scholarly journals Collaborative Depression Care in a Safety Net Medical Home: Facilitators and Barriers to Quality Improvement

2016 ◽  
Vol 19 (1) ◽  
pp. 46-55 ◽  
Author(s):  
Eboni G. Price-Haywood ◽  
Donisha Dunn-Lombard ◽  
Jewel Harden-Barrios ◽  
John J. Lefante
2018 ◽  
Vol 58 (6) ◽  
pp. 667-672.e2 ◽  
Author(s):  
Trisha Wells ◽  
Stuart Rockafellow ◽  
Marcy Holler ◽  
Antoinette B. Coe ◽  
Anne Yoo ◽  
...  

2019 ◽  
Vol 29 (2) ◽  
pp. 277-286
Author(s):  
Nicolás E. Barceló ◽  
Alma Lopez ◽  
Lingqi Tang ◽  
Maria Gabriela Aguilera Nunez ◽  
Felica Jones ◽  
...  

Objective: Racial/ethnic minorities experi­ence disparities in depression1 and there is a paucity of evidence-based interventions to improve depression care access and outcomes. Community Partners in Care (CPIC) is a community-partnered study of depression care quality improvement (QI) in under-resourced, urban communities: Community Engagement and Planning (CEP) for multi-sector coalitions, and Resources for Services (RS) for program technical assistance.2 CEP demonstrated benefits for the overall CPIC study population; effects for Black and Latino sub-populations are unknown.Methods: This sub-analysis examines outcomes for 409 Latino and 488 Black (non-Latino) adults recruited from 90 pro­grams who completed baseline or 6-month follow-up. Regression analyses were used to estimate CEP vs RS intervention effects on primary (Mental Health Related Quality of Life [MHRQL], Patient Health Question­naire-9 [PHQ-9]) and community-priori­tized (mental wellness, physical activity, risk for homelessness) outcomes at 6-months.Results: Baseline characteristics did not differ significantly by intervention in either group. In the adjusted analysis for Black adults, CEP resulted in decreased odds of poor MHRQL (OR: .62, 95% CI=.41- .94, P=.028) with a trend for reducing homelessness risk (OR: .60, .35-1.05, P=.69). For Latino adults, CEP resulted in greater probability of mental wellness (OR: 1.81, 1.05-3.13, P=.034) and a trend for increased physical activity (OR: 1.52, .93- 2.49, P=.091).Conclusions: Exploratory analyses of CEP for depression quality improvement sug­gests significant 6-month benefits in mental health outcomes for Black and Latino participants and trends for improvement in community-prioritized outcomes for both groups. Findings may inform research in multi-sector coalitions to promote equity in depression care. Ethn Dis. 2019;29(2):277- 286; doi:10.18865/ed.29.2.277


2016 ◽  
Vol 42 (2) ◽  
pp. 303-311 ◽  
Author(s):  
Kathryn E. Gunter ◽  
Robert S. Nocon ◽  
Yue Gao ◽  
Lawrence P. Casalino ◽  
Marshall H. Chin

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