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Treatment of depression among impoverished primary care patients from ethnic minority groups.

Psychiatr Serv 2003 Feb;54(2):219-25

San Francisco General Hospital, University of California, USA.

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.

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February 2003
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J Clin Psychol 2010 Aug;66(8):857-67

University of California, San Francisco, San Francisco, CA 94110, USA.

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Dropouts versus completers among chronically depressed outpatients.

J Affect Disord 2007 Jan 20;97(1-3):197-202. Epub 2006 Jul 20.

Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA 94305-5722, United States.

Background: Premature termination is common among patients treated for depression with either pharmacotherapy or psychotherapy. Yet little is known about factors associated with premature treatment termination among depressed patients.

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A randomized hybrid efficacy and effectiveness trial of behavioral activation for Latinos with depression.

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Sixteenth Street Community Health Centers, Milwaukee.

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