Abstract:
:This study describes a culturally relevant intervention using a collaborative depression care model to integrate mental health and primary care services for depressed low income Chinese-Americans at a community health center. A total of 6,065 patients were screened for depression. Of the 341 who screened positive, 57 participated and were randomly assigned to receive either enhanced physician care with care management (32) or enhanced physician care only (25). All enrolled participants were assessed at baseline and 4 monthly follow-up visits for depression, physical and mental health functioning, and perceived stigma toward receiving depression care, to determine the impact, if any, of their mental health treatment. Both groups reported significant reduction of depressive symptoms and improved mental health functioning from baseline to follow-up assessments although there was no significant difference between the two groups. Although the study found no advantage to adding the care management component in the treatment of depression, screening and assertive treatment of immigrant Chinese Americans who tend to underutilize mental health services is important and consistent with the increased adoption of team based care models in patient centered medical homes. High refusal rates for enrollment in the study have implications for future study designs for this group.
journal_name
Community Ment Health Jjournal_title
Community mental health journalauthors
Kwong K,Chung H,Cheal K,Chou JC,Chen Tdoi
10.1007/s10597-011-9459-9subject
Has Abstractpub_date
2013-04-01 00:00:00pages
157-65issue
2eissn
0010-3853issn
1573-2789journal_volume
49pub_type
杂志文章,随机对照试验abstract::The use of Medicaid for mental health services by the severely mentally ill is examined using paid Medicaid claims for clients of Community Support Programs in Wisconsin. The extent to which clients participate in Medicaid, the types and amounts of mental health services, and the costs of services are discussed. A nar...
journal_title:Community mental health journal
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abstract::This discussion summarizes community-based research conducted by the Human Relations Service of Wellesley, Inc., during the first 15 years of its existence as a pilot mental health program. It suggests that the community mental health laboratory develop service and research as coordinated components. Service activitie...
journal_title:Community mental health journal
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journal_title:Community mental health journal
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journal_title:Community mental health journal
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journal_title:Community mental health journal
pub_type: 杂志文章
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journal_title:Community mental health journal
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journal_title:Community mental health journal
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journal_title:Community mental health journal
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abstract::In California and in Great Britain plans are being made to move the treatment setting for many sex offenders from large state hospitals to community sites. The most useful aspects of the state hospital programs can be adapted to the community setting. In the proposed treatment centers, graded levels of security may in...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00778833
更新日期:1978-07-01 00:00:00
abstract::Research on race and diagnosis initially focused on black-white differences in depression and schizophrenia. Statistics showing a higher treated prevalence of schizophrenia and a lower prevalence of depression for blacks seemed to support the claim that blacks did not suffer from depression. Others argued, however, th...
journal_title:Community mental health journal
pub_type: 杂志文章,评审
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journal_title:Community mental health journal
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更新日期:2001-10-01 00:00:00
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journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00821560
更新日期:1980-01-01 00:00:00
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journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-016-0013-7
更新日期:2017-02-01 00:00:00
abstract::In October 2006, a survey was undertaken of youth "on the streets" in the Arusha and Kilimanjaro regions of Tanzania (n = 1,923). The question of interest was if street children who live on streets full-time differ concerning reports of abuse and support, compared to reports of children who are only part-time on the s...
journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/s10597-009-9196-5
更新日期:2010-02-01 00:00:00
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journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF01434374
更新日期:1968-10-01 00:00:00
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journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1023/b:comh.0000040660.71767.9d
更新日期:2004-10-01 00:00:00
abstract::The goal of this paper is to document and evaluate the process of implementing an evidence-based depression intervention in community settings through the use of community-academic partnered approaches. We discuss how and to what extent the goals of community engagement and collaborative planning were achieved in the ...
journal_title:Community mental health journal
pub_type: 杂志文章,随机对照试验
doi:10.1007/s10597-012-9586-y
更新日期:2014-04-01 00:00:00
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journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00754433
更新日期:1987-10-01 00:00:00
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journal_title:Community mental health journal
pub_type: 杂志文章
doi:10.1007/BF00754455
更新日期:1982-07-01 00:00:00
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journal_title:Community mental health journal
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更新日期:2010-06-01 00:00:00
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journal_title:Community mental health journal
pub_type: 杂志文章
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journal_title:Community mental health journal
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journal_title:Community mental health journal
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journal_title:Community mental health journal
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