Community Partners in Care: 6-Month Outcomes of Two Quality Improvement Depression Care Interventions in Male Participants.

TitleCommunity Partners in Care: 6-Month Outcomes of Two Quality Improvement Depression Care Interventions in Male Participants.
Publication TypeJournal Article
Year of Publication2017
AuthorsMehta P, Brown A, Chung B, Jones F, Tang L, Gilmore J, Miranda J, Wells K
JournalEthn Dis
Volume27
Issue3
Pagination223-232
Date Published2017 Summer
ISSN1049-510X
Abstract

OBJECTIVE: Limited data exist on approaches to improve depression services for men in under-resourced communities. This article explores this issue using a sub-analysis of male participants in Community Partners in Care (CPIC).

DESIGN: Community partnered, cluster, randomized trial.

SETTING: Hollywood-Metropolitan and South Los Angeles, California.

PARTICIPANTS: 423 adult male clients with modified depression (PHQ-8 scoreā‰„10).

INTERVENTIONS: Depression collaborative care implementation using community engagement and planning (CEP) across programs compared with the more-traditional individual program, technical assistance (Resources for Services, RS).

MAIN OUTCOME MEASURES: Depressive symptoms (PHQ-8 score), mental health-related quality of life (MHRQL), mental wellness, services utilization and settings.

RESULTS: At screening, levels of probable depression were moderate to high (17.5%-47.1%) among men across services sectors. Intervention effects on primary outcomes (PHQ-8 score and MHRQL) did not differ. Men in CEP compared with RS had improved mental wellness (OR 1.85, 95% CI 1.00-3.42) and reduced hospitalizations (OR .40, 95% CI .16-.98), with fewer mental health specialty medication visits (IRR 0.33, 95% CI .15-.69), and a trend toward greater faith-based depression visits (IRR 2.89, 95% CI .99-8.45).

CONCLUSIONS: Exploratory sub-analyses suggest that high rates of mainly minority men in under-resourced communities have high prevalence of depression. A multi-sector coalition approach may hold promise for improving community-prioritized outcomes, such as mental wellness and reduced hospitalizations for men, meriting further development of this approach for future research and program design.

DOI10.18865/ed.27.3.223
Alternate JournalEthn Dis
PubMed ID28811733
PubMed Central IDPMC5517140