Project IMPACT: A Report on Barriers and Facilitators to Sustainability
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Project IMPACT is a collaborative care intervention to assist older adults suffering from major depressive disorder or dysthymia. Qualitative research methods were used to determine the barriers and facilitators to sustaining IMPACT in a primary care setting. Strong evidence supports the program’s sustainability, but considerable variation exists in continuation strategies and operationalization across sites. Sustainability depended on the organizations’ support of collaborative care models, the availability of staff trained in the intervention, and funding. The intervention’s success was the most important sustainability factor, as documented by outcome data and through the “real world” experience of treating patients with this intervention.
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- Project IMPACT: A Report on Barriers and Facilitators to Sustainability
Administration and Policy in Mental Health and Mental Health Services Research
Volume 33, Issue 6 , pp 718-729
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers-Plenum Publishers
- Additional Links
- Late life depression
- Program sustainability
- Depression care management
- PST-PC (Problem-solving treatment in primary care)
- Collaborative care model
- Primary care and mental health
- Author Affiliations
- 1. CSR Incorporated, 2107 Wilson Boulevard Suite 1000, Arlington, VA, 22201, USA
- 2. School of Medicine, University of Maryland, Baltimore, MD, USA
- 3. Department of Psychiatry and Behavioral Sciences, Project IMPACT Implementation Center, Psychiatry, University of Washington Medical Center, Seattle, WA, USA