Impacting late life depression: Integrating a depression intervention into primary care

Sabine M. Oishi, Rebecca Shoai, Wayne Katon, Christopher Callahan, Jürgen Unützer, Patricia Arean, Richard Della Penna, Linda Harpole, Mark Hegel, Polly Hitchcock Noel, Marc Hoffing, Enid M. Hunkeler, Stuart Levine, Elizabeth H B Lin, Eugene Oddone, John Williams

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

Care for depression in late life is often less successful in primary care than in carefully controlled clinical trials. Collaborative care models attempt to integrate mental health services into primary care. The authors conducted two focus groups and semi-structured individual interviews with all Depression Clinical Specialists (DCSs) working with Project IMPACT (Improving Mood: Promoting Access to Collaborative Treatment), a study testing a collaborative care intervention for late life depression, to examine integration of the intervention model into primary care. DCSs described key intervention components, including supervision from a psychiatrist and a liaison primary care provider, weekly team meetings, computerized patient tracking, and outcomes assessment tools as effective in supporting patient care. DCSs discussed details of protocols, training, environmental set-up, and interpersonal factors that seemed to facilitate integration. DCSs also identified research-related factors that may need to be preserved in the real world. Basic elements of the IMPACT model seem to support integration of late life depression care into primary care. Research-related components may need modification for dissemination.

Original languageEnglish
Pages (from-to)75-89
Number of pages15
JournalPsychiatric Quarterly
Volume74
Issue number1
DOIs
StatePublished - 2003

Fingerprint

Primary Health Care
Depression
Patient Outcome Assessment
Patient Identification Systems
Controlled Clinical Trials
Mental Health Services
Focus Groups
Research
Psychiatry
Patient Care
Interviews
Therapeutics

Keywords

  • Aging
  • Depression
  • Integration
  • Primary care

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Impacting late life depression : Integrating a depression intervention into primary care. / Oishi, Sabine M.; Shoai, Rebecca; Katon, Wayne; Callahan, Christopher; Unützer, Jürgen; Arean, Patricia; Della Penna, Richard; Harpole, Linda; Hegel, Mark; Noel, Polly Hitchcock; Hoffing, Marc; Hunkeler, Enid M.; Levine, Stuart; Lin, Elizabeth H B; Oddone, Eugene; Williams, John.

In: Psychiatric Quarterly, Vol. 74, No. 1, 2003, p. 75-89.

Research output: Contribution to journalArticle

Oishi, SM, Shoai, R, Katon, W, Callahan, C, Unützer, J, Arean, P, Della Penna, R, Harpole, L, Hegel, M, Noel, PH, Hoffing, M, Hunkeler, EM, Levine, S, Lin, EHB, Oddone, E & Williams, J 2003, 'Impacting late life depression: Integrating a depression intervention into primary care', Psychiatric Quarterly, vol. 74, no. 1, pp. 75-89. https://doi.org/10.1023/A:1021197807029
Oishi, Sabine M. ; Shoai, Rebecca ; Katon, Wayne ; Callahan, Christopher ; Unützer, Jürgen ; Arean, Patricia ; Della Penna, Richard ; Harpole, Linda ; Hegel, Mark ; Noel, Polly Hitchcock ; Hoffing, Marc ; Hunkeler, Enid M. ; Levine, Stuart ; Lin, Elizabeth H B ; Oddone, Eugene ; Williams, John. / Impacting late life depression : Integrating a depression intervention into primary care. In: Psychiatric Quarterly. 2003 ; Vol. 74, No. 1. pp. 75-89.
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