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Published Online: May 2013

A Collaborative Care Approach to Depression Treatment for Asian Americans

Anna D. H. Ratzliff, M.D., Ph.D., Karen Ni, M.D., Ya-Fen Chan, Ph.D., Mijung Park, Ph.D., R.N., and Jürgen Unützer, M.D., M.P.H.Authors Info & Affiliations

Publication: Psychiatric Services

Volume 64, Number 5

https://doi.org/10.1176/appi.ps.001742012

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Abstract

Objective

This study examined effectiveness of collaborative care for depression among Asians treated either at a community health center that focuses on Asians (culturally sensitive clinic) or at general community health centers and among a matched population of whites treated at the same general community clinics.

Methods

For 345 participants in a statewide collaborative care program, use of psychotropic medications, primary care visits with depression care managers, and depression severity (as measured with the nine-item Patient Health Questionnaire) were tracked at baseline and 16 weeks.

Results

After adjustment for differences in baseline demographic characteristics, all three groups had similar treatment process and depression outcomes. Asian patients served at the culturally sensitive clinic (N=129) were less likely than Asians (N=72) and whites (N=144) treated in general community health clinics to be prescribed psychotropic medications.

Conclusions

Collaborative care for depression showed similar response rates among all three groups.

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Information & Authors

Information

Published In

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Cover: Portrait of a Woman, by William Beckman, ca. 1988. Oil on board. Photo credit: Jerry L. Thompson/Art Resource, New York City.

Psychiatric Services

Volume 64 • Number 5 • May 2013

Pages: 487 - 490

PubMed: 23632577

History

Published in print: May 2013

Published online: 15 October 2014

Authors

Details

Anna D. H. Ratzliff, M.D., Ph.D.

The authors are affiliated with the Department of Psychiatry and Behavioral Sciences, University of Washington, 1959 N.E. Pacific St., Seattle, WA 98195-6560 (e-mail: [email protected]).

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Karen Ni, M.D.

The authors are affiliated with the Department of Psychiatry and Behavioral Sciences, University of Washington, 1959 N.E. Pacific St., Seattle, WA 98195-6560 (e-mail: [email protected]).

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Ya-Fen Chan, Ph.D.

The authors are affiliated with the Department of Psychiatry and Behavioral Sciences, University of Washington, 1959 N.E. Pacific St., Seattle, WA 98195-6560 (e-mail: [email protected]).

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Mijung Park, Ph.D., R.N.

The authors are affiliated with the Department of Psychiatry and Behavioral Sciences, University of Washington, 1959 N.E. Pacific St., Seattle, WA 98195-6560 (e-mail: [email protected]).

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Jürgen Unützer, M.D., M.P.H.

The authors are affiliated with the Department of Psychiatry and Behavioral Sciences, University of Washington, 1959 N.E. Pacific St., Seattle, WA 98195-6560 (e-mail: [email protected]).

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