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Published on: January 7, 2019
Does integrated care improve treatment for depression? A systematic review
Mary Butler1, Robert L Kane, Donna McAlpine
1Minnesota Evidence-based Practice Center, University of Minnesota School of Public Health, Minneapolis, Minnesota, USA. butl0092@umn.edu
The Journal of Ambulatory Care Management
|March 19, 2011
Summary
Integrated care combining primary care and mental health services shows benefits for depression management. However, the specific level of provider integration or care processes did not significantly impact depression outcomes in US primary care settings.
Area of Science:
- Health Services Research
- Primary Care Medicine
- Mental Health Services
Background:
- Integrated care models combining primary care and mental health services are gaining popularity.
- Evidence for the specific benefits of different integrated care approaches remains limited.
Purpose of the Study:
- To systematically review integrated care trials in US primary care settings.
- To assess the impact of provider integration level and care processes on clinical outcomes, particularly depression.
Main Methods:
- Systematic review of randomized controlled trials evaluating integrated care in US primary care.
- Analysis focused on the relationship between the degree of integration and depression outcomes.
Main Results:
- Most reviewed trials demonstrated positive effects of integrated care.
- The level of provider role integration or care process did not significantly correlate with improved depression outcomes.
- Integrated care generally appears beneficial for depression management in primary care.
Conclusions:
- Integrated care shows promise for improving depression management among primary care patients.
- Further research is needed to determine the optimal models and implementation strategies for integrated care.
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