... collaborative depression care in a specialty physical health clinic setting with a population that has a high prevalence of depression and mental health comorbidity. The paper describes: the formative evaluation conducted prior to implementation; the process used to adapt the primary care collaborative care model for depression to specialty HIV clinics; and the intervention itself. Baseline assessments were
This paper describes the evaluation of collaborative depression care in HIV clinics in a project called HIV Translating Initiatives for Depression into Effective Solutions (HITIDES), a randomised trial in United States Department of Veterans Affairs HIV clinics comparing the depression collaborative care intervention to usual depression care. The HITIDES study provided the opportunity to evaluate collaborative depression care in a specialty physical health clinic setting with a population that has a high prevalence of depression and mental health comorbidity. The paper describes: the formative evaluation conducted prior to implementation; the process used to adapt the primary care collaborative care model for depression to specialty HIV clinics; and the intervention itself. Baseline assessments were completed by 249 depressed HIV participants. Summaries of key interviews with eight HIV patients who were receiving depression treatment and 25 HIV or mental health providers were presented to each site. Evidence-based quality improvement methods were used to tailor the HITIDES intervention to each site while following the evidence base for depression collaborative care.
Subject terms:
HIV AIDS, intervention, multidisciplinary services, depression, evaluation, health care, comorbidity;