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Mental Health and Mental Illness: Interventions to Reduce Depression Among Older Adults – Clinic-Based Depression Care Management

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What the Task Force Found

About The Systematic Review

The Task Force finding is based on evidence from a systematic review of 2 studies (search period 1967 - October 2005). The review was conducted on behalf of the Task Force by a team of specialists in systematic review methods, and experts in research, practice, and policy from the Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine.

Context

There is no information for this section.

Summary of Results

Two studies evaluated the effect of clinic-based depression care management.

  • Unutzer et al (2002) reported a 45% response rate and a 25% remission rate for subjects with major depression or dysthymia.
  • Bruce et al (2004) found a 55% response rate and a 36% remission for subjects with major depression after a similar time period; no statistically significant improvement was found for subjects with minor depression.

 

 

Summary of Economic Evidence

Unutzer et al (2002) estimated the cost of implementing clinic-based depression care management at $580/person (this data does not factor in cost savings measures, such as reductions in health care utilization).

Applicability

The evidence should be broadly applicable to primary care clinics across the United States including various clinic size, healthcare systems, urban, suburban and rural settings, and participants ranging in age, health status, gender race/ethnicity, education level, and living alone status.

Evidence Gaps

Not available because the Task Force finding is based on a previously published systematic review (Frederick et al., 2007). Please refer to the article for more information.

Study Characteristics

Not available because the Task Force finding is based on a previously published systematic review (Frederick et al., 2007). Please refer to the article for more information.

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