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Depression Remission From Community Coalitions Versus Individual Program Support for Services: Findings From
Armen C Arevian1, Felica Jones1, Lingqi Tang1
1Armen C. Arevian, Jeanne Miranda, and Lingqi Tang are with the Jane and Terry Semel Institute for Neuroscience and Human Behavior and the Center for Health Services and Society, University of California Los Angeles (UCLA), Los Angeles, CA. At the time of the study, Felica Jones and Loretta Jones were with Healthy African American Families II, Los Angeles. Cathy D. Sherbourne is with RAND Corporation, Santa Monica, CA.
American Journal of Public Health
|June 27, 2019
Summary
Community coalitions (CEP) improved long-term depression remission more than technical assistance (RS). Addressing social and clinical factors also enhanced depression remission outcomes.
Area of Science:
- Public Health
- Mental Health Services Research
- Health Disparities
Background:
- Depression collaborative care models aim to improve treatment outcomes.
- Understanding the long-term impact of different intervention strategies and social determinants is crucial for effective public health.
- Previous research highlights the role of social factors in mental health recovery.
Purpose of the Study:
- To compare the effectiveness of Community Engagement and Planning (CEP) coalitions versus Resources for Services (RS) technical assistance in depression collaborative care.
- To investigate the influence of social determinants on long-term depression remission outcomes.
Main Methods:
- A randomized trial involving 95 healthcare and community programs in Los Angeles County.
- 1246 adults with depression were enrolled and followed for 4 years, with assessments at baseline and 6, 12, 36 months.
- Analysis examined the impact of CEP vs. RS and social factors on clinical and community-defined remission.
Main Results:
- Community Engagement and Planning (CEP) significantly increased 4-year depression remission compared to Resources for Services (RS).
- CEP also improved community-defined remission outcomes for women over 3 years.
- Both social and clinical factors were found to predict depression remission.
Conclusions:
- At 4-year follow-up, Community Engagement and Planning (CEP) demonstrated greater effectiveness than Resources for Services (RS) in achieving depression remission.
- Coalition-based approaches show promise for improving long-term depression remission.
- Addressing social and clinical factors associated with depression may enhance remission rates.
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