Integration of Depression and Primary Care

Grazier, Kyle L.; Smith, Judith E.; Song, Jean; Smiley, Mary L.

doi:10.1177/2150131913491290

Cited by 28 publications

(30 citation statements)

References 64 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Stigma and perceived discrimination in medical settings is a major barrier to formally incarcerated patients disclosing clinically relevant information (Fox et al, 2014). Overall, the findings demonstrate the complexity of health for this population and can aid correctional and community health plans in understanding clinical risks, exposures, and health care needs, and in establishing ways to engage these patients through enhanced coordination and integration of care (Bartels, 2004; Cuellar & Jehanzeb, 2014; Grazier, Smith, Song, & Smiley, 2014; Hammett, Roberts, & Kennedy, 2001; Retchin, 2008) and in the transition from correctional health care to community health (Centers for Disease Control and Prevention, 2001; Cuellar & Jehanzeb, 2014; Hammett et al, 2001). …”

Section: Resultsmentioning

confidence: 94%

Growing Old Behind Bars

et al. 2016

View full text Add to dashboard Cite

Objective This study examines patterns of multimorbidity among elderly male inmates across four domains of health (chronic medical conditions, drug- and alcohol-related diseases, impairments, and mental and behavioral health) to understand the complex health care needs of this growing population. Method We use the 2004 Survey of Inmates in State Correctional Facilities and Latent Class Regression Analysis to examine 22 health problems among 1,026 men aged 50 and older. Results There are four groups of elderly male inmates: (a) relatively healthy (45.1%), (b) substance users with behavioral health issues (23.4%), (c) chronic unhealthy with impairments and violence/ injury (23.6%), and (d) very unhealthy across all domains (7.9%). These groups have unique sociodemographic background and incarceration history characteristics. Conclusion This study demonstrates the complexity of health for elderly inmates. Prison health should continue to be monitored to aid correctional and community health programs in understanding clinical risks, exposures, and health care needs for this population.

show abstract

Section: Resultsmentioning

confidence: 94%

Growing Old Behind Bars

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Several studies have described the importance of overcoming barriers to deliver culturally appropriate interventions for Hispanic/Latino patients attending community health centers to improve symptoms of depression (González-Prendes AA, Hindo C, & Pardo Y, 2011; Grazier, et al, 2013). This is particularly relevant due to the strong familism or strong family bonds described in this ethnic group and the importance of adapting interventions to provide support and deliver treatment for different psychosocial stressors (Duarté-Vélez, Bernal, & Bonilla, 2010).…”

Section: Discussionmentioning

confidence: 99%

“…Similar to other integrated care studies (Katon W et al, 1995)(Katon W et al, 1999), the IMPACT model that includes co-location of behavioral health workers and primary care providers, is an ideal treatment approach for patients attending community health centers and is a potentially effective approach to reduce disparities in the treatment of depressive symptoms(Unützer, et al, 2002). However, the feasibility of implementing IMPACT varied according to the need, health literacy, resources and cultural background of a given community (Grazier, Smith, Song, & Smiley, 2013; Unützer, et al, 2002). …”

Section: Introductionmentioning

confidence: 99%

Improvement in Depressive Symptoms Among Hispanic/Latinos Receiving a Culturally Tailored IMPACT and Problem-Solving Intervention in a Community Health Center

Camacho

González

Castañeda

et al. 2014

Community Ment Health J

View full text Add to dashboard Cite

The present study investigated whether a culturally-tailored problem-solving intervention delivered by a trained depression care specialist (DCS) would improve depressive symptoms over a six month period among Hispanic/Latino patients in a federally-qualified community health center by the California-Mexico border. Participants included 189 low income Hispanic/Latino patients of Mexican heritage. Based on the Improving Mood-Promoting Access to Collaborative Treatment (IMPACT) evidence-based treatment, patients received evidence-based problem-solving therapy. The Patient Health Questionnaire-9 (PHQ-9) was administered to assess changes in self-reported depressive symptoms between baseline and monthly for a 6-month follow up period. The majority of participants were female (72.5%) with a mean age of 52.5 (SD=11.7). The mean PHQ-9 at baseline was 16.9 (SD=4.0) and at the 6-month follow-up, the average PHQ-9 decreased to 9.9 (SD=5.7). A linear mixed model analysis showed significant improvement in PHQ-9 scores over a 6 month period (F=124.1; p<0.001) after controlling for age, gender, smoking and diabetes. There was a significant three way interaction between time, gender and smoking (p=0.01) showing that the depressive symptoms among male smokers did not improve as much as non-smoking males and females. Results suggest that a culturally-tailored problem solving approach can significantly reduce depressive symptoms among Hispanic/Latino low-income patients.

show abstract

“…psychoeducation, frequency of consultations, monitoring, adherence enhancement, crisis management) [ 11 ] three items concerned the co-treatment by specialists (motives for referral, waiting times, availability) [ 11 , 27 ] seven items addressed patient related-factors relevant for clinical decision making (e.g. advanced age, severe physical or mental comorbidity) [ 11 , 13 , 14 , 28 ] four items were constructed to estimate the influence of other factors (work incapacity, guideline recommendations, clinical experience, billing and reimbursement) [ 29 , 30 ] …”

Section: Methodsmentioning

confidence: 99%

German general practitioners’ self-reported management of patients with chronic depression

et al. 2017

View full text Add to dashboard Cite

BackgroundPatients with chronic depression (persisting symptoms for ≥2 years) are a clinically relevant group with extensive (co)morbidity, high functional impairment and associated costs in primary care. The General Practitioner (GP) is the main health professional attending to these patients. The aim of this study was to examine the GPs’ perception on managing patients with chronic depression.MethodsWe performed an explorative cross-sectional study with a systematic sample of GPs in central Germany. Source of data was a written questionnaire (46 items). Descriptive analysis was carried out.ResultsTwo hundred twenty (out of 1000; 22%) GPs participated. 93% of the GPs distinguish between care for patients with chronic depression and acute depressive episode. 92% would recommend psychotherapeutic co-treatment to the chronically depressed patient. 52% of GPs would favour a general restraint on antidepressants (ADs) in older chronically depressed patients (≥ 75 years) whereas 40% suggest long-term pharmacotherapy. If severe physical comorbidity is present GPs would be restrictive in prescribing ADs (65%) or would urgently refer to specialist psychiatric services (40%). In case of a comorbid anxiety disorder 66% of the GPs would suggest a combined psycho- und pharmacotherapy. If a substance use disorder coexists 84% would prefer urgent referrals to specialist services.ConclusionsParticipating GPs report awareness towards chronic depression in their patients. Physical and mental comorbidity seem to play an important role in GPs’ treatment decisions.

show abstract

Integration of Depression and Primary Care

Abstract: An analysis of barriers impeding integration of depression and primary care presents information for future implementation of services.

Cited by 28 publications

References 64 publications

Growing Old Behind Bars

Growing Old Behind Bars

Improvement in Depressive Symptoms Among Hispanic/Latinos Receiving a Culturally Tailored IMPACT and Problem-Solving Intervention in a Community Health Center

German general practitioners’ self-reported management of patients with chronic depression

Contact Info

Product

Resources

About