Psychiatric Case Review and Treatment Intensification in Collaborative Care Management for Depression in Primary Care.

ABSTRACT: OBJECTIVE:This study examined whether psychiatric case review was associated with depression medication modification in a large implementation program of collaborative care for depression in safety-net primary care clinics. METHODS:Registry data were examined from an implementation of the collaborative care model in Washington State. A total of 14,960 adults from 178 primary care clinics who initiated care between January 1, 2008, and September 30, 2014, and who had a baseline Patient Health Questionnaire-9 (PHQ-9) score of 10 or higher were included. Rates of psychiatric case reviews and receipt of new depression medications were extracted from the registry for all patients and for a subset of patients who did not improve by eight weeks of treatment (did not achieve a PHQ-9 score of less

SUBMITTER: Sowa NA 

PROVIDER: S-EPMC6063310 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature