Community Partners in Care: 6-Month Outcomes of Two Quality Improvement Depression Care Interventions in Male Participants

Abstract

Objective: Limited data exist on approaches to improve depression services for men in under-resourced communities. This article explores this issue using a sub-analysis of male participants in Community Partners in Care (CPIC).Design: Community partnered, cluster, randomized trial.Setting: Hollywood-Metropolitan and South Los Angeles, California. Participants: 423 adult male clients with modified depression (PHQ-8 score≥10).Interventions: Depression collaborative care implementation using community engagement and planning (CEP) across programs compared with the more-traditional individual program, technical assistance (Resources for Services, RS). Main Outcomes Measured:Depressive symptoms (PHQ-8 score), mental healthrelated quality of life (MHRQL), mental wellness, services utilization and settings.Results: At screening, levels of probable depression were moderate to high (17.5%-47.1%) among men across services sectors. Intervention effects on primary outcomes (PHQ-8 score and MHRQL) did not differ. Men in CEP compared with RS had improved mental wellness (OR 1.85, 95% CI 1.00-3.42) and reduced hospitalizations (OR .40,(95)(96)(97)(98), with fewer mental health specialty medication visits (IRR 0.33,, and a trend toward greater faith-based depression visits (IRR 2.89, 95% CI .99-8.45).Conclusions: Exploratory sub-analyses suggest that high rates of mainly minority men in under-resourced communities have

A Comparative Effectiveness Trial of Depression Collaborative Care: Subanalysis of Comorbid Anxiety

“…Prior secondary analyses of subgroups within the larger CPIC study sample confirmed that some effects observed for the sample as a whole also applied to key subgroups (gender subgroups and individuals with serious mental illness; Castillo et al, 2018;Mehta et al, 2017;Ngo et al, 2016). The CPIC study has not yet explored intervention effects for those with comorbid depression and anxiety.…”