Sustainable impact of a primary care depression intervention.

Background: Re-Engineering Systems for Primary Care Treatment of Depression (RESPECT-D) sought to improve patient outcomes by disseminating the 3-component model of depression management. The purpose of this study was to determine whether an integrated model of depression management continued to be used by primary care clinicians after the end of a randomized controlled trial (RCT).

Methods: A descriptive evaluation was conducted at 2 time points.

Going to scale: re-engineering systems for primary care treatment of depression.

Background: Recent trials have shown improved depression outcomes with chronic care models. We report the methods of a project that assesses the sustainability and transportability of a chronic care model for depression and change strategy.

Methods: In a randomized controlled trial (RCT), a clinical model for depression was implemented through a strategy supporting practice change.