TY  - JOUR
PY  - 2017//
TI  - Comparative effectiveness of two models of depression services quality improvement in health and community sectors
JO  - Psychiatric services
A1  - Sherbourne, Cathy D.
A1  - Aoki, Wayne
A1  - Belin, Thomas R.
A1  - Bromley, Elizabeth
A1  - Chung, Bowen
A1  - Dixon, Elizabeth
A1  - Gilmore, James M.
A1  - Johnson, Megan Dwight
A1  - Jones, Felica
A1  - Koegel, Paul
A1  - Khodyakov, Dmitry
A1  - Landry, Craig M.
A1  - Lizaola, Elizabeth
A1  - Mtume, Norma
A1  - Ngo, Victoria K.
A1  - Ong, Michael K.
A1  - Perlman, Judith
A1  - Pulido, Esmeralda
A1  - Sauer, Vivian
A1  - Tang, Lingqi
A1  - Whittington, Yolanda
A1  - Vidaurri, Ed
A1  - Williams, Pluscedia
A1  - Lucas-Wright, Aziza
A1  - Zhang, Lily
A1  - Miranda, Jeanne
A1  - Jones, Loretta
A1  - Wells, Kenneth
SP  - 1315
EP  - 1320
VL  - 68
IS  - 12
N2  - OBJECTIVE: The effectiveness of community coalition building and program technical assistance was compared in implementation of collaborative care for depression among health care and community sector clients. <br><br>METHODS: In under-resourced communities, within 93 programs randomly assigned to coalition building (Community Engagement and Planning) or program technical assistance (Resources for Services) models, 1,018 clients completed surveys at baseline and at six, 12, or 36 months. Regression analysis was used to estimate intervention effects and intervention-by-sector interaction effects on depression, mental health-related quality of life, and community-prioritized outcomes and on services use. <br><br>RESULTS: For outcomes, there were few significant intervention-by-sector interactions, and stratified findings suggested benefits of coalition building in both sectors. For services use, at 36 months, increases were found for coalition building in primary care visits, self-help visits, and appropriate treatment for community clients and in community-based services use for health care clients. <br><br>CONCLUSIONS: Relative to program technical assistance, community coalition building benefited clients across sectors and shifted long-term utilization across sectors.<p />  <p>Language: en</p>
LA  - en
SN  - 1075-2730
UR  - http://dx.doi.org/10.1176/appi.ps.201700170
ID  - ref1
ER  -