TY -的A2 -鲍尔,马克·s . AU - Waxmonsky琼ette A. AU - Thomas, Marshall AU - Giese, Alexis AU - Zyzanski, Steve AU - Dickinson, L. Miriam AU - McGinnis, Gretchen Flanders AU - Nutting, Paul PY - 2012 DA - 2012/10/22 TI - Evaluating Depression Care Management in a Community Setting: Main Outcomes for a Medicaid HMO Population with Multiple Medical and Psychiatric Comorbidities SP - 769298 VL - 2012 AB - The authors describe the implementation of a depression care management (DCM) program at Colorado Access, a public sector health plan, and describe the program’s clinical and system outcomes for members with chronic medical conditions. High medical risk, high cost Medicaid health plan members were identified and systematically screened for depression. A total of 370 members enrolled in the DCM program. Longitudinal analyses revealed significantly reduced depression severity scores at 3, 6, and 12 months after intervention as compared to baseline depression scores. At 12 months, 56% of enrollees in the DCM program had either a 50% reduction in PHQ-9 scores or a PHQ-9 score < 10. Longitudinal economic analyses comparing 12 months before and after intervention revealed a significant but modest increase in ER visits, outpatient office visits, and overall medical and pharmacy costs when adjusted for months enrolled in DCM. Limitations and recommendations for the integrated depression care management are discussed. SN - 2090-1321 UR - https://doi.org/10.1155/2012/769298 DO - 10.1155/2012/769298 JF - Depression Research and Treatment PB - Hindawi Publishing Corporation KW - ER -