Treatment of depression among impoverished primary care patients from ethnic minority groups
Article
Miranda, J, Azocar, F, Organista, KC et al. (2003). Treatment of depression among impoverished primary care patients from ethnic minority groups
. PSYCHIATRIC SERVICES, 54(2), 219-225. 10.1176/appi.ps.54.2.219
Miranda, J, Azocar, F, Organista, KC et al. (2003). Treatment of depression among impoverished primary care patients from ethnic minority groups
. PSYCHIATRIC SERVICES, 54(2), 219-225. 10.1176/appi.ps.54.2.219
Objective: The aim of this study was to determine whether supplementing traditional cognitive-behavioral therapy for depression with clinical case management would reduce the rate of dropout from care and improve outcomes for ethnically diverse, impoverished medical outpatients. Methods: The study was a randomized trial that compared cognitive-behavioral group psychotherapy alone (N=103) with the same therapy supplemented by clinical case management (N=96). Results: The patients who received supplemental case management had lower dropout rates than those who received cognitive-behavioral group therapy alone. Supplemental case management was associated with greater improvement in symptoms and functioning than cognitive-behavioral therapy alone for patients whose first language was Spanish (N=77) but was less effective for those whose first language was English (N=122). Conclusions: Supplemental case management improves retention in traditional mental health outpatient care and can improve outcomes for Spanish-speaking patients.
