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Implementation of Guideline-Based Care for Depression in Primary Care

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Abstract

Evidence-based clinical practice guidelines for treating depression in primary care settings were developed, in part, to ensure that health services are provided in a consistent, high-quality, and cost-effective manner. Yet for a variety of reasons, guideline-based primary care for depression remains the exception rather than the rule. This work provides a brief review of effective strategies used to customize and then deliver evidence-based treatment for depression in primary care settings; describes two representative case studies that illustrate locally customized collaborative care strategies for treatment delivery; and concludes with principles and implications for policy and practice based on our practical experiences.

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Authors and Affiliations

  1. Center for Research on Health Care, University of Pittsburgh School of Medicine, Suite 600, 230 McKee Place, Pittsburgh, PA, USA, 5213-2582

    Bruce L. Rollman

  2. Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, MA, USA

    Linda Weinreb

  3. Center for Outcomes Research and Evaluation, Maine Medical Center, Portland, ME, USA

    Neil Korsen

  4. Department of Psychiatry, Weill Medical College, Cornell University, White Plains, NY, USA

    Herbert C. Schulberg

Authors
  1. Bruce L. Rollman
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  2. Linda Weinreb
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  3. Neil Korsen
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  4. Herbert C. Schulberg
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Correspondence to Bruce L. Rollman.

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Rollman, B.L., Weinreb, L., Korsen, N. et al. Implementation of Guideline-Based Care for Depression in Primary Care. Adm Policy Ment Health 33, 43–53 (2006). https://doi.org/10.1007/s10488-005-4235-1

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  • DOI: https://doi.org/10.1007/s10488-005-4235-1

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