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              Social Innovation Fund: Healthy Futures / IMPACT Expansion Subgrantee Evaluation; June 2013 - June 2017
      Back
                **Community challenge:**Low-income adults in medically underserved rural communities lack access to depression treatment services other than medication, and to frequent and proactive follow-up with providers.**Promising solution:**Collaborative care uses a team-based approach including a behavioral care manager and a psychiatric consultant to support the primary care provider so patients can be treated in the primary care clinic using the full range of evidence-based treatments and established principles of chronic illness care.**Purpose of evaluation:**To replicate a proven program model in high-need rural areas where patients may face challenges accessing effective depression care. The implementation evaluation looked at how well clinics implemented collaborative care, variation across sites, and factors accounting for observed variations in implementation.**Findings:**Rural primary care clinics serving low-income patients can achieve improvement in depression symptoms comparable to those published in research trials and large-scale implementations.Patients with more severe depression at the start of treatment were less likely to experience complete absence of all symptoms by the end of treatment.Clinic-level processes of care and patient-level clinical outcomes vary widely from clinic to clinic, which is consistent with other Collaborative Care implementations.Primary care providers were positive about their experiences with Collaborative Care; provider burnout is associated with poorer health outcomes for patients and lower retention of providers.

      Full report
      

      Full Report
            SEP_Final_Report_Amended_with_appendix_508v2.pdf
                  JHF_CNCS_Report_Brief_Hartford_AIM_FINAL_508.pdf
        Further information
    



      Program/Intervention
                        IMPACT (depression treatment model)
  

      Implementing Organization
                        John A. Hartford Foundation
  

      AmeriCorps Program(s)
            Social Innovation Fund
  

      Study Type(s)
            Implementation
  

      Level of Evidence
            Preliminary
  

      Researcher/Evaluator
                        University of Washington AIMS Center
  

      Published Year
                        2018
  

      Study Site Location (State)
            Montana Back to main content Sign up to hear about our latest news, events, and opportunities.
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