Collaborative care for depression in primary care

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چکیده

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Collaborative care for depression in UK primary care: a randomized controlled trial.

BACKGROUND Collaborative care is an effective intervention for depression which includes both organizational and patient-level intervention components. The effect in the UK is unknown, as is whether cluster- or patient-randomization would be the most appropriate design for a Phase III clinical trial. METHOD We undertook a Phase II patient-level randomized controlled trial in primary care, nes...

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Time to Remission for Depression with Collaborative Care Management (CCM) in Primary Care.

BACKGROUND Collaborative care management (CCM) has been shown to have superior outcomes to usual care (UC) for depressed patients with a fixed end point. This study was a survival analysis over time comparing CCM with UC using remission (9-item Patient Health Questionnaire [PHQ-9] score <5) and persistent depressive symptoms (PDSs; PHQ-9 score ≥10) as end points. METHODS A retrospective cohor...

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The DIAMOND initiative: implementing collaborative care for depression in 75 primary care clinics

BACKGROUND The many randomized trials of the collaborative care model for improving depression in primary care have not described the implementation and maintenance of this model. This paper reports how and the degree to which collaborative care process changes were implemented and maintained for the 75 primary care clinics participating in the DIAMOND Initiative (Depression Improvement Across ...

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Clinical effectiveness of collaborative care for depression in UK primary care (CADET): cluster randomised controlled trial

OBJECTIVE To compare the clinical effectiveness of collaborative care with usual care in the management of patients with moderate to severe depression. DESIGN Cluster randomised controlled trial. SETTING 51 primary care practices in three primary care districts in the United Kingdom. PARTICIPANTS 581 adults aged 18 years and older who met ICD-10 (international classification of diseases, ...

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The bulk of mental health services for people with depression are provided in primary care settings. Primary care providers prescribe 79 percent of antidepressant medications and see 60 percent of people being treated for depression in the United States, and they do that with little support from specialist services. Depression is not effectively managed in the primary care setting. Collaborativ...

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ژورنال

عنوان ژورنال: British Journal of Psychiatry

سال: 2006

ISSN: 0007-1250,1472-1465

DOI: 10.1192/bjp.bp.106.023655