TY  - JOUR
PY  - 2020//
TI  - Development of the National Network of Depression Centers Mood Outcomes Program: a multisite platform for measurement-based care
JO  - Psychiatric services
A1  - Zandi, Peter P.
A1  - Wang, Yu-Hsun
A1  - Patel, Paresh D.
A1  - Katzelnick, David
A1  - Turvey, Carolyn L.
A1  - Wright, Jesse H.
A1  - Ajilore, Olusola
A1  - Coryell, William
A1  - Schneck, Christopher D.
A1  - Guille, Constance
A1  - Saunders, Erika F. H.
A1  - Lazarus, Sophie A.
A1  - Cuellar, Valeria A.
A1  - Selvaraj, Sudhakar
A1  - Dill Rinvelt, Patricia
A1  - Greden, John F.
A1  - Depaulo, J. Raymond
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 1075-2730
UR  - http://dx.doi.org/10.1176/appi.ps.201900481
ID  - ref1
ER  -