Full Text Full Text (PDF) Supplement Alert me when this article is cited Alert me if a correction is posted Citation Map Email this article to a Colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Articles & Searches Download to citation manager Articles by Ngo, V. K. Articles by Miranda, J. PubMed Citation Articles by Ngo, V. K. Articles by Miranda, J. Child/Adolescent Psychiatry Minority Issues Primary Care Depression Quality of Care, Practice Guidelines Related Articles

Outcomes for Youths From Racial-Ethnic Minority Groups in a Quality Improvement Intervention for Depression Treatment

Dr. Ngo and Dr. Jaycox are affiliated with RAND Corporation, 1776 Main St., Santa Monica, CA 90407 (e-mail: vngo{at}rand.org). Dr. Asarnow, Dr. Tang, and Dr. Miranda are with the Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles. Ms. Lange is with the Department of Biostatistics, University of Washington, Seattle. Dr. Rea is with the School of Medicine, University of California, Davis, Sacramento. Dr. Landon is with Ventura County Medical Center, Ventura, California.

OBJECTIVE: This study examined racial-ethnic differences in the impact of the Youth Partners in Care quality improvement intervention. The intervention was designed to improve access to evidence-based depression care, primarily cognitive-behavioral therapy and medication, through primary care. Previous analyses have shown that the quality improvement intervention was associated with improved depression and quality-of-life outcomes at the end of the six-month intervention period. METHODS: A randomized controlled trial comparing quality improvement and usual care for youths from diverse racial-ethnic groups from five health care organizations, including managed care, the public sector, and academic center clinics, was conducted. Depressed youths (N=325), who self-identified as black (N=59), Latino (N=224), and white (N=42), aged 13–21 years, were included in these analyses. To evaluate intervention effects within racial-ethnic groups, regression models were constructed, which adjusted for baseline and study site variation in depression symptoms, mental health status, satisfaction with mental health care, and mental health service utilization. RESULTS: Differential intervention effects were found across racial-ethnic groups. Black youths in the intervention group experienced significant reductions in depression symptoms and had higher rates of use of specialty mental health care at the six-month follow-up. Among Latino youths, the intervention was associated with significantly greater satisfaction with care. Intervention effects were weak among white youths. CONCLUSIONS: Quality improvement interventions may help to reduce disparities in mental health care for youths from racial-ethnic minority groups. (

Related Articles:

October 2009: This Month's Highlights
Psychiatr Serv 2009 60: 1294. [Full Text] [PDF]

Get information about faster international access.

Privacy Policy

Copyright © 2009 American Psychiatric Association. All rights reserved.

Home | Search | Current Issue | Past Issues | Subscribe | All APPI Journals | Help | Contact Us