We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Community Partners in Care: 6-Month Outcomes of Two Quality Improvement Depression Care Interventions in Male Participants.
- Authors
Mehta, Pratik; Chung, Bowen; Lingqi Tang; Miranda, Jeanne; Wells, Kenneth; Brown, Anthony; Jones, Felica; Gilmore, James; Tang, Lingqi
- Abstract
<bold>Objective: </bold>Limited data exist on approaches to improve depression services for men in under-resourced communities. This article explores this issue using a sub-analysis of male participants in Community Partners in Care (CPIC).<bold>Design: </bold>Community partnered, cluster, randomized trial.<bold>Setting: </bold>Hollywood-Metropolitan and South Los Angeles, California.<bold>Participants: </bold>423 adult male clients with modified depression (PHQ-8 score≥10).<bold>Interventions: </bold>Depression collaborative care implementation using community engagement and planning (CEP) across programs compared with the more-traditional individual program, technical assistance (Resources for Services, RS).<bold>Main Outcome Measures: </bold>Depressive symptoms (PHQ-8 score), mental health-related quality of life (MHRQL), mental wellness, services utilization and settings.<bold>Results: </bold>At screening, levels of probable depression were moderate to high (17.5%-47.1%) among men across services sectors. Intervention effects on primary outcomes (PHQ-8 score and MHRQL) did not differ. Men in CEP compared with RS had improved mental wellness (OR 1.85, 95% CI 1.00-3.42) and reduced hospitalizations (OR .40, 95% CI .16-.98), with fewer mental health specialty medication visits (IRR 0.33, 95% CI .15-.69), and a trend toward greater faith-based depression visits (IRR 2.89, 95% CI .99-8.45).<bold>Conclusions: </bold>Exploratory sub-analyses suggest that high rates of mainly minority men in under-resourced communities have high prevalence of depression. A multi-sector coalition approach may hold promise for improving community-prioritized outcomes, such as mental wellness and reduced hospitalizations for men, meriting further development of this approach for future research and program design.
- Subjects
MENTAL depression; MENTAL depression risk factors; DIAGNOSIS of mental depression; THERAPEUTICS; HEALTH of African Americans; MENTAL health
- Publication
Ethnicity & Disease, 2017, Vol 27, Issue 3, p223
- ISSN
1049-510X
- Publication type
journal article
- DOI
10.18865/ed.27.3.223