title: The Effects of Collaborative Care Training on Case Managers' Perceived Depression-Related Services Delivery.
abstract: This study examined the effects of a depression care quality improvement (QI) intervention implemented by using Community Engagement and Planning (CEP), which supports collaboration across health and community-based agencies, or Resources for Services (RS), which provides technical assistance, on training participation and service delivery by primarily unlicensed, racially and ethnically diverse case managers in two low-income communities in Los Angeles.
  
  
  
  The study was a cluster-randomized trial with program-level assignment to CEP or RS for implementation of a QI initiative for providing training for depression care. Staff with patient contact in 84 health and community-based programs that were eligible for the provider outcomes substudy were invited to participate in training and to complete baseline and one-year follow-up surveys; 117 case managers (N=59, RS; N=58, CEP) from 52 programs completed follow-up. Primary outcomes were time spent providing services in community settings and use of depression case management and problem-solving practices. Secondary outcomes were depression knowledge and attitudes and perceived system barriers.
  
  
  
  CEP case managers had greater participation in depression training, spent more time providing services in community settings, and used more problem-solving therapeutic approaches compared with RS case managers (p<.05).
  
  
  
  Training participation, time spent providing services in community settings, and use of problem-solving skills among primarily unlicensed, racially and ethnically diverse case managers were greater in programs that used CEP rather than RS to implement depression care QI, suggesting that CEP offers a model for including case managers in communitywide depression care improvement efforts.
authors.affiliation: Dr. Landry is with the Center for Health Services and Society, University of California, Los Angeles (UCLA), Los Angeles (e-mail: cmlandry@ucla.edu ). Dr. Jackson is with the Department of Social Welfare, Luskin School of Public Affairs, UCLA, Los Angeles. Dr. Tang, Dr. Miranda, Dr. Chung, and Dr. Wells are with the Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, UCLA, Los Angeles. Dr. Tang, Dr. Miranda, and Dr. Chung are also with the Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, UCLA, Los Angeles, and Dr. Wells is also with the RAND Corporation, Santa Monica, California. Ms. Jones is with Healthy African American Families II, Los Angeles. Dr. Ong is with the Department of Medicine, David Geffen School of Medicine, UCLA, and the U.S. Department of Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles.
authors.forename: Craig M
authors.initials: CM
authors.lastname: Landry
authors.affiliation: Dr. Landry is with the Center for Health Services and Society, University of California, Los Angeles (UCLA), Los Angeles (e-mail: cmlandry@ucla.edu ). Dr. Jackson is with the Department of Social Welfare, Luskin School of Public Affairs, UCLA, Los Angeles. Dr. Tang, Dr. Miranda, Dr. Chung, and Dr. Wells are with the Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, UCLA, Los Angeles. Dr. Tang, Dr. Miranda, and Dr. Chung are also with the Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, UCLA, Los Angeles, and Dr. Wells is also with the RAND Corporation, Santa Monica, California. Ms. Jones is with Healthy African American Families II, Los Angeles. Dr. Ong is with the Department of Medicine, David Geffen School of Medicine, UCLA, and the U.S. Department of Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles.
authors.forename: Aurora P
authors.initials: AP
authors.lastname: Jackson
authors.affiliation: Dr. Landry is with the Center for Health Services and Society, University of California, Los Angeles (UCLA), Los Angeles (e-mail: cmlandry@ucla.edu ). Dr. Jackson is with the Department of Social Welfare, Luskin School of Public Affairs, UCLA, Los Angeles. Dr. Tang, Dr. Miranda, Dr. Chung, and Dr. Wells are with the Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, UCLA, Los Angeles. Dr. Tang, Dr. Miranda, and Dr. Chung are also with the Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, UCLA, Los Angeles, and Dr. Wells is also with the RAND Corporation, Santa Monica, California. Ms. Jones is with Healthy African American Families II, Los Angeles. Dr. Ong is with the Department of Medicine, David Geffen School of Medicine, UCLA, and the U.S. Department of Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles.
authors.forename: Lingqi
authors.initials: L
authors.lastname: Tang
authors.affiliation: Dr. Landry is with the Center for Health Services and Society, University of California, Los Angeles (UCLA), Los Angeles (e-mail: cmlandry@ucla.edu ). Dr. Jackson is with the Department of Social Welfare, Luskin School of Public Affairs, UCLA, Los Angeles. Dr. Tang, Dr. Miranda, Dr. Chung, and Dr. Wells are with the Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, UCLA, Los Angeles. Dr. Tang, Dr. Miranda, and Dr. Chung are also with the Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, UCLA, Los Angeles, and Dr. Wells is also with the RAND Corporation, Santa Monica, California. Ms. Jones is with Healthy African American Families II, Los Angeles. Dr. Ong is with the Department of Medicine, David Geffen School of Medicine, UCLA, and the U.S. Department of Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles.
authors.forename: Jeanne
authors.initials: J
authors.lastname: Miranda
authors.affiliation: Dr. Landry is with the Center for Health Services and Society, University of California, Los Angeles (UCLA), Los Angeles (e-mail: cmlandry@ucla.edu ). Dr. Jackson is with the Department of Social Welfare, Luskin School of Public Affairs, UCLA, Los Angeles. Dr. Tang, Dr. Miranda, Dr. Chung, and Dr. Wells are with the Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, UCLA, Los Angeles. Dr. Tang, Dr. Miranda, and Dr. Chung are also with the Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, UCLA, Los Angeles, and Dr. Wells is also with the RAND Corporation, Santa Monica, California. Ms. Jones is with Healthy African American Families II, Los Angeles. Dr. Ong is with the Department of Medicine, David Geffen School of Medicine, UCLA, and the U.S. Department of Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles.
authors.forename: Bowen
authors.initials: B
authors.lastname: Chung
authors.affiliation: Dr. Landry is with the Center for Health Services and Society, University of California, Los Angeles (UCLA), Los Angeles (e-mail: cmlandry@ucla.edu ). Dr. Jackson is with the Department of Social Welfare, Luskin School of Public Affairs, UCLA, Los Angeles. Dr. Tang, Dr. Miranda, Dr. Chung, and Dr. Wells are with the Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, UCLA, Los Angeles. Dr. Tang, Dr. Miranda, and Dr. Chung are also with the Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, UCLA, Los Angeles, and Dr. Wells is also with the RAND Corporation, Santa Monica, California. Ms. Jones is with Healthy African American Families II, Los Angeles. Dr. Ong is with the Department of Medicine, David Geffen School of Medicine, UCLA, and the U.S. Department of Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles.
authors.forename: Felica
authors.initials: F
authors.lastname: Jones
authors.affiliation: Dr. Landry is with the Center for Health Services and Society, University of California, Los Angeles (UCLA), Los Angeles (e-mail: cmlandry@ucla.edu ). Dr. Jackson is with the Department of Social Welfare, Luskin School of Public Affairs, UCLA, Los Angeles. Dr. Tang, Dr. Miranda, Dr. Chung, and Dr. Wells are with the Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, UCLA, Los Angeles. Dr. Tang, Dr. Miranda, and Dr. Chung are also with the Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, UCLA, Los Angeles, and Dr. Wells is also with the RAND Corporation, Santa Monica, California. Ms. Jones is with Healthy African American Families II, Los Angeles. Dr. Ong is with the Department of Medicine, David Geffen School of Medicine, UCLA, and the U.S. Department of Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles.
authors.forename: Michael K
authors.initials: MK
authors.lastname: Ong
authors.affiliation: Dr. Landry is with the Center for Health Services and Society, University of California, Los Angeles (UCLA), Los Angeles (e-mail: cmlandry@ucla.edu ). Dr. Jackson is with the Department of Social Welfare, Luskin School of Public Affairs, UCLA, Los Angeles. Dr. Tang, Dr. Miranda, Dr. Chung, and Dr. Wells are with the Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, UCLA, Los Angeles. Dr. Tang, Dr. Miranda, and Dr. Chung are also with the Center for Health Services and Society, Semel Institute for Neuroscience and Human Behavior, UCLA, Los Angeles, and Dr. Wells is also with the RAND Corporation, Santa Monica, California. Ms. Jones is with Healthy African American Families II, Los Angeles. Dr. Ong is with the Department of Medicine, David Geffen School of Medicine, UCLA, and the U.S. Department of Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles.
authors.forename: Kenneth
authors.initials: K
authors.lastname: Wells
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D000071959:Case Managers / Q000193:education*; D003153:Community Health Services; D055812:Community-Based Participatory Research; D003695:Delivery of Health Care; D003866:Depressive Disorder / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D000070516:Intersectoral Collaboration; D008297:Male; D008875:Middle Aged; D058996:Quality Improvement
keywords: Case management; Community Engagement; Depression; Disparities; Quality Improvement; Staff training