Work

Clinic-Level Process of Care for Depression in Primary Care Settings

Year: 2009

Type: article

Abstract: Multi-component models for improving depression care target primary care (PC) clinics, yet few studies document usual clinic-level care. This case comparison assessed usual processes for depression management at 10 PC clinics. Although general similarities existed across sites, clinics varied on specific processes, barriers, and adherence to practice guidelines. Screening for depression conformed to guidelines. Processes for assessment, diagnosis, treatment, and follow-up varied to different degrees in different clinics. This individuality of usual care should be defined prior to quality improvement interventions, and may provide insights for introducing or tailoring changes, as well as improving interpretation of evaluation results.

Source: Administration and Policy in Mental Health and Mental Health Services Research

DOI: 10.1007/s10488-009-0207-1

Authors: Jacqueline J. Fickel, Elizabeth M. Yano, Louise E. Parker, Lisa V. Rubenstein

Institutions: Health Services Research & Development, Center for the Study of Healthcare Provider Behavior, University of California, Los Angeles, Veterans Health Administration

Language: English

Topic: Mental Health Treatment and Access

Subfield: Social Psychology

Field: Psychology

Domain: Social Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,790