Administration and Policy in Mental Health and Mental Health Services Research

, Volume 33, Issue 1, pp 65–75

Challenges of Implementing Depression Care Management in the Primary Care Setting

Authors

    • Center for Research on Health Care, School of MedicineUniversity of Pittsburgh
  • Julie Kuebler
    • University of Michigan Department of PsychiatryUniversity of Michigan Health Systems
  • Carole Upshur
    • Department of Family Medicine and Community HealthUniversity of Massachusetts Medical School
  • Kevin Kerber
    • University of Michigan Department of PsychiatryUniversity of Michigan Hospitals and Health Centers
  • Deborah Ruth Mockrin
    • Department of Family Medicine and Community HealthUniversity of Massachusetts Medical School
  • Amy M. Kilbourne
    • VA Pittsburgh Center for Health Equity Research and Promotion and the Center for Research on Health Care, School of MedicineUniversity of Pittsburgh
  • Bruce L. Rollman
    • Center for Research on Health Care, School of MedicineUniversity of Pittsburgh
Article

DOI: 10.1007/s10488-005-4237-z

Cite this article as:
Belnap, B.H., Kuebler, J., Upshur, C. et al. Adm Policy Ment Health (2006) 33: 65. doi:10.1007/s10488-005-4237-z

Abstract

Empirical evidence shows that care management is an effective tool for improving depression treatment in primary care patients. However, several conceptual and practical issues have not been sufficiently addressed. This article explores questions concerning the scope of care management services within the chronic illness care model; optimal ways to identify depressed patients in the primary care setting; responsibilities and desirable qualifications of depression care managers; the location and manner in which care managers interact with patients; costs of services provided by care managers; and the level of supervision by mental health specialists that is necessary to ensure quality care.

Keywords

care managementdepressionprimary care

Copyright information

© Springer Science+Business Media, Inc. 2005