In this randomized clinical trial to determine the effectiveness of Collaborative Care for adolescent depression in primary care, adolescents (aged 13-17 years old) were randomized to receive either 12 months of usual care or the Reaching Out to Adolescents in Distress (ROAD) intervention, an adapted collaborative care intervention. Results indicated that adolescents in the intervention group had greater improvements in depressive symptoms than the controls, suggesting that Collaborative Care can be effectively used in primary care to treat adolescent depression.
A systematic review of the evidence for routine screening for Major Depressive Disorder in children and adolescents.
New implementation guide and planning tool for achieving integrated care.
An evaluation of a quality improvement program with a pay-for performance (P4P) incentive in a population-focused, integrated care program for safety-net patients in 29 community health clinics.
This study assesses how fidelity to two key functions of the Collaborative Care model affects patient outcomes. The results suggest that timely follow-up may significantly improve patient depression outcomes.
Trauma can increase the risk of health, social, and emotional problems. Despite the high prevalence of patients with a past history of trauma, few clinics or Collaborative Care teams have a protocol for addressing it. These three tips can help clinicians safely and effectively discuss the trauma history of their patients during their initial assessment.
The objective of this study was to design a bundled case rate that aligned with the variation found in evidence-based depression care in primary care or Collaborative Care for Depression. The investigation's findings supported a monthly case rate design that better matched payment with variation compared with a one-year fixed design.
A study to determine whether coordinated care management of multiple conditions improves disease control in patients with depression and poorly controlled diabetes, coronary heart disease, or both.
This paper by David J. Katzelnick, MD and Mark. D. Williams, MD explores large-scale dissemination of the Collaborative Care model. The authors agree that there is enough of an evidence-base proving that the model works and that the problem lies in the implementation science and dissemination knowledge base.