Therapist-Driven Telephone Call Outreach to Improve Depression Remission in a Federally Qualified Health Center.

IF 3.3 3区医学 Q1 HEALTH POLICY & SERVICES Psychiatric services Pub Date : 2024-07-03 DOI:10.1176/appi.ps.20230527

Shannon Kinnan, Ricki Lieu, Alexander Hall, Jenny Xiao, Makenzie Maroney, Naomi Schmalz

引用次数: 0

Abstract

The authors examined the feasibility and impact of a therapist-driven outreach program on depression outcomes in a primary care clinic. Patients with a diagnosis of depression but missing a 1-year follow-up Patient Health Questionnaire-9 (PHQ-9) screening were rescreened via telephone. Eligible patients (N=241) were contacted, and implementation rates and outcomes, along with feasibility, were assessed. Of the patients contacted, 47% indicated a depression response (reduction in PHQ-9 score of ≥50%), and 33% met remission criteria (PHQ-9 score <5). PHQ-9 scores decreased by approximately 7 points (p<0.001). This project may have helped to improve depression symptoms and remission rates for patients of the clinic and to facilitate patient reengagement with treatment.

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以治疗师为主导的电话推广活动，改善联邦合格医疗中心的抑郁症缓解情况。

作者研究了由治疗师驱动的外展项目对初级保健诊所抑郁症治疗效果的可行性和影响。通过电话对确诊为抑郁症但未接受 1 年随访的患者进行了患者健康问卷-9（PHQ-9）筛查。对符合条件的患者（241 人）进行了联系，并对实施率、结果和可行性进行了评估。在联系过的患者中，47% 的人表示有抑郁反应（PHQ-9 评分下降≥50%），33% 的人符合缓解标准（PHQ-9 评分≥50%）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychiatric services 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.80

自引率

7.90%

发文量

295

审稿时长

3-8 weeks

期刊介绍： Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.