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Engaging Community Networks to Improve Depression Services: A Cluster-Randomized Trial of a Community Engagement and Planning Intervention

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Abstract

This paper explores the effects of a group-randomized controlled trial, Community Partners in Care (CPIC), on the development of interagency networks for collaborative depression care improvement between a community engagement and planning (CEP) intervention and a resources for services (RS) intervention that provided the same content solely via technical assistance to individual programs. Both interventions consisted of a diverse set of service agencies, including health, mental health, substance abuse treatment, social services, and community-trusted organizations such as churches and parks and recreation centers. Participants in the community councils for the CEP intervention reflected a range of agency leaders, staff, and other stakeholders. Network analysis of partnerships among agencies in the CEP versus RS condition, and qualitative analysis of perspectives on interagency network changes from multiple sources, suggested that agencies in the CEP intervention exhibited greater growth in partnership capacity among themselves than did RS agencies. CEP participants also viewed the coalition development intervention both as promoting collaboration in depression services and as a meaningful community capacity building activity. These descriptive results help to identify plausible mechanisms of action for the CPIC interventions and can be used to guide development of future community engagement interventions and evaluations in under-resourced communities.

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Acknowledgements

This study was supported by the National Institute on Minority Health and Health Disparities and the parent CPIC study by grants R01MH078853, P30MH082760 and P30MH068639 from the National Institute of Mental Health. The parent CPIC study was also funded by grants 64244 from the Robert Wood Johnson Foundation, CMCH-12-97088 from the California Community Foundation, G08LM011058 from the National Library of Medicine, and UL1TR000124 from the NIH/National Center for Advancing Translational Science UCLA CTSI. The RAND Corporation, UCLA Semel Institute and the Los Angeles County Departments of Mental Health, Public Health and Health Services provided institutional support. We thank the CPIC study’s 95 participating health care and community-based agencies, the CPIC Steering Council, and other study members who contributed to CPIC’s receipt of the Association of Clinical and Translational Science (ACTS) Team Science Award (2014) and Campus-Community Partnerships for Health Annual Award (2015) for supporting the study concept, design and implementation. We also acknowledge posthumously the contributions to study design and implementation of Loretta Jones, a community co-leader of the CPIC study, who passed away during preparation of this manuscript.

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Authors and Affiliations

  1. RAND Corporation, 1776 Main Street, Santa Monica, CA, 90407, USA

    Peter Mendel, Bowen Chung & Kenneth B. Wells

  2. Center for Health Services and Society, UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, USA

    Jennifer O’Hora, Lily Zhang, Farbod Kadkhoda, Bowen Chung & Kenneth B. Wells

  3. Greater Los Angeles Veteran’s Affairs, Los Angeles, USA

    Susan Stockdale

  4. Departments of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, UCLA, Los Angeles, USA

    Susan Stockdale, Bowen Chung & Kenneth B. Wells

  5. School of Nursing, University of California, Los Angeles, USA

    Elizabeth L. Dixon

  6. Behavioral Health Services, Gardena, CA, USA

    Jim Gilmore

  7. Healthy African American Families II, Los Angeles, CA, USA

    Felica Jones, Andrea Jones, Pluscedia Williams & Zoe Masongsong

  8. Centre for Social Research and Methods, College of Arts and Social Sciences, Australian National University, Canberra, Australia

    Mienah Zulfacar Sharif

  9. University of Washington Medical Center, Seattle, WA, USA

    Esmeralda Pulido

  10. Harbor-UCLA Medical Center, Torrance, CA, USA

    Bowen Chung

  11. Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, USA

    Kenneth B. Wells

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  1. Peter Mendel
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Correspondence to Peter Mendel.

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Appendix

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Table 5.

Table 5 Point change in centrality by service sector, including betweenness centrality
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Mendel, P., O’Hora, J., Zhang, L. et al. Engaging Community Networks to Improve Depression Services: A Cluster-Randomized Trial of a Community Engagement and Planning Intervention. Community Ment Health J 57, 457–469 (2021). https://doi.org/10.1007/s10597-020-00632-5

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