Collaborative Care for Depression among Patients with Limited English Proficiency: a Systematic Review

Garcia, Maria E.; Ochoa-Frongia, Lisa; Moise, Nathalie; Aguilera, Adrián; Fernández, Alicia

doi:10.1007/s11606-017-4242-4

Cited by 26 publications

(24 citation statements)

References 57 publications

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“…The inclusion criteria were met by 128 studies; 115 were primary studies and 13 were systematic reviews [147][148][149][150][151][152][153][154][155][156][157][158][159]. Relevant data were extracted and tabulated to map the studies (additional file 2); separate tables summarised relevant systematic reviews (see Table 2 and additional file 3).…”

Section: Resultsmentioning

confidence: 99%

Advancing mental health equality: a mapping review of interventions, economic evaluations and barriers and facilitators

et al. 2020

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Background: This work aimed to identify studies of interventions seeking to address mental health inequalities, studies assessing the economic impact of such interventions and factors which act as barriers and those that can facilitate interventions to address inequalities in mental health care. Methods: A systematic mapping method was chosen. Studies were included if they: (1) focused on a population with: (a) mental health disorders, (b) protected or other characteristics putting them at risk of experiencing mental health inequalities; (2) addressed an intervention focused on addressing mental health inequalities; and (3) met criteria for one or more of three research questions: (i) primary research studies (any study design) or systematic reviews reporting effectiveness findings for an intervention or interventions, (ii) studies reporting economic evaluation findings, (iii) primary research studies (any study design) or systematic reviews identifying or describing, potential barriers or facilitators to interventions.

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Section: Resultsmentioning

confidence: 99%

Advancing mental health equality: a mapping review of interventions, economic evaluations and barriers and facilitators

et al. 2020

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“…21,29 With regard to this secondary analysis specifically, CPIC was not powered to detect differences in racial/ethnic subgroups, and may therefore under-estimate the potential impact of community participatory interventions. Similarly, this study's limited sample size prevents nuanced examination of outcomes according to the diversity within the two racial/ ethnic groups themselves (eg, according to primary language or nation of birth among Latino participants 11 ). This study focuses on two large communities of color in the Los Angeles area, and as such it remains unclear how expanded collaborative care models based in CPPR processes would reduce disparities in mental health access and outcomes for other marginalized racial/ethnic groups and/or in other geographies throughout the United States.…”

Section: Discussionmentioning

confidence: 99%

“…Collaborative care (CC) as a model for enhanced interdisciplinary care has been extensively studied within primary care (PC) settings and has demonstrated initial efficacy in depression treatment, including additional benefit to minority groups 8 and with particular benefit when culturally tailored and/or combined with language concordant interventions. [9][10][11] Of note however, PC-based terventions, 15 have brought to attention the potential limitations of PCbased treatment 9 and have prompted exploration of new models. 16 Community Partners in Care (CPIC) CPIC 2 was a group-level randomized trial designed to compare the efficacy of two expanded (multi-sector) collaborative care models of depression quality-improvement (QI) in under-resourced minority-majority communities.…”

mentioning

confidence: 99%

Community Engagement and Planning versus Resources for Services for Implementing Depression Quality Improvement: Exploratory Analysis for Black and Latino Adults

Barceló¹,

López

Tang³

et al. 2019

Ethn Dis

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Objective: Racial/ethnic minorities experience disparities in depression1 and there is a paucity of evidence-based interventions to improve depression care access and outcomes. Community Partners in Care (CPIC) is a community-partnered study of depression care quality improvement (QI) in under-resourced, urban communities: Community Engagement and Planning (CEP) for multi-sector coalitions, and Resources for Services (RS) for program technical assistance.2 CEP demonstrated benefits for the overall CPIC study population; effects for Black and Latino sub-populations are unknown.Methods: This sub-analysis examines outcomes for 409 Latino and 488 Black (non-Latino) adults recruited from 90 programs who completed baseline or 6-month follow-up. Regression analyses were used to estimate CEP vs RS intervention effects on primary (Mental Health Related Quality of Life [MHRQL], Patient Health Questionnaire-9 [PHQ-9]) and community-prioritized (mental wellness, physical activity, risk for homelessness) outcomes at 6-months.Results: Baseline characteristics did not differ significantly by intervention in either group. In the adjusted analysis for Black adults, CEP resulted in decreased odds of poor MHRQL (OR: .62, 95% CI=.41- .94, P=.028) with a trend for reducing homelessness risk (OR: .60, .35-1.05, P=.69). For Latino adults, CEP resulted in greater probability of mental wellness (OR: 1.81, 1.05-3.13, P=.034) and a trend for increased physical activity (OR: 1.52, .93- 2.49, P=.091).Conclusions: Exploratory analyses of CEP for depression quality improvement suggests significant 6-month benefits in mental health outcomes for Black and Latino participants and trends for improvement in community-prioritized outcomes for both groups. Findings may inform research in multi-sector coalitions to promote equity in depression care. Ethn Dis. 2019;29(2):277- 286; doi:10.18865/ed.29.2.277

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“…More recent studies have replicated this finding, with primary care patients enrolled in collaborative care programs reporting greater reductions in depressive symptoms and improvements in quality of life at 3 to 12 months follow-up compared to treatment as usual and co-location of behavioral health [ 42 – 44 ]. There has been an effort to disseminate collaborative care programs to more diverse populations, with encouraging results among racial/ethnic minorities [ 45 , 46 ] and patients with limited English language proficiency [ 47 ]. Observational studies from our certified PCMH at Mayo Clinic have indicated that patients participating in collaborative care remitted sooner and experienced residual depressive symptoms for a shorter length of time than patients receiving usual care [ 48 ].…”

Section: Components Of Depression Treatment In the Pcmhmentioning

confidence: 99%

The Role of the Patient-Centered Medical Home in Treating Depression

Bogucki

Williams

Solberg

et al. 2020

Curr Psychiatry Rep

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Purpose of Review This review discusses the role of the patient-centered medical home (PCMH) in treating depression, focusing on findings from primary care-based studies and their implications for the PCMH. Recent Findings Pharmacotherapy, psychotherapy, and collaborative care are evidence-based treatments for depression that can be delivered in primary care and extended to diverse populations. Recent research aligns with the core components of the PCMH model. Summary The core components of the PCMH are critical elements of depression treatment. Comprehensive care within the PCMH addresses medical and behavioral health concerns, including depression. Psychiatric and psychological care must be flexibly delivered so services remain accessible yet patient-centered. To ensure the quality and safety of treatment, depression symptoms must be consistently monitored. Coordination within and occasionally outside of the PCMH is needed to ensure patients receive the appropriate level of care. More research is needed to empirically evaluate depression treatment within the PCMH.

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Collaborative Care for Depression among Patients with Limited English Proficiency: a Systematic Review

Cited by 26 publications

References 57 publications

Advancing mental health equality: a mapping review of interventions, economic evaluations and barriers and facilitators

Advancing mental health equality: a mapping review of interventions, economic evaluations and barriers and facilitators

Community Engagement and Planning versus Resources for Services for Implementing Depression Quality Improvement: Exploratory Analysis for Black and Latino Adults

The Role of the Patient-Centered Medical Home in Treating Depression

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