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12-Month Cost Outcomes of Community Engagement Versus Technical Assistance for Depression Quality Improvement: A
Bowen Chung1,2,3, Michael Ong4,5, Susan L Ettner4,6
1Department of Psychiatry, Harbor-UCLA Medical Center/Los Angeles Biomedical Research Institute, Los Angeles, CA.
Objective:
To compare community engagement and planning (CEP) for coalition support to implement depression quality improvement (QI) to resources for services (RS) effects on service-use costs over a 12-month period.
Design:
Matched health and community programs (N=93) were cluster-randomized within communities to CEP or RS.
Setting:
Two Los Angeles communities.
Participants:
Adults (N=1,013) with depressive symptoms (Patient Health Questionnaire (PHQ-8) ≥10); 85% African American and Latino.
Interventions:
CEP and RS to support programs in depression QI.
Main Outcome Measures:
Intervention training and service-use costs over 12 months.
Results:
CEP planning and training costs were almost 3 times higher than RS, largely due to greater CEP provider training participation vs RS, with no significant differences in 12-month service-use costs.
Conclusions:
Compared with RS, CEP had higher planning and training costs with similar service-use costs.
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