Project IMPACT: A Report on Barriers and Facilitators to Sustainability

  • Margaret BlasinskyEmail author
  • Howard H. Goldman
  • Jürgen Unützer
Original Paper


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.


Late life depression Program sustainability Depression care management PST-PC (Problem-solving treatment in primary care) Collaborative care model Primary care and mental health 


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Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Margaret Blasinsky
    • 1
    Email author
  • Howard H. Goldman
    • 2
  • Jürgen Unützer
    • 3
  1. 1.CSR IncorporatedArlingtonUSA
  2. 2.School of MedicineUniversity of MarylandBaltimoreUSA
  3. 3.Department of Psychiatry and Behavioral Sciences, Project IMPACT Implementation Center, PsychiatryUniversity of Washington Medical CenterSeattleUSA

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