Screening for Depression in Adult Patients in Primary Care Settings ...

Appendix Table 4. Summary of Depression Care Support Elements Provided in Programs of Depression Screening With Feedback of Results to Providers
Depression Care Component Studies in the General Adult Population Studies in Older Adults
Category of Depression
Care
Rubenstein et al,
2007 (29)*
Callahan et al,
1994 (25)
Whooley et al,
2000 (24)
Bosmans et al,
2006 (28)
Rost et al,
2001 (22),
2000 (32),
and 2002
(33)†
Wells et al,
2000 (23)
and 2004
(30);
Sherbourne
et al,
2001 (31)*
Jarjoura et al,
2004 (27)*
Bergus et al,
2005 (26)
Screening Screening results given to Yes Yes Yes Yes Yes Yes Yes Yes
provider for review
Improve quality of PCP care Provider prompted or trained – Yes – Yes Yes Yes – –
in further assessment
Provider given generic
– Yes Yes Yes Yes Yes Yes –
treatment protocol and
depression management
training
Provider given patient-specific – – – – – – Yes –
treatment recommendations
Logistical support to PCP Support or study staff provided – Yes Yes Yes – – Yes Yes
proactive logistical help, e.g.,
with follow-up appointments
and referrals
Other staff provide some or Psychoeducational classes – – – – – Yes‡ – –
most of depression care Support or study staff provided – – Yes Yes – – – Yes
monitoring and/or case
management
Routine referral to behavioral – Yes – – – – – –
counseling
Study, mental health, or other – Partial Yes – – – – Partial
specialty staff provided
depression care or
medication management
Other Financial commitment by
– – Yes – – – – –
provider’s institution
PCP � primary care provider.
* Statistically significant group differences.
† Group differences were significant only for the subgroup or participants with newly identified depression.
‡ This program offered a group psychoeducational class that only 12% of the intervention participants attended.
www.annals.org 1 December 2009 Annals of Internal Medicine Volume 151 Number 11 W-261