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Administration and Policy in Mental Health and Mental Health Services Research

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Open Access 01-03-2009 | Original Paper

Clinic-Level Process of Care for Depression in Primary Care Settings

Authors: Jacqueline J. Fickel, Elizabeth M. Yano, Louise E. Parker, Lisa V. Rubenstein

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 2/2009

Abstract

Multi-component models for improving depression care target primary care (PC) clinics, yet few studies document usual clinic-level care. This case comparison assessed usual processes for depression management at 10 PC clinics. Although general similarities existed across sites, clinics varied on specific processes, barriers, and adherence to practice guidelines. Screening for depression conformed to guidelines. Processes for assessment, diagnosis, treatment, and follow-up varied to different degrees in different clinics. This individuality of usual care should be defined prior to quality improvement interventions, and may provide insights for introducing or tailoring changes, as well as improving interpretation of evaluation results.

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Title: Clinic-Level Process of Care for Depression in Primary Care Settings
Authors: Jacqueline J. Fickel
Elizabeth M. Yano
Louise E. Parker
Lisa V. Rubenstein
Publication date: 01-03-2009
Publisher: Springer US
Published in: Administration and Policy in Mental Health and Mental Health Services Research / Issue 2/2009
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-009-0207-1

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Clinic-Level Process of Care for Depression in Primary Care Settings

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