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ERIC Number: EJ1166210
Record Type: Journal
Publication Date: 2018-Feb
Pages: 10
Abstractor: As Provided
ISSN: ISSN-1049-7315
Comparative Studies of Collaborative Team Depression Care Adoption in Safety Net Clinics
Ell, Kathleen; Wu, Shinyi; Guterman, Jeffrey; Schulman, Sandra-Gross; Sklaroff, Laura; Lee, Pey-Jiuan
Research on Social Work Practice, v28 n2 p154-163 Feb 2018
Purpose: To evaluate three approaches adopting collaborative depression care model in Los Angeles County safety net clinics with predominantly Latino type 2 diabetes patients. Methods: Pre-post differences in treatment rates and symptom reductions were compared between baseline, 6-month, and 12-month follow-ups for each approach: (a) Multifaceted Depression and Diabetes Program (MDDP) grant-hired social workers dedicated for depression care, (b) Diabetes-Depression Care-Management Adoption Trial (DCAT) supported care (SC) by clinic social workers in diabetes disease management teams, and (c) DCAT-automated care-management technology-facilitated care (TC) model. All social workers were guided by a depression care protocol. Results: All approaches significantly increased treatment rate, the largest improvement being MDDP (40%), followed by TC (30%) and then SC (20%). Similar patterns were found in symptom improvement (=50% depression score reductions) and self-rated health. TC was the only approach to significantly improve patient diabetes self-care. Discussion: Activated social workers and technology facilitation provide promising effective adoption of collaborative depression team care in safety net.
SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail:; Web site:
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: National Institute of Mental Health (DHHS/NIH); Office of the Assistant Secretary for Planning and Evaluation (DHHS)
Authoring Institution: N/A
Identifiers - Location: California (Los Angeles)
Grant or Contract Numbers: RO1MH06846804; 1R18AE00005401