Skip to main content

Advertisement

Log in

The Economics of Integrated Depression Care: The University of Michigan Study

  • Published:
Administration and Policy in Mental Health and Mental Health Services Research Aims and scope Submit manuscript

Abstract

A goal of the Robert Wood Johnson Depression and Primary Care Initiative at the University of Michigan is to create and implement the clinical care and financial systems necessary to enable links between primary care and mental health specialty depression care. This paper describes the economic issues related to resources required, the mechanisms to distribute those resources, and the support that must be garnered from stakeholders. By systematic measurement and application, we assess the cost, price and selected consequences of these efforts. The study illustrates the need for both centralized and distributed capacity and support for innovative models of care.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • R. E. Aubert, G. Fulop, F. Xia, M. Thiel, D. Maldonato and C. Woo, Evaluation of a depression health management program to improve outcomes in first or recurrent episode depression. American Journal of Managed Care 9 (2003) 374-380

    PubMed  Google Scholar 

  • M. J. Edlund, J. Unutzer and K. B. Wells, Clinician screening and treatment of alcohol, drug, and mental problems in primary care: results from healthcare for communities. Medical Care 42 (2004) 1158-1166

    Article  PubMed  Google Scholar 

  • W. Katon, E. Lin, J. Russo and J. Unutzer, Increased medical costs of a population-based sample of depressed elderly patients. Archives of General Psychiatry 60 (2003) 897-903

    Article  PubMed  Google Scholar 

  • W. Katon, J. Russo, M. Von Korff, E. Lin, G. Simon, T. Bush, E. Ludman and E. Walker, Long-term effects of a collaborative care intervention in persistently depressed primary care patients. Journal of General Internal Medicine 17 (2002) 741-748

    Article  PubMed  Google Scholar 

  • W. J. Katon, G. Simon, J. Russo, M. Korff Von, E. H. B. Lin, E. Ludman, P. Ciechanowski and T. Bush, Quality of depression care in a population-based sample of patients with diabetes and major depression. Medical Care 42 (2004a) 1222-1229

    Article  Google Scholar 

  • W. J. Katon, J. Unutzer and G. Simon, Treatment of depression in primary care: where we are, where we can go. Medical Care 42 (2004b) 1153-1157

    Article  Google Scholar 

  • D. J. Katzelnick, G. E. Simon, S. D. Pearson, W. G. Manning, C. P. Helstad, H. J. Henk, S. M. Cole, E. H. Lin, L. H. Taylor and K. A. Kobak, Randomized trial of a depression management program in high utilizers of medical care. Archives of Family Medicine 9 (2000) 345-351

    Article  PubMed  CAS  Google Scholar 

  • R. C. Kessler, P. Berglund, O. Demler, R. Jin, D. Koretz, K. R. Merikangas, A. J. Rush, E. E. Walters and P. S. Wang, The epidemiology of major depressive disorder: Results from the National Comorbidity Survey Replication (NCS-R). Journal of the American Medical Association 289 (2003) 3095-3105

    Article  PubMed  Google Scholar 

  • R. C. Kessler, K. A. McGonagle, S. Zhao, C. B. Nelson, M. Hughes, S. Eshleman, H. Wittchen and K. S. Kendler, Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: results from the National Comorbidity Survey. Archives of General Psychiatry 51 (1994) 8-19

    PubMed  CAS  Google Scholar 

  • A. M. Kilbourne, B. L. Rollman, H. C. Schulberg, B. Herbeck-Belnap and H. A. Pincus, Clinical Framework for Depression Treatment in Primary Care. Psychiatric Annals 32 (2002) 545-555

    Google Scholar 

  • A. M. Kilbourne, H. C. Schulberg, E. P. Post, B. Rollman, B. Herbeck-Belnap and H. A. Pincus, Translating evidence-based depression management services to community-based primary care practices. Milbank Quarterly 82 (2004) 631-659

    Article  PubMed  Google Scholar 

  • B. Lowe, J. Unutzer, C. Callahan, A. J. Perkins and K. Kroenke, Monitoring depression treatment outcomes with the patient health questionnaire-9. Medical Care 42 (2004) 1194-1201

    Article  PubMed  Google Scholar 

  • T. E. Oxman, A. J. Dietrich and H. C. Schulberg, The depression care manager and mental health specialist as collaborators within primary care. American Journal of Geriatric Psychiatry 11 (2003) 507-516

    Article  PubMed  Google Scholar 

  • M. Pignone, B. N. Gaynes, J. L. Rushton, C. M. Burchell, C. T. Orleans, C. D. Mulrow and K. N. Lohr, Screening for depression in adults. Annals of Internal Medicine 136 (2002) 765-776

    PubMed  Google Scholar 

  • G. Simon, Implementing depression treatment guidelines. Current Opinion in Psychiatry 15 (2002) 77-82

    Article  Google Scholar 

  • G. E. Simon, W. G. Manning, D. J. Katzelnick, S. D. Pearson, H. J. Henk and C. P. Helstad, Cost-effectiveness of systematic depression treatment for high utilizers of general medical care. Archives of General Psychiatry 58 (2001) 181-187

    Article  PubMed  CAS  Google Scholar 

  • J. Unutzer, W. Katon, C. M. Callahan, J. W. Williams, E. Jr. Hunkeler, L. Harpole, M. Hoffing, R. D. Della Penna, P. H. Noel, E. H. Lin, P. A. Arean, M. T. Hegel, L. Tang, T. R. Belin, S. Oishi and C. Langston, Collaborative care management of late-life depression in the primary care setting: a randomized controlled trial. Journal of the American Medical Association 288 (2002) 2836-2845

    Article  PubMed  Google Scholar 

  • S. R. Weingarten, J. M. Henning, E. Badamgarav, K. Knight, V. Hasselblad, A. Gano and J. J. Ofman Jr., used in disease management programmes for patients with chronic illness-which ones work? Meta-analysis of published reports. British Medical Journal 325 (2002) 925

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kyle L. Grazier.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Grazier, K.L., Klinkman, M.S. The Economics of Integrated Depression Care: The University of Michigan Study. Adm Policy Ment Health 33, 16–20 (2006). https://doi.org/10.1007/s10488-005-4231-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10488-005-4231-5

Key words

Navigation