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Published Online: 31 October 2014

Effects of Staffing Choices on Collaborative Care for Depression at Primary Care Clinics in Minnesota

Pamela B. Pietruszewski, M.A., Marlon P. Mundt, Ph.D., Senka Hadzic, M.P.H., and Richard L. Brown, M.D., M.P.H.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 66, Number 1
https://doi.org/10.1176/appi.ps.201300552
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Abstract

Objective:

This study assessed associations between staffing of a collaborative care program for depression and enrollment in the program and remission rates.

Methods:

Data were collected from depression care registries at 63 primary care clinics that participated in the initiative through early 2012. Project leaders at the 12 medical groups that operate the clinics were surveyed about the background of care managers and clinic characteristics. Generalized linear mixed models assessed associations of care manager background and configuration of staffing with enrollment and remission rates.

Results:

Enrollment was higher (p=.050) and there was a trend toward higher remission rates (p=.105) at clinics where care managers were dedicated exclusively to depression care. No differences in outcomes were obtained by registered nurses versus certified medical assistants and licensed practical nurses.

Conclusions:

Hiring dedicated paraprofessional care managers may maximize the cost-effectiveness of collaborative care programs and should be supported by regulations and reimbursement policies.

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Information & Authors

Information

Published In

Go to Psychiatric Services
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Cover: In the Loge, by Mary Cassatt, circa 1879. Pastel and metallic paint on canvas prepared with a pastel ground. Gift of Mrs. Sargent McKean, 1950 (1950-52-1), the Philadelphia Museum of Art. Photo credit: the Philadelphia Museum of Art/Art Resources, New York.

Psychiatric Services
Volume 66 • Number 1 • January 01, 2015
Pages: 101 - 103
PubMed: 25269565

History

Published ahead of print: 31 October 2014
Published in print: January 01, 2015
Published online: 2 January 2015

Authors

Details

Pamela B. Pietruszewski, M.A.
Ms. Pietruszewski and Ms. Hadzic are with the Institute for Clinical Systems Improvement, Bloomington, Minnesota. Dr. Mundt and Dr. Brown are with the Department of Family Medicine, University of Wisconsin School of Medicine and Public Health, Madison. Send correspondence to Dr. Brown (e-mail: [email protected]).
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Marlon P. Mundt, Ph.D.
Ms. Pietruszewski and Ms. Hadzic are with the Institute for Clinical Systems Improvement, Bloomington, Minnesota. Dr. Mundt and Dr. Brown are with the Department of Family Medicine, University of Wisconsin School of Medicine and Public Health, Madison. Send correspondence to Dr. Brown (e-mail: [email protected]).
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Senka Hadzic, M.P.H.
Ms. Pietruszewski and Ms. Hadzic are with the Institute for Clinical Systems Improvement, Bloomington, Minnesota. Dr. Mundt and Dr. Brown are with the Department of Family Medicine, University of Wisconsin School of Medicine and Public Health, Madison. Send correspondence to Dr. Brown (e-mail: [email protected]).
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Richard L. Brown, M.D., M.P.H.
Ms. Pietruszewski and Ms. Hadzic are with the Institute for Clinical Systems Improvement, Bloomington, Minnesota. Dr. Mundt and Dr. Brown are with the Department of Family Medicine, University of Wisconsin School of Medicine and Public Health, Madison. Send correspondence to Dr. Brown (e-mail: [email protected]).
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