantly ethnic minority women.
authors.affiliation: Victoria K. Ngo, Cathy Sherbourne, Bowen Chung, Aziza L. Wright, and Kenneth Wells are with the RAND Corporation, Santa Monica, CA. Lingqi Tang and Jeanne Miranda are with the Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Bio-Behavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles. Yolanda Whittington is with the Department of Mental Health, Los Angeles County, Los Angeles, CA.
authors.forename: Victoria K
authors.initials: VK
authors.lastname: Ngo
authors.affiliation: Victoria K. Ngo, Cathy Sherbourne, Bowen Chung, Aziza L. Wright, and Kenneth Wells are with the RAND Corporation, Santa Monica, CA. Lingqi Tang and Jeanne Miranda are with the Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Bio-Behavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles. Yolanda Whittington is with the Department of Mental Health, Los Angeles County, Los Angeles, CA.
authors.forename: Cathy
authors.initials: C
authors.lastname: Sherbourne
authors.affiliation: Victoria K. Ngo, Cathy Sherbourne, Bowen Chung, Aziza L. Wright, and Kenneth Wells are with the RAND Corporation, Santa Monica, CA. Lingqi Tang and Jeanne Miranda are with the Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Bio-Behavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles. Yolanda Whittington is with the Department of Mental Health, Los Angeles County, Los Angeles, CA.
authors.forename: Bowen
authors.initials: B
authors.lastname: Chung
authors.affiliation: Victoria K. Ngo, Cathy Sherbourne, Bowen Chung, Aziza L. Wright, and Kenneth Wells are with the RAND Corporation, Santa Monica, CA. Lingqi Tang and Jeanne Miranda are with the Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Bio-Behavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles. Yolanda Whittington is with the Department of Mental Health, Los Angeles County, Los Angeles, CA.
authors.forename: Lingqi
authors.initials: L
authors.lastname: Tang
authors.affiliation: Victoria K. Ngo, Cathy Sherbourne, Bowen Chung, Aziza L. Wright, and Kenneth Wells are with the RAND Corporation, Santa Monica, CA. Lingqi Tang and Jeanne Miranda are with the Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Bio-Behavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles. Yolanda Whittington is with the Department of Mental Health, Los Angeles County, Los Angeles, CA.
authors.forename: Aziza L
authors.initials: AL
authors.lastname: Wright
authors.affiliation: Victoria K. Ngo, Cathy Sherbourne, Bowen Chung, Aziza L. Wright, and Kenneth Wells are with the RAND Corporation, Santa Monica, CA. Lingqi Tang and Jeanne Miranda are with the Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Bio-Behavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles. Yolanda Whittington is with the Department of Mental Health, Los Angeles County, Los Angeles, CA.
authors.forename: Yolanda
authors.initials: Y
authors.lastname: Whittington
authors.affiliation: Victoria K. Ngo, Cathy Sherbourne, Bowen Chung, Aziza L. Wright, and Kenneth Wells are with the RAND Corporation, Santa Monica, CA. Lingqi Tang and Jeanne Miranda are with the Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Bio-Behavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles. Yolanda Whittington is with the Department of Mental Health, Los Angeles County, Los Angeles, CA.
authors.forename: Kenneth
authors.initials: K
authors.lastname: Wells
authors.affiliation: Victoria K. Ngo, Cathy Sherbourne, Bowen Chung, Aziza L. Wright, and Kenneth Wells are with the RAND Corporation, Santa Monica, CA. Lingqi Tang and Jeanne Miranda are with the Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, Department of Psychiatry and Bio-Behavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles. Yolanda Whittington is with the Department of Mental Health, Los Angeles County, Los Angeles, CA.
authors.forename: Jeanne
authors.initials: J
authors.lastname: Miranda
mesh_terms: D003156:Community Mental Health Services / Q000706:statistics & numerical data; D055812:Community-Based Participatory Research / Q000379:methods*; D003863:Depression / Q000628:therapy*; D005006:Ethnicity; D005260:Female; D006801:Humans; D015141:Los Angeles; D008875:Middle Aged; D008913:Minority Groups; D011203:Poverty; D012959:Socioeconomic Factors