Top

Administration and Policy in Mental Health and Mental Health Services Research

Published in:

01-05-2010 | Original Paper

Usual Care Psychotherapy for Depression in a Large Managed Behavioral Health Organization

Authors: Kimberly A. Hepner, Gregory L. Greenwood, Francisca Azocar, Jeanne Miranda, M. Audrey Burnam

Published in: Administration and Policy in Mental Health and Mental Health Services Research | Issue 3/2010

Abstract

Evidence-based psychotherapies to treat depression are available, yet it remains unknown the extent to which these practices are used in routine care for depression. Using survey and administrative data, we sought to describe usual care psychotherapy for depression for adult patients receiving care through a large, managed behavioral health care organization. Data from 420 patients receiving psychotherapy for depression and 159 of their therapists provide evidence that some practitioners are using evidence-based psychotherapy techniques for depression, but also demonstrate the need for improved tools to monitor and improve quality of psychotherapy in usual care.

Addis, M. E., & Jacobson, N. S. (2000). A closer look at the treatment rationale and homework compliance in cognitive-behavioral therapy for depression. Cognitive Therapy and Research, 24, 313–326.CrossRef

Azocar, F., Cuffel, B., McCulloch, J., McCabe, J. F., Tani, S., & Brodey, B. B. (2007). Monitoring patient improvement and treatment outcomes in managed behavioral health. Journal for Healthcare Quality, 29, 4–12.PubMed

Busseri, M. A., & Tyler, J. D. (2003). Interchangeability of the working alliance inventory and working alliance inventory, short form. Psychological Assessment, 15, 193–197.CrossRefPubMed

Chambless, D. L., Baker, M. J., Baucom, D. H., Beutler, L. E., Calhoun, K. S., Crits-Christoph, P., et al. (1998). Update on empirically validated therapies, II. The Clinical Psychologist, 51, 3–16.

Hepner, K. A., Azocar, F., Greenwood, G., Miranda, J., & Burnam, A. (this issue). Development of a clinician report measure to assess psychotherapy for depression in usual care settings. Administration and Policy in Mental Health and Mental Health Services Research. doi:10.1007/s10488-009-0249-4.

Hoge, M. A., Paris, M., Adger, H., Collins, F. L., Finn, C. V., Fricks, L., et al. (2005). Workforce competencies in behavioral health: An overview. Administration and Policy in Mental Health, 32, 593–631.CrossRefPubMed

Horvath, A. O., & Greenberg, L. S. (1989). Development and validation of the working alliance inventory. Journal of Counseling Psychology, 36, 223–233.CrossRef

Horvath, A. O., & Luborsky, L. (1993). The role of therapeutic alliance in psychotherapy. Journal of Consulting and Clinical Psychology, 61, 561–573.CrossRefPubMed

Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington: IOM, National Academy Press.

Jacobson, N. S., Dobson, K. S., Truax, P. A., Addis, M. E., Koerner, K., Gollan, J. K., et al. (1996). A component analysis of cognitive-behavioral treatment for depression. Journal of Consulting and Clinical Psychology, 64, 295–304.CrossRefPubMed

Kaiser Family Foundation and Health Research and Educational Trust. (2003). Employer health benefits: 2003 summary of findings. Washington, DC: Kaiser Family Foundation. Retrieved September 5, 2007, from http://www.kff.org/insurance/upload/kaiser-family-foundation-summary-of-findings.pdf.

Kazantzis, N., Deane, F. P., & Ronan, K. R. (2000). Homework assignments in cognitive and behavioral therapy: A meta-analysis. Clinical Psychology: Science and Practice, 7, 189–202.CrossRef

Lambert, M. J., Harmon, C., Slade, K., Whipple, J. L., & Hawkins, E. J. (2005). Providing feedback to psychotherapists on their patients’ progress: Clinical results and practice suggestions. Journal of Clinical Psychology, 61, 165–174.CrossRefPubMed

Miller, S. D., Duncan, B. L., Sorrell, R., & Brown, G. S. (2005). The partners for change outcome management system. Journal of Clinical Psychology, 61, 199–208.CrossRefPubMed

Murray, C. J., & Lopez, A. D. (1996). The global burden of disease: A comprehensive assessment of mortality and disability from disease, injuries, and risk factors, in 1990 and projected to 2020. Boston: Harvard School of Public Health, on behalf of the WHO and the World Bank.

Miranda, J., Hepner, K. A., Azocar, F., Greenwood, G., Ngo, V., & Burnam, A. (this issue). Development of a patient-report of psychotherapy for depression. Administration and Policy in Mental Health and Mental Health Services Research.

Olfson, M., Marcus, S. C., Druss, B., Elinson, L., Tanielian, T., & Pincus, H. A. (2002). National trends in the outpatient treatment of depression. JAMA, 287, 203–209.CrossRefPubMed

Sholomskas, D. E., Syracuse-Siewert, G., Rounsaville, B. J., Ball, S. A., Nuro, K. F., & Carroll, K. M. (2005). We don’t train in vain: A dissemination trial of three strategies of training clinicians in cognitive-behavioral therapy. Journal of Consulting and Clinical Psychology, 73, 106–115.CrossRefPubMed

Wells, K. B. (1999). Treatment research at the crossroads: The scientific interface of clinical trials and effectiveness research. American Journal of Psychiatry, 156, 5–10.PubMed

Title: Usual Care Psychotherapy for Depression in a Large Managed Behavioral Health Organization
Authors: Kimberly A. Hepner
Gregory L. Greenwood
Francisca Azocar
Jeanne Miranda
M. Audrey Burnam
Publication date: 01-05-2010
Publisher: Springer US
Published in: Administration and Policy in Mental Health and Mental Health Services Research / Issue 3/2010
Print ISSN: 0894-587X
Electronic ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-009-0247-6

At a glance: The STEP trials

Springer Medicine

Usual Care Psychotherapy for Depression in a Large Managed Behavioral Health Organization

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 3/2010

Exploring the Black Box: Measuring Youth Treatment Process and Progress in Usual Care

Factors Associated with Use of Evidence-Based Practice Strategies in Usual Care Youth Psychotherapy

Development of a Clinician Report Measure to Assess Psychotherapy for Depression in Usual Care Settings

Assessment of Evidence-Based Psychotherapy Practices in Usual Care: Challenges, Promising Approaches, and Future Directions

Development of a Patient-Report Measure of Psychotherapy for Depression

The Content of Substance Abuse and Mental Health Counseling Reported by Patients in a National Survey