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Related Experiment Videos

Effectiveness of community-based screening for depression

S F Greenfield1, J M Reizes, K M Magruder

  • 1University of Pennsylvania, Philadelphia, USA.

The American Journal of Psychiatry
|October 27, 1997
PubMed
Summary

Voluntary depression screening effectively connected individuals with treatment, especially those with severe symptoms. However, financial barriers and self-reliance beliefs hindered some from seeking care.

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Area of Science:

  • Mental Health
  • Public Health
  • Psychiatry

Background:

  • Voluntary depression screening programs aim to identify individuals needing mental health support.
  • Understanding follow-up adherence is crucial for program effectiveness.

Purpose of the Study:

  • To assess the effectiveness of a voluntary depression screening program.
  • To identify factors influencing participant follow-up after screening.

Main Methods:

  • A telephone survey was conducted with 1,169 randomly selected participants from 99 facilities.
  • Data collected included follow-up appointment attendance and reasons for non-adherence.

Main Results:

  • 56.5% of individuals recommended for follow-up attended an appointment.

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  • Higher symptom severity and prior treatment history increased likelihood of follow-up.
  • Lack of insurance and self-perceived ability to manage depression were key barriers.

    • Conclusions:

    • Voluntary depression screening can be effective in engaging some untreated individuals in care.
    • Financial constraints and individualistic coping beliefs remain significant barriers to treatment seeking.