RESUMEN
The goal of this investigation was to explore changes in psychotherapy utilization for patients with major depressive disorder (MDD) treated in community mental health agencies across two cohorts. We used a Medicaid claims database including approximately 300,000 public sector clients. Although the use of psychotherapy alone showed a small decrease, there was a large increase in the use of combined medication and psychotherapy as a treatment for MDD. Race was a significant predictor of both treatment type received and length of treatment. African American consumers were more likely to receive psychotherapy alone than combined treatment and attended significantly fewer psychotherapy sessions.
Asunto(s)
Antidepresivos/uso terapéutico , Servicios Comunitarios de Salud Mental/estadística & datos numéricos , Trastorno Depresivo Mayor/etnología , Trastorno Depresivo Mayor/terapia , Psicoterapia/estadística & datos numéricos , Adolescente , Adulto , Negro o Afroamericano , Factores de Edad , Anciano , Femenino , Humanos , Revisión de Utilización de Seguros , Masculino , Medicaid , Persona de Mediana Edad , Factores Sexuales , Estados Unidos , Adulto JovenRESUMEN
Computerized administration of mental health-related questionnaires has become relatively common, but little research has explored this mode of assessment in "real-world" settings. In the current study, 200 consumers at a community mental health center completed the BASIS-24 via handheld computer as well as paper and pen. Scores on the computerized BASIS-24 were compared with scores on the paper BASIS-24. Consumers also completed a questionnaire which assessed their level of satisfaction with the computerized BASIS-24. Results indicated that the BASIS-24 administered via handheld computer was highly correlated with pen and paper administration of the measure and was generally acceptable to consumers. Administration of the BASIS-24 via handheld computer may allow for efficient and sustainable outcomes assessment, adaptable research infrastructure, and maximization of clinical impact in community mental health agencies.
Asunto(s)
Servicios Comunitarios de Salud Mental/normas , Computadoras de Mano/estadística & datos numéricos , Comportamiento del Consumidor , Salud Mental , Evaluación de Resultado en la Atención de Salud/métodos , Encuestas y Cuestionarios , Centros Comunitarios de Salud Mental , Recolección de Datos/métodos , Escolaridad , Femenino , Humanos , Masculino , Philadelphia , Proyectos Piloto , Escalas de Valoración Psiquiátrica , Reproducibilidad de los ResultadosRESUMEN
BACKGROUND: In the context of a National Institutes of Mental Health-funded Interventions and Practice Research Infrastructure Programs (IP-RISP) grant for the treatment of depression, a partnership was developed between a community mental health organization and a team of researchers. OBJECTIVES: This paper describes the collaborative process, key challenges, and strategies employed to meet the goals of the first phase of the grant, which included development of a working and sustainable partnership and building capacity for recruitment and research. METHODS: This paper was developed through the use of qualitative interviews and discussion with a variety of IP-RISP partners. LESSONS LEARNED: Communication with multiple stakeholders through varied channels, feedback from stakeholders on research procedures, and employing a research liaison at the clinic have been key strategies in the first phase of the grant. CONCLUSION: The strategies we employed allowed multiple stakeholders to contribute to the larger mission of the IP-RISP and helped to establish an ongoing research program within the mental health organization.