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An Implementation Evaluation of the Community Engagement and Planning Intervention in the CPIC Depression Care Improvement Trial

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Abstract

The goal of this paper is to document and evaluate the process of implementing an evidence-based depression intervention in community settings through the use of community-academic partnered approaches. We discuss how and to what extent the goals of community engagement and collaborative planning were achieved in the intervention arm of the Community Partners in Care study that aimed to adapt evidence-based depression care toolkits for diverse agencies in Hollywood and South Los Angeles. We find that partnered research strategies have a potential to effectively engage community members around depression and involve them in intervention planning activities. Our results suggest that successful collaboration among diverse agencies requires that they understand what is expected of them, are comfortable with the role they choose to perform, and have organizational support to contribute to the project. To facilitate the development of collaborative relationships, time and effort should be devoted to explaining how collaboration among diverse agencies may take place.

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Notes

  1. Details on this and other intervention adaptations will be published separately.

References

  • Aarons, G. A., Hurlburt, M., & Horwitz, S. M. C. (2010). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research, 38, 4–23.

    Article  PubMed Central  Google Scholar 

  • Alegría, M., Chatterji, P., Wells, K., Cao, Z., Chen, C., Takeuchi, D., et al. (2008). Disparity in depression treatment among racial and ethnic minority populations in the United States. Psychiatric Services, 59(11), 1264–1272.

    Article  PubMed Central  PubMed  Google Scholar 

  • Bluthenthal, R. N., Jones, L., Fackler-Lowrie, N., Ellison, M., Booker, T., Jones, F., et al. (2006). Witness for Wellness: preliminary findings from a community-academic participatory research mental health initiative. Ethnicity and Disease, 16(1 Suppl 1), S18–S34.

    PubMed  Google Scholar 

  • Borowsky, S. J., Rubenstein, L. V., Meredith, L. S., Camp, P., Jackson-Triche, M., & Wells, K. B. (2000). Who is at risk of nondetection of mental health problems in primary care? Journal of General Internal Medicine, 15(6), 381–388.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Buchanan, D. R., Miller, F. G., & Wallerstein, N. (2007). Ethical issues in community-based participatory research: balancing rigorous research with community participation in community intervention studies. Progress in Community Health Partnerships: Research, Education, and Action, 1(2), 153–160.

    Article  Google Scholar 

  • Chung, B., Jones, L., Dixon, E. L., Miranda, J., & Wells, K. (2010a). Using a Community Partnered Participatory Research Approach to Implement a Randomized Controlled Trial: Planning the Design of Community Partners in Care. Journal of Health Care for the Poor and Underserved, 21(3), 780–795.

    Article  PubMed Central  PubMed  Google Scholar 

  • Chung, B., Jones, L., Terry, C., Jones, A., Forge, N., & Norris, K. C. (2010b). Story of Stone Soup: a recipe to improve health disparities. Ethnicity and Disease, 20(1 Suppl 2), 9–14.

    Google Scholar 

  • Ettner, S. L., Kotlerman, J., Afifi, A., Vazirani, S., Hays, R. D., Shapiro, M., et al. (2006). An alternative approach to reducing the costs of patient care? A controlled trial of the multi-disciplinary doctor-nurse practitioner (MDNP) model. Medical Decision Making, 26(1), 9–17.

    Article  PubMed  Google Scholar 

  • Glasgow, R. E., & Emmons, K. M. (2007). How can we increase translation of research into practice? Types of evidence needed. Annual Review of Public Health, 28, 413–433.

    Article  PubMed  Google Scholar 

  • Glasgow, R. E., Lichtenstein, E., & Marcus, A. C. (2003). Why don’t we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. American Journal of Public Health, 93(8), 1261–1267.

    Article  PubMed Central  PubMed  Google Scholar 

  • Gonzalez, H. M., Vega, W. A., Williams, D. R., Tarraf, W., West, B. T., & Neighbors, H. W. (2010). Depression care in the United States: too little for too few. Archives of General Psychiatry, 67(1), 37–46.

    Article  PubMed Central  PubMed  Google Scholar 

  • Hawe, P., Shiell, A., & Riley, T. (2004). Complex interventions: how “out of control” can a randomised controlled trial be? British Medical Journal, 328(7455), 1561–1563.

    Article  PubMed Central  PubMed  Google Scholar 

  • Hohmann, A. A., & Shear, M. K. (2002). Community-based intervention research: coping with the “noise” of real life in study design. American Journal of Psychiatry, 159(2), 201–207.

    Article  PubMed  Google Scholar 

  • Institute of Medicine. (2006). Improving the quality of health care for mental and substance-use conditions. Washington, DC: The National Academies Press.

    Google Scholar 

  • Israel, B., Schulz, A., Parker, E., & Becker, A. (2001). Community-based participatory research: policy recommendations for promoting a partnership approach in health research. Education for Health, 14(2), 182–197.

    Article  CAS  PubMed  Google Scholar 

  • Jones, L. (2009). Preface: Community-partnered participatory research: how we can work together to improve community health. Ethnicity and Disease, 19(4 Suppl 6), S6-1-2.

    PubMed  Google Scholar 

  • Jones, L., & Wells, K. (2007). Strategies for academic and clinician engagement in community-participatory partnered research. JAMA, 297(4), 407–410. doi:10.1001/jama.297.4.407.

    Article  CAS  PubMed  Google Scholar 

  • Jones, L., Wells, K., Norris, K., Meade, B., & Koegel, P. (2009). The vision, valley, and victory of community engagement. Ethnicity and Disease, 19(4, Suppl 6), S6-3–S6-7.

    Google Scholar 

  • Katon, W., Russo, J., Von Korff, M., Lin, E., Simon, G., Bush, T., et al. (2002). Long-term effects of a collaborative care intervention in persistently depressed primary care patients. Journal of General Internal Medicine, 17(10), 741–748.

    Article  PubMed Central  PubMed  Google Scholar 

  • Katon, W., Von Korff, M., Lin, E., Walker, E., Simon, G. E., Bush, T., et al. (1995). Collaborative management to achieve treatment guidelines. Impact on depression in primary care. JAMA, 273(13), 1026–1031.

    Article  CAS  PubMed  Google Scholar 

  • Kessler, R. C., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K. R., et al. (2003). The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R). JAMA, 289(23), 3095–3105.

    Article  PubMed  Google Scholar 

  • Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593–602.

    Article  PubMed  Google Scholar 

  • Khodyakov, D., Mendel, P., Dixon, E., Jones, A., Masongsong, Z., & Wells, K. (2009). Community Partners in Care: Leveraging Community Diversity to Improve Depression Care for Underserved Populations. International Journal of Diversity in Organisations, Communities and Nations, 9(2), 167–182.

    PubMed Central  PubMed  Google Scholar 

  • Khodyakov, D., Pulido, E., Ramos, A., & Dixon, E. (in press). Community-partnered research conference model: The experience of community partners in care study. Progress in Community Health Partnerships: Research, Education, and Action.

  • Khodyakov, D., Stockdale, S., Jones, F., Ohito, E., Jones, A., Lizaola, E., et al. (2011). An Exploration of the Effect of Community Engagement in Research on Perceived Outcomes of Partnered Mental Health Services Projects. Society and Mental Health, 1(3), 185–199.

    Article  PubMed Central  PubMed  Google Scholar 

  • Lenfant, C. (2003). Clinical Research to Clinical Practice—Lost in Translation? New England Journal of Medicine, 349, 868–874.

    Article  PubMed  Google Scholar 

  • Lindamer, L., Lebowitz, B., Hough, R., Garcia, P., Aguirre, A., Halpain, M., et al. (2009). Establishing an implementation network: lessons learned from community-based participatory research. Implementation Science, 4(1), 17.

    Article  PubMed Central  PubMed  Google Scholar 

  • Lopez, A. D., Mathers, C. D., Ezzati, M., Jamison, D. T., & Murray, C. J. (2006). Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data. Lancet, 367(9524), 1747–1757.

    Article  PubMed  Google Scholar 

  • Los Angeles Country of Public Health (2009). Key indicators of health by Service Planning Area. Retrieved from http://publichealth.lacounty.gov/docs/keyindicators.pdf.

  • Mendel, P., Meredith, L., Schoenbaum, M., Sherbourne, C., & Wells, K. (2008). Interventions in organizational and community context: A framework for dissemination in health services research. Administration and Policy in Mental Health, 35(1–2), 21–37.

    Article  PubMed Central  PubMed  Google Scholar 

  • Mendel, P., Ngo, V. K., Dixon, E., Stockdale, S., Jones, F., Chung, B., et al. (2011). Partnered evaluation of a community engagement intervention: Use of a kickoff conference in a randomized trial for depression care improvement in underserved communities. Ethnicity and Disease, 21(Summer), S71-78–S71-88.

    Google Scholar 

  • Minkler, M. (2010). Linking science and policy through community-based participatory research to eliminate health disparities. American Journal of Public Health, 100(S1), S81–S87.

    Article  PubMed Central  PubMed  Google Scholar 

  • Miranda, J., Duan, N., Sherbourne, C., Schoenbaum, M., Lagomasino, I., Jackson-Triche, M., et al. (2003). Improving care for minorities: can quality improvement interventions improve care and outcomes for depressed minorities? Results of a randomized, controlled trial. Health Services Research, 38(2), 613–630.

    Article  PubMed Central  PubMed  Google Scholar 

  • Neighbors, H. W., Caldwell, C., Williams, D. R., Nesse, R., Taylor, R. J., Bullard, K. M. K., et al. (2007). Race, ethnicity, and the use of services for mental disorders: results from the National Survey of American Life. Archives of General Psychiatry, 64(4), 485–494.

    Article  PubMed  Google Scholar 

  • Patel, K. K., Butler, B., & Wells, K. B. (2006). What is necessary to transform the quality of mental health care. Health Affairs, 25(3), 681–693.

    Article  PubMed  Google Scholar 

  • Proctor, E. K., Landsverk, J., Aarons, G., Chambers, D., Glisson, C., & Mittman, B. (2009). Implementation research in mental health services: An emerging science with conceptual, methodological, and training challenges. Administration and Policy in Mental Health and Mental Health Services Research, 36(1), 24–34.

    Article  PubMed  Google Scholar 

  • Pyne, J. M., Bullock, D., Kaplan, R. M., Smith, T. L., Gillin, J. C., Golshan, S., et al. (2001). Health-related quality-of-life measure enhances acute treatment response prediction in depressed inpatients. Journal of Clinical Psychiatry, 62(4), 261–268.

    Article  CAS  PubMed  Google Scholar 

  • Schoenwald, S. K., & Hoagwood, K. (2001). Effectiveness, transportability, and dissemination of interventions: What matters when? Psychiatric Services, 52(9), 1190–1197.

    Article  CAS  PubMed  Google Scholar 

  • Sherbourne, C. D., Wells, K. B., Duan, N., Miranda, J., Unutzer, J., Jaycox, L., et al. (2001). Long-term effectiveness of disseminating quality improvement for depression in primary care. Archives of General Psychiatry, 58(7), 696–703.

    Article  CAS  PubMed  Google Scholar 

  • Stacciarini, J.-M., Shattell, M., Coady, M., & Wiens, B. (2011). Review: Community-based participatory research approach to address mental health in minority populations. Community Mental Health Journal, 47(5), 489–497.

    Article  PubMed  Google Scholar 

  • Sullivan, G., Duan, N., Mukherjee, S., Kirchner, J., Perry, D., & Henderson, K. (2005). The role of services researchers in facilitating intervention research. Psychiatric Services (Washington, DC), 56(5), 537–542.

    Article  Google Scholar 

  • Unutzer, J., Katon, W., Callahan, C. M., Williams, J. W., Jr, Hunkeler, E., Harpole, L., et al. (2002). Collaborative care management of late-life depression in the primary care setting: a randomized controlled trial. JAMA, 288(22), 2836–2845.

    Article  PubMed  Google Scholar 

  • Wallerstein, N., & Duran, B. (2010). Community-based participatory research contributions to intervention research: The intersection of science and practice to improve health equity. American Journal of Public Health, 100(S1), S40–S46.

    Article  PubMed Central  PubMed  Google Scholar 

  • Wandersman, A. (2003). Community science: Bridging the gap between science and practice with community-centered models. American Journal of Community Psychology, 31(3), 227–242.

    Article  PubMed  Google Scholar 

  • Wandersman, A., Duffy, J., Flaspohler, P., Noonan, R., Lubell, K., Stillman, L., et al. (2008). Bridging the gap between prevention research and practice: The interactive systems framework for dissemination and implementation. American Journal of Community Psychology, 41(3), 171–181.

    Article  PubMed  Google Scholar 

  • Wang, P. S., Berglund, P. A., & Kessler, R. C. (2003). Patterns and correlates of contacting clergy for mental disorders in the United States. Health Services Research, 38(2), 647–673.

    Article  PubMed Central  PubMed  Google Scholar 

  • Wang, P. S., Berglund, P., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005a). Failure and delay in initial treatment contact after first onset of mental disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 603–613.

    Article  PubMed  Google Scholar 

  • Wang, P. S., Lane, M., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005b). Twelve-month use of mental health services in the United States: Results from the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 629–640.

    Article  PubMed  Google Scholar 

  • Wells, K. B., Jones, L., Chung, B., Dixon, E., Tang, L., Gilmore, J., et al. (in press). Community-partnered cluster-randomized comparative effectiveness trial of community engagement and planning or resources for services to address depression disparities. Journal of General Internal Medicine.

  • Wells, K., & Sherbourne, C. D. (1999). Functioning and utility for current health of patients with depression or chronic medical conditions in managed, primary care practices. Archives of General Psychiatry, 56(10), 897–904.

    Article  CAS  PubMed  Google Scholar 

  • Wells, K., Sherbourne, C. D., Miranda, J., Tang, L., Benjamin, B., & Duan, N. (2007). The cumulative effects of quality improvement for depression on outcome disparities over 9 years: Results from a randomized, controlled group-level trial. Medical Care, 45(11), 1052–1059.

    Article  PubMed  Google Scholar 

  • Wells, K., Sherbourne, C., Schoenbaum, M., Duan, N., Meredith, L., Unutzer, J., et al. (2000). Impact of disseminating quality improvement programs for depression in managed primary care: A randomized controlled trial. JAMA, 283(2), 212–220.

    Article  CAS  PubMed  Google Scholar 

  • Wells, K., Sherbourne, C., Schoenbaum, M., Ettner, S., Duan, N., Miranda, J., et al. (2004). Five-year impact of quality improvement for depression: Results of a group-level randomized controlled trial. Archives of General Psychiatry, 61(4), 378–386.

    Article  PubMed  Google Scholar 

  • Wells, K., Stewart, A., Hays, R. D., Burnam, M. A., Rogers, W., Daniels, M., et al. (1989). The functioning and well-being of depressed patients. Results from the Medical Outcomes Study. JAMA, 262(7), 914–919.

    Article  CAS  PubMed  Google Scholar 

  • Wells, K., Tang, L., Miranda, J., Benjamin, B., Duan, N., & Sherbourne, C. D. (2008). The effects of quality improvement for depression in primary care at nine years: Results from a randomized, controlled group-level trial. Health Services Research, 43(6), 1952–1974.

    Article  PubMed Central  PubMed  Google Scholar 

  • Wiley-Exley, E. (2007). Evaluations of community mental health care in low-and middle-income countries: A 10-year review of the literature. Social Science and Medicine, 64(6), 1231–1241.

    Article  PubMed  Google Scholar 

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Acknowledgments

This study was funded by the National Institute of Mental Health (grant number 5R01MH078853 and P30 MH082760-01) and the Robert Wood Johnson Foundation (grant number 64244). We thank the 25 participating agencies of the CPIC Council and their representatives: QueensCare Health and Faith Partnership; COPE Health Solutions; UCLA Center for Health Services and Society; Cal State University Dominquez Hills; RAND; Healthy African American Families II; Los Angeles Urban League; Los Angeles Christian Health Centers; Los Angeles County Department of Mental Health and West Central Mental Health Center; Homeless Outreach Program/Integrated Care System; National Alliance on Mental Illness (NAMI) Urban Los Angeles; Behavioral Health Services, Inc.; Avalon Carver Community Center; USC Keck School of Medicine Department of Psychiatry and Behavioral Sciences; Kaiser Watts Counseling and Learning Center; People Assisting the Homeless; Children’s Bureau; Saban Free Clinic; New Vision Church of Jesus Christ; Jewish Family Services of Los Angeles; St. John’s Well Child and Family Center; Charles Drew University of Medicine and Science; City of Los Angeles Department of Recreation and Parks; To Help Everyone Clinic; QueensCare Family Clinics.

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Authors and Affiliations

  1. The RAND Corporation, 1776 Main Street, PO Box 2138, Santa Monica, CA, 90407-2138, USA

    Dmitry Khodyakov & Peter Mendel

  2. University of California-Los Angeles, Los Angeles, CA, USA

    Mienah Zulfacar Sharif & Bowen Chung

  3. QueensCare Health and Faith Partnership, Los Angeles, CA, USA

    Elizabeth L. Dixon

  4. Hollywood Senior Center, St. Barnabas Senior Services, Los Angeles, CA, USA

    Barbara Linkski

  5. Kedren Mental Health Center, Los Angeles, CA, USA

    Janis Bush Jones

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  1. Dmitry Khodyakov
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  2. Mienah Zulfacar Sharif
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  3. Elizabeth L. Dixon
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  4. Peter Mendel
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  5. Bowen Chung
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  6. Barbara Linkski
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  7. Janis Bush Jones
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Correspondence to Dmitry Khodyakov.

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Khodyakov, D., Sharif, M.Z., Dixon, E.L. et al. An Implementation Evaluation of the Community Engagement and Planning Intervention in the CPIC Depression Care Improvement Trial. Community Ment Health J 50, 312–324 (2014). https://doi.org/10.1007/s10597-012-9586-y

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