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Building Capacity for Behavioral Health Services and Clinical Research in a Rural Primary Care Clinic: A Case Study

1 Department of Psychology, East Carolina University, Greenville, NC 27858, USA858;
2 Psychology Services, Tuscaloosa VA Medical Center, Tuscaloosa, AL 35404, USA

Special Issues: Addressing Understudied and Vulnerable Populations and Health Systems

Integrating sustainable, evidence-based, and collaborative depression screening and follow-up treatment into primary care clinics is a significant challenge in health care. In this article a case study approach is used to describe the process of building capacity for a depression screening program in a rural federally qualified health center (FQHC). A conceptual framework addressing the clinical, operational, and financial perspectives of a primary care setting is applied restrospectively to identify 1) the barriers and facilitating factors associated with integrating a depression screening program into standard practice and 2) how the program was leveraged to conduct clinical research to improve self-management in patients with diabetes and elevated depressive symptoms.
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1. Ziegelstein RC. (2001) Depression in patients recovering from a myocardial infarction. J Am Med Assoc 286(13):

3. Loeppke R, Taitel M, Richling D, et al. (2007). Health and productivity as a business strategy. J Occup Environ Med 49(7): 712-721.    

4. Chiles JA, Lambert MJ, & Hatch AL. (1999). The Impact of Psychological Interventions on Medical Cost Offset: A Meta‐analytic Review. Clin Psychol: Sci Pr 6(2): 204-220.    

5. Blount A, Schoenbaum M, Kathol R, et al. (2007). The economics of behavioral health services in medical settings: A summary of the evidence. Prof Psychol Res Pract 38(3): 290-297.    

7. Gilbody S, Bower P, Fletcher J, et al. (2006). Collaborative care for depression: A cumulative meta-analysis and review of longer-term outcomes. Arch Intern Med 166(21): 2314-2321.    

8. Katon W, Von Korff M, Lin E, et al. (1995). Collaborative management to achieve treatment guidelines: Impact on depression in primary care. J Am Med Assoc 273(13): 1026-1026.    

9. Katon W, & Unutzer J. (2006). Collaborative care models for depression: Time to move from evidence to practice. Arch Intern Med 166(21): 2304-2306.    

11. Ockene JK, Edgerton EA, Teutsch SM, et al. (2007). Integrating evidence-based clinical and community strategies to improve health. Am J Prev Med. 32(3): 244-252.    

15. Log Into North Carolina (LINC) Database, (2011) Office of State Planning, NC Office of the Governor. Available from http://linc. state. nc.

20. Kroenke K, Spitzer RL, Williams JBW. (2001) The PHQ-9: Validity of a brief depression severity measure. J Gen Intern Med 16: 606-613.    

21. Lustman PJ, Anderson RJ, Freedland KE, et al. (2000). Depression and poor glycemic control: a meta-analytic review of the literature. Diabetes care 23(7): 934-942.    

22. Lustman PJ, & Clouse RE. (2004). Section III: Practical Considerations in the management of depression in diabetes. Diabetes Spectrum 17(3): 160-166.    

25. Wagner E, Austin B, Davis C, et al. (2001). Improving chronic illness care: Translating evidence into action. Health Affair 20(6): 64-78.    

27. Funderburk JS, Sugarman DE, Labbe AK, et al. (2011). Behavioral health interventions being implemented in a VA primary care system. J Clin Psychol Med S 18(1): 22-29.    

28. Korsen N, & Pietruszewski P. (2009). Translating evidence to practice: Two stories from the field. J Clin Psychol Med S 16(1): 47-57.    

29. Solberg LI. (2007). Improving medical practice: A conceptual framework. Ann Fam Med 5(3):251-256.    

31. Solberg LI, Asche SE, Margolis KL, et al. (2008). Measuring an organization's ability to manage change: the change process capability questionnaire and its use for improving depression care. Am J Med Qual 23(3): 193-200.    

33. Meissner HI, Glasgow RI, Vinson CA, et al. (2013). The U. S. training institute for dissemination and implementation research in health. Implement Sci 8(12): 1-9.

Copyright Info: © 2014, Laura M. Daniels, et al., licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution Licese (http://creativecommons.org/licenses/by/4.0)

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