Depression care management for chinese americans in primary care

A feasibility pilot study

Kenny Kwong, Henry Chung, Karen Cheal, Jolene C. Chou, Teddy Chen

Research output: Contribution to journalArticle

14 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)157-165
Number of pages9
JournalCommunity Mental Health Journal
Volume49
Issue number2
DOIs
StatePublished - Apr 2013

Fingerprint

Asian Americans
Feasibility Studies
Primary Health Care
Depression
mental health
Mental Health
management
physician's care
Physicians
Community Health Centers
Patient-Centered Care
Group
Mental Health Services
health service
low income
Therapeutics
immigrant
Delivery of Health Care
health
community

Keywords

  • Access
  • Care management
  • Chinese-Americans
  • Depression

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health
  • Health(social science)

Cite this

Depression care management for chinese americans in primary care : A feasibility pilot study. / Kwong, Kenny; Chung, Henry; Cheal, Karen; Chou, Jolene C.; Chen, Teddy.

In: Community Mental Health Journal, Vol. 49, No. 2, 04.2013, p. 157-165.

Research output: Contribution to journalArticle

Kwong, Kenny ; Chung, Henry ; Cheal, Karen ; Chou, Jolene C. ; Chen, Teddy. / Depression care management for chinese americans in primary care : A feasibility pilot study. In: Community Mental Health Journal. 2013 ; Vol. 49, No. 2. pp. 157-165.
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