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Scaling Implementation of Collaborative Care for Depression: Adaptation of the Stages of Implementation Completion (SIC)


Tools to monitor implementation progress could facilitate scale-up of effective treatments. Most treatment for depression, a common and disabling condition, is provided in primary care settings. Collaborative Care Management (CoCM) is an evidence-based model for treating common mental health conditions, including depression, in this setting; yet, it is not widely implemented. The Stages of Implementation Completion (SIC) was adapted for CoCM and piloted in eight rural primary care clinics serving adults challenged by low-income status. The CoCM-SIC accurately assessed implementation effectiveness and detected site variations in performance, suggesting key implementation activities to aid future scale-ups of CoCM for diverse populations.

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The preparation of this article was supported in part by the Implementation Research Institute (IRI), at the George Warren Brown School of Social Work, Washington University in St. Louis; through an award from the National Institute of Mental Health (R25 MH080916-01A2) and the Department of Veterans Affairs, Health Services Research & Development Service, Quality Enhancement Research Initiative (QUERI); funding from the National Institute of Mental Health (R01 MH097748, Saldana; R01 MH108548, Bennett); and through an award from The John A. Hartford Foundation (2012-0213, Unützer) that includes support from the Corporation for National and Community Service Social Innovation Fund.

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Correspondence to Lisa Saldana.

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Saldana, L., Bennett, I., Powers, D. et al. Scaling Implementation of Collaborative Care for Depression: Adaptation of the Stages of Implementation Completion (SIC). Adm Policy Ment Health 47, 188–196 (2020).

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  • Collaborative Care
  • CoCM
  • Depression
  • Adaptation
  • Implementation
  • SIC