Collaborative Depression Care in a Safety Net Medical Home: Facilitators and Barriers to Quality Improvement Article

Full Text via DOI: 10.1089/pop.2015.0016 PMID: 26087153 Web of Science: 000369872900008

Cited authors

  • Price-Haywood, Eboni G.; Dunn-Lombard, Donisha; Harden-Barrios, Jewel; Lefante, John J.


  • Little is known about how to integrate primary care with mental/behavioral services outside of clinical trials. The authors implemented a collaborative care model (CCM) for depression in a safety net patient-centered medical home. The model focused on universal screening for symptoms, risk stratification based on symptom severity, care management for intensive follow-up, and psychiatry consultation. CCM increased rates of primary care physician encounters, timely follow-up for monitoring symptoms of depression, and documentation of treatment response. Contextual factors that facilitated or hindered practice redesign included clinic leadership, quality improvement culture, staffing, technology infrastructure, and external incentives/disincentives for organizational change. (Population Health Management 2016;19:46-55)

Publication date

  • 2016

Published in

International Standard Serial Number (ISSN)

  • 1942-7891

Start page

  • 46

End page

  • 55


  • 19


  • 1