Evaluating Depression Care Management in a Community Setting : Main Outcomes for a Medicaid HMO Population with Multiple Medical and Psychiatric Comorbidities
Joint Authors
Dickinson, L. Miriam
McGinnis, Gretchen Flanders
Giese, Alexis
Zyzanski, Steve
Thomas, Marshall
Nutting, Paul
Waxmonsky, Jeanette A.
Source
Depression Research and Treatment
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-10-22
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
The authors describe the implementation of a depression care management (DCM) program at Colorado Access, a public sector health plan, and describe the program’s clinical and system outcomes for members with chronic medical conditions.
High medical risk, high cost Medicaid health plan members were identified and systematically screened for depression.
A total of 370 members enrolled in the DCM program.
Longitudinal analyses revealed significantly reduced depression severity scores at 3, 6, and 12 months after intervention as compared to baseline depression scores.
At 12 months, 56% of enrollees in the DCM program had either a 50% reduction in PHQ-9 scores or a PHQ-9 score < 10.
Longitudinal economic analyses comparing 12 months before and after intervention revealed a significant but modest increase in ER visits, outpatient office visits, and overall medical and pharmacy costs when adjusted for months enrolled in DCM.
Limitations and recommendations for the integrated depression care management are discussed.
American Psychological Association (APA)
Waxmonsky, Jeanette A.& Thomas, Marshall& Giese, Alexis& Zyzanski, Steve& Dickinson, L. Miriam& McGinnis, Gretchen Flanders…[et al.]. 2012. Evaluating Depression Care Management in a Community Setting : Main Outcomes for a Medicaid HMO Population with Multiple Medical and Psychiatric Comorbidities. Depression Research and Treatment،Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-497330
Modern Language Association (MLA)
Waxmonsky, Jeanette A.…[et al.]. Evaluating Depression Care Management in a Community Setting : Main Outcomes for a Medicaid HMO Population with Multiple Medical and Psychiatric Comorbidities. Depression Research and Treatment No. 2012 (2012), pp.1-8.
https://search.emarefa.net/detail/BIM-497330
American Medical Association (AMA)
Waxmonsky, Jeanette A.& Thomas, Marshall& Giese, Alexis& Zyzanski, Steve& Dickinson, L. Miriam& McGinnis, Gretchen Flanders…[et al.]. Evaluating Depression Care Management in a Community Setting : Main Outcomes for a Medicaid HMO Population with Multiple Medical and Psychiatric Comorbidities. Depression Research and Treatment. 2012. Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-497330
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-497330