Exploring Antidepressant Adherence at a Student-Run Free Mental Health Clinic
Minority groups experience higher depression but lower treatment rates. Student-run free mental health (MH) clinics, such as the East Harlem Health Outreach Partnership (EHHOP) MH clinic, address this disparity. This study scrutinized EHHOP MH’s depression treatment by measuring adherence to antidepressants. Pharmacy data from seventy-nine patients were reviewed according to HEDIS criteria. Results compare EHHOP MH to New York State (NYS) Medicaid and NYS commercial insurance providers. In the acute treatment phase, EHHOP MH performed similarly to NYS Medicaid. In all other comparisons, EHHOP MH had lower adherence rates. Physician notes were reviewed to identify reasons for low adherence.
KeywordsAntidepressant adherence Student-run clinic HEDIS criteria Free clinic Mental health clinic
This study has no funding sources to report.
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflicts of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
This study did not require informed consent, as it was granted IRB exemption.
- Barrera, I., & Longoria, D. (2018). Examining Cultural Mental Health Care Barriers Among Latinos. CLEARvoz Journal, 4(1).Google Scholar
- Control, C. f. D., and Prevention (2010). Morbidity and mortality weekly report. Current depression among adults—United States, 2006 and 2008. MMWR Weekly, 59, 38.Google Scholar
- Gelenberg, A. J., Freeman, M. P., Markowitz, J. C., Rosenbaum, J. F., Thase, M. E., Trivedi, M. H.,… Fawcett, J. A. (2010). Practice guideline for the treatment of patients with major depressive disorder third edition. The American Journal of Psychiatry, 167(10), 1.Google Scholar
- Kramer, N., Harris, J., & Zoorob, R. (2015). The impact of a student-run free clinic on reducing excess emergency department visits. Journal of Student-Run Clinics.Google Scholar
- Naert, M., Bui, A., Luscher, Z., Rizzuto, J., Chandrasekaran, S., Rifkin, R. A., Shah, B., Thomas, D. C., Meah, Y. S. (2017). Developing a scheduling protocol to handle “No Show” and “Walk-In”. Anaheim, CA: Patients in a Student-Run Attending-Directed Free Clinic. Annual Meeting for the Society of Student Run Free Clinics.Google Scholar
- Mays, V. M., Jones, A. L., Cochran, S. D., Taylor, R. J., Rafferty, J., & Jackson, J. S. (2018). Chronicity and Mental Health Service Utilization for Anxiety, Mood, and Substance Use Disorders among Black Men in the United States; Ethnicity and Nativity Differences. Paper presented at the Healthcare.Google Scholar
- NYCHealth. (2015). Manhattan Community District 11: EAST HARLEM. New York City.Google Scholar
- Rivero-Santana, A., Perestelo-Perez, L., Pérez-Ramos, J., & Serrano-Aguilar, P., & De las Cuevas, C., (2013). Sociodemographic and clinical predictors of compliance with antidepressants for depressive disorders: Systematic review of observational studies. Patient Preference and Adherence, 7, 151–169.Google Scholar
- Taylor, J., Thomas, D. C., Tornheim, J., & Meah, Y. S. (2015). Hypertension Outcomes at a student-run clinic for the uninsured. Journal of Student-Run Clinics.Google Scholar
- Vuorilehto, M. S., Melartin, T. K., Riihimaki, K., & Isometsa, E. T. (2016). Pharmacological and psychosocial treatment of depression in primary care: Low intensity and poor adherence and continuity. Journal of Affective Disorders, 202, 145–152. https://doi.org/10.1016/j.jad.2016.05.035.CrossRefGoogle Scholar