A Collaborative Care Management Programme in a Primary Care Setting Was Effective for Older Adults with Late Life Depression

Unützer J, Katon W, Callahan CM, et al. Collaborative care management of late-life depression in the primary care setting: a randomized controlled trial. JAMA2002 ; 288 : 2836 –45 [OpenUrl][1][CrossRef][2][PubMed][3][Web of Science][4] QUESTION: Is a collaborative care management programme offered in a primary care setting effective for older adults with late life depression? Randomised (allocation concealed), blinded (outcome assessors) controlled trial with 1 year of follow up. 18 primary care clinics from 8 healthcare organisations in 5 states in the US. 1801 patients ≥60 years of age (mean age 71 y, 65% women) who met the Diagnostic and Statistical Manual of Mental Disorders, 4 th edition criteria for major depression or dysthymia or both and who were planning to use general medical care from a participating clinic. Exclusion criteria were drinking problems, bipolar disorder or psychosis, severe cognitive impairment, or acute risk of suicide. Follow up was 98%. 906 patients … [1]: {openurl}?query=rft.jtitle%253DJAMA%26rft.stitle%253DJAMA%26rft.aulast%253DUnutzer%26rft.auinit1%253DJ.%26rft.volume%253D288%26rft.issue%253D22%26rft.spage%253D2836%26rft.epage%253D2845%26rft.atitle%253DCollaborative%2BCare%2BManagement%2Bof%2BLate-Life%2BDepression%2Bin%2Bthe%2BPrimary%2BCare%2BSetting%253A%2BA%2BRandomized%2BControlled%2BTrial%26rft_id%253Dinfo%253Adoi%252F10.1001%252Fjama.288.22.2836%26rft_id%253Dinfo%253Apmid%252F12472325%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/external-ref?access_num=10.1001/jama.288.22.2836&link_type=DOI [3]: /lookup/external-ref?access_num=12472325&link_type=MED&atom=%2Febnurs%2F6%2F3%2F91.atom [4]: /lookup/external-ref?access_num=000179732600028&link_type=ISI