%0 Journal Article
%T Development of the National Network of Depression Centers Mood Outcomes Program: a multisite platform for measurement-based care
%J Psychiatric services
%D 2020
%A Zandi, Peter P.
%A Wang, Yu-Hsun
%A Patel, Paresh D.
%A Katzelnick, David
%A Turvey, Carolyn L.
%A Wright, Jesse H.
%A Ajilore, Olusola
%A Coryell, William
%A Schneck, Christopher D.
%A Guille, Constance
%A Saunders, Erika F. H.
%A Lazarus, Sophie A.
%A Cuellar, Valeria A.
%A Selvaraj, Sudhakar
%A Dill Rinvelt, Patricia
%A Greden, John F.
%A Depaulo, J. Raymond
%V ePub
%N ePub
%P ePub-ePub
%X OBJECTIVES: Mood disorders are among the most burdensome public health concerns. The National Network of Depression Centers (NNDC) is a nonprofit consortium of 26 leading clinical and academic member centers in the United States providing care for patients with mood disorders, including depression and bipolar disorder. The NNDC has established a measurement-based care program called the Mood Outcomes Program whereby participating sites follow a standard protocol to electronically collect patient-reported outcome assessments on depression, anxiety, and suicidal ideation in routine clinical care. This article describes the approaches taken to develop and implement the program. <br><br>METHODS: Since 2015, eight pilot sites have implemented the program and followed more than 10,000 patients. This pilot study presents descriptive statistics based on the first 24-month period of data collection. <br><br>RESULTS: In this sample, 58.6% of patients with bipolar disorder (N=849) and 57.5% of patients with unipolar depression (N=3,998) remained symptomatic at follow-up. Lifetime rates of planned or actual suicide attempts were high, ranging from 27.6% for patients with unipolar mood disorders to 33.5% for patients with bipolar disorder. Men, unmarried individuals, and those with comorbid anxiety had a poorer longitudinal course. This initial snapshot of clinical burden is consistent with public health data indicating that mood disorders are severely debilitating. <br><br>CONCLUSIONS: This study demonstrates the potential of the Mood Outcomes Program to create a nationwide "learning health system" for mood disorders. This goal will be further realized as the program expands in reach and scope across additional NNDC sites.<p /> <p>Language: en</p>
%G en
%I American Psychiatric Association
%@ 1075-2730
%U http://dx.doi.org/10.1176/appi.ps.201900481