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IMPACT

An Evidence-Based Practice

Description

The Improving Mood – Providing Accesses to Collaborative Treatment (IMPACT) program is a model for late life depression treatment. Few adults receive the treatment that they need for depression in their primary care setting. The cornerstone of the IMPACT intervention is connecting patients to collaborative care including their primary care physician, a care manager, and a psychiatrist. The depression care manager may be a nurse, social worker, or psychologist who educates the patient about depression, supports antidepressant therapy, coaches behavioral therapy, offers a brief course of counseling, monitors symptoms, and creates a relapse prevention plan with the patient. Treatment is tiered and aims for a 50% reduction in symptoms within 10-12 weeks, if this goal is not met the plan is changed (i.e. change in medication, change in dosage, addition of psychotherapy, or other treatments).

Goal / Mission

The goal of IMPACT is to improve depression treatment by providing collaborative care to older adults.

Results / Accomplishments

The IMPACT model doubles the effectiveness of depression treatment for older adults in primary care settings. After 12 months, significantly more intervention patients than usual care patients had a 50% or greater reduction in depressive symptoms from baseline (45% vs 19%, P < 0.001). Intervention patients also had significantly greater rates of depression treatment, more satisfaction with their care, lower depression severity, less functional impairment, and greater quality of life.

About this Promising Practice

Organization(s)
University of Washington Psychiatry & Behavioral Sciences
Primary Contact
AIMS Center
Department of Psychiatry and Behavioral Sciences
University of Washington
2815 Eastlake Ave E, Suite 200B, Box 358017
Seattle, WA 98102
uwaims@uw.edu
http://impact-uw.org/
Topics
Health / Mental Health & Mental Disorders
Health / Older Adults
Health / Health Care Access & Quality
Organization(s)
University of Washington Psychiatry & Behavioral Sciences
Source
Journal of the American Medical Association
Date of publication
Dec 2002
Date of implementation
Jul 1999
Location
USA
For more details
http://aims.uw.edu/impact-improving-mood-promoting...
http://jama.ama-assn.org/cgi/reprint/288/22/2836.p...
Target Audience
Adults, Older Adults

Related Promising Practices

  1. Mental Health and Mental Illness: Interventions to Reduce Depression Among Older Adults Clinic-Based Depression Care Management
  2. CDC COMMUNITY GUIDE: Interventions to Reduce Depression Among Older Adults: Clinic-Based Depression Care Management
  3. Mental Health and Mental Illness: Interventions to Reduce Depression Among Older Adults Home-Based Depression Care Management

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Related Content for: IMPACT

An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
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