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Challenges of Implementing Depression Care Management in the Primary Care Setting |
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| Authors: | Bea Herbeck Belnap Julie Kuebler Carole Upshur Kevin Kerber Deborah Ruth Mockrin Amy M. Kilbourne Bruce L. Rollman |
| Affiliation: | (1) Center for Research on Health Care, School of Medicine, University of Pittsburgh, Suite 600, 230 McKee Place, Pittsburgh, PA 5213-25821, USA;(2) University of Michigan Department of Psychiatry, University of Michigan Health Systems, Ann Arbor, MI, USA;(3) Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA, USA;(4) University of Michigan Department of Psychiatry, University of Michigan Hospitals and Health Centers, Ann Arbor, MI, USA;(5) VA Pittsburgh Center for Health Equity Research and Promotion and the Center for Research on Health Care, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA |
| Abstract: | Empirical evidence shows that care management is an effective tool for improving depression treatment in primary care patients. However, several conceptual and practical issues have not been sufficiently addressed. This article explores questions concerning the scope of care management services within the chronic illness care model; optimal ways to identify depressed patients in the primary care setting; responsibilities and desirable qualifications of depression care managers; the location and manner in which care managers interact with patients; costs of services provided by care managers; and the level of supervision by mental health specialists that is necessary to ensure quality care. |
| Keywords: | care management depression primary care |
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