Underserved communities of color face an excess burden of illness from depression, due to the high prevalence of depression coupled with lower access to quality care among the poor. While evidence-based quality improvement programs for depression exist, these programs are under-utilized in underserved communities and have not been used across multiple agencies supporting safety-net clients. This is a revised proposal for Community Partners in Care (CPIC), a study designed to examine the effectiveness of a community-engagement, network-building intervention to implement evidence-based quality improvement interventions (PIC/WE Care) for depression within a multi-agency context, relative to a low-intensity dissemination control condition. Effectiveness is examined in terms of a) client access to care, health outcomes and quality of care;b) implementation process and costs;c) provider and administrator adoption of PIC/WE Care protocols and knowledge and attitudes concerning depression care and quality improvement toolkits. We propose a group level randomized control trial (RCT) in two Los Angeles Communities, South Los Angeles and Hollywood. The unit of randomization is the site or independent team of a participating agency. Agencies will include social service, primary care, and mental health specialty organizations. The study is longitudinal at the client, clinician, and organizational levels. Agencies and providers will be recruited and their sites randomized to the intervention or control condition. A community conference orients all sites to the study, provides the control condition and initiates planning under a community engagement model for the experimental sites. Clients will be recruited from intervention and control sites into a one-year outcomes study. Following the trial, the control sites receive delayed training in use of PIC/WE Care toolkits. We propose to evaluate uptake of these programs across four years as organizations have the intervention (either initially versus control condition;or in the wait-list delayed training for controls). We propose to use mixed methods to study the process of implementation of evidence-based interventions in underserved communities, under both the intervention and control conditions. The project investigators and community leaders represent diverse clinical and social science disciplines. The project is conducted, overall, under a community participatory partnered approach.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH078853-05
Application #
8081820
Study Section
Special Emphasis Panel (ZRG1-HOP-S (51))
Program Officer
Chambers, David A
Project Start
2007-09-21
Project End
2014-05-31
Budget Start
2011-06-01
Budget End
2014-05-31
Support Year
5
Fiscal Year
2011
Total Cost
$650,940
Indirect Cost
Name
Rand Corporation
Department
Type
DUNS #
006914071
City
Santa Monica
State
CA
Country
United States
Zip Code
90401
Ong, Michael K; Jones, Loretta; Aoki, Wayne et al. (2017) A Community-Partnered, Participatory, Cluster-Randomized Study of Depression Care Quality Improvement: Three-Year Outcomes. Psychiatr Serv 68:1262-1270
Landry, Craig M; Jackson, Aurora P; Tang, Lingqi et al. (2017) The Effects of Collaborative Care Training on Case Managers' Perceived Depression-Related Services Delivery. Psychiatr Serv 68:123-130
Ngo, Victoria K; Sherbourne, Cathy; Chung, Bowen et al. (2016) Community Engagement Compared With Technical Assistance to Disseminate Depression Care Among Low-Income, Minority Women: A Randomized Controlled Effectiveness Study. Am J Public Health 106:1833-41
Chang, Evelyn T; Wells, Kenneth B; Gilmore, James et al. (2015) Comorbid depression and substance abuse among safety-net clients in Los Angeles: a community participatory study. Psychiatr Serv 66:285-94
Chung, Bowen; Ngo, Victoria K; Ong, Michael K et al. (2015) Participation in Training for Depression Care Quality Improvement: A Randomized Trial of Community Engagement or Technical Support. Psychiatr Serv 66:831-9
Chung, Bowen; Ong, Michael; Ettner, Susan L et al. (2014) 12-month outcomes of community engagement versus technical assistance to implement depression collaborative care: a partnered, cluster, randomized, comparative effectiveness trial. Ann Intern Med 161:S23-34
Mango, Joseph; Cabiling, Eileen; Jones, Loretta et al. (2014) Community Partners in Care (CPIC): Video Summary of Rationale, Study Approach / Implementation, and Client 6-month Outcomes. CES4healthinfo 2014:
Chung, Bowen; Meldrum, Marcia; Jones, Felica et al. (2014) Perceived sources of stress and resilience in men in an African American community. Prog Community Health Partnersh 8:441-51
Khodyakov, Dmitry; Sharif, Mienah Zulfacar; Dixon, Elizabeth L et al. (2014) An implementation evaluation of the community engagement and planning intervention in the CPIC Depression Care Improvement Trial. Community Ment Health J 50:312-24
Khodyakov, Dmitry; Pulido, Esmeralda; Ramos, Ana et al. (2014) Community-partnered research conference model: the experience of Community Partners in Care study. Prog Community Health Partnersh 8:83-97

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