Challenges of Implementing Depression Care Management in the Primary Care Setting

  • Bea Herbeck Belnap
  • Julie Kuebler
  • Carole Upshur
  • Kevin Kerber
  • Deborah Ruth Mockrin
  • Amy M. Kilbourne
  • Bruce L. Rollman


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.


care management depression primary care 


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Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  • Bea Herbeck Belnap
    • 1
  • Julie Kuebler
    • 2
  • Carole Upshur
    • 3
  • Kevin Kerber
    • 4
  • Deborah Ruth Mockrin
    • 3
  • Amy M. Kilbourne
    • 5
  • Bruce L. Rollman
    • 1
  1. 1.Center for Research on Health Care, School of MedicineUniversity of PittsburghPittsburghUSA
  2. 2.University of Michigan Department of PsychiatryUniversity of Michigan Health SystemsAnn ArborUSA
  3. 3.Department of Family Medicine and Community HealthUniversity of Massachusetts Medical SchoolWorcesterUSA
  4. 4.University of Michigan Department of PsychiatryUniversity of Michigan Hospitals and Health CentersAnn ArborUSA
  5. 5.VA Pittsburgh Center for Health Equity Research and Promotion and the Center for Research on Health Care, School of MedicineUniversity of PittsburghPittsburghUSA

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