Depression

Untreated clinical depression and other mental illnesses can result in serious consequences for individuals, families, and society. RAND research seeks to optimize the use of effective treatments for depression whether in a primary care setting or by psychiatric professionals, and to understand the impact of depressive disorders on various populations, including new mothers, teens, substance abusers, and those with other illnesses such as HIV/AIDS or post-traumatic stress disorder (PTSD).

Research conducted by: RAND Health; RAND Child Policy; RAND National Security Research Division; RAND Gulf States Policy Institute; Invisible Wounds of War Project

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Community-Based Project Aims to Build a Model Maternal and Child Health Care System

The Allegheny County Maternal Depression and Child Health Care Initiative will promote healthy lifestyles and positive health outcomes, reduce preventable disease and environmental health risks, eliminate health disparities, and ensure access to quality care for young children, mothers, and families.

All Items (251)

JOURNAL ARTICLE

A Population-Based Survey of Mental Disorders in Singapore — Feb 1, 2012

Mental illnesses are not only a growing public health concern but also a major social and economic issue affecting individuals and families throughout the world.

JOURNAL ARTICLE

Assessment and Management of Patients with Cognitive Impairment and Dementia in Primary Care — Jan 1, 2012

Findings from this small study should be replicated in larger studies to stimulate interventions that will improve the initial and ongoing treatment of older persons with cognitive impairment.

JOURNAL ARTICLE

Treating Depression and Substance Use: A Randomized Controlled Trial — Jan 1, 2012

To meet the call for more "transportable" interventions, the authors conducted a pilot study to test a group cognitive–behavioral therapy (CBT) for depression and substance use that was designed for delivery by outpatient substance abuse treatment counselors.

COMMENTARY

Bridging the Gaps in Treating Veterans with Post-Deployment Mental Health Problems — Dec 5, 2011

Delivery of evidence-based care to all veterans with PTSD or depression would pay for itself—or even save money—within two years by improving productivity and reducing medical and mortality costs, writes Terri Tanielian.

JOURNAL ARTICLE

The Influence of Mental Disorders on School Dropout in Mexico — Nov 1, 2011

Studies the impact of mental disorders on failure in educational attainment in Mexico.

JOURNAL ARTICLE

Implementing collaborative care for depression treatment in primary care: A cluster randomized evaluation of a quality improvement practice redesign — Sep 30, 2011

Collaborative care models for depression designed and implemented by VA primary care practices using evidence based quality improvement increased patients' use of antidepressants.

REPORT

A Fidelity Coding Guide for a Group Cognitive Behavioral Therapy for Depression — Aug 24, 2011

Describes the development of the fidelity rating tools for the Building Recovery by Improving Goals, Habits, and Thoughts (BRIGHT) and BRIGHT-2 interventions for depression and substance abuse. Interrater reliability is discussed, and a recommended training plan for fidelity coders in research settings is provided, including coder selection, initial training, and ongoing training. Specific guidance is provided on how to use the fidelity…

REPORT

Building Recovery by Improving Goals, Habits, and Thoughts (BRIGHT) — Jul 14, 2011

BRIGHT is a group cognitive behavioral therapy program for individuals with depression and co-occurring alcohol or drug use problems. It can be delivered by non-mental health practitioners, thus providing treatment to those who often do not receive it.

REPORT

Building Recovery by Improving Goals, Habits, and Thoughts (BRIGHT-2): An Integrated Group Cognitive Behavioral Therapy for Co-Occurring Depression and Alcohol and Drug Use Problems — Group Leader's Manual — Jul 13, 2011

Building Recovery by Improving Goals, Habits, and Thoughts (BRIGHT-2) is a manualized group cognitive behavioral therapy program for co-occurring depression and alcohol and drug use problems. BRIGHT-2 is an 18-week program consisting of three modules that each focus on a specific topic — thoughts, activities, and people interactions — and how it can affect a person's mood and desire to drink or use drugs. This volume is the…

REPORT

Building Recovery by Improving Goals, Habits, and Thoughts (BRIGHT-2): An Integrated Group Cognitive Behavioral Therapy for Co-Occurring Depression and Alcohol and Drug Use Problems — Group Member's Workbook — Jul 13, 2011

Building Recovery by Improving Goals, Habits, and Thoughts (BRIGHT-2) is a manualized group cognitive behavioral therapy program for co-occurring depression and alcohol and drug use problems. BRIGHT-2 is an 18-week program consisting of three modules that each focus on a specific topic — thoughts, activities, and people interactions — and how it can affect a person's mood and desire to drink or use drugs. This volume is the…

REPORT

Building Recovery by Improving Goals, Habits, and Thoughts (BRIGHT): A Group Cognitive Behavioral Therapy for Depression in Clients with Co-Occurring Alcohol and Drug Use Problems — Group Member's Workbook — Jul 13, 2011

Building Recovery by Improving Goals, Habits, and Thoughts (BRIGHT) is a manualized group cognitive behavioral therapy program for depression in individuals with co-occurring alcohol and drug use problems. BRIGHT is a 16-week program consisting of four modules that each focus on a specific topic — thoughts, activities, people interactions, and substance abuse — and how it can affect a person's mood. This volume is the group…

RESEARCH BRIEF

What Is the Impact of Using Evidence-Based Treatments for Posttraumatic Stress Disorder and Depression in Veterans? — Jul 6, 2011

If all veterans suffering from major depression and posttraumatic stress disorder were to receive evidence-based treatments, policy simulations suggest that cost savings generated would be $138 million (15 percent) over two years.

JOURNAL ARTICLE

Racial and Ethnic Service Use Disparities Among Homeless Adults with Severe Mental Illnesses Receiving ACT — May 31, 2011

Case management of community interventions is intended to narrow racial and ethnic disparities, but this study of homeless individuals with severe mental illness found that it reduced disparities for blacks, but not for Latinos.

JOURNAL ARTICLE

An Effectiveness Trial of Group Cognitive Behavioral Therapy for Patients with Persistent Depressive Symptoms in Substance Abuse Treatment — May 31, 2011

Providing group cognitive behavioral therapy for depression to clients with persistent depressive symptoms receiving residential substance abuse treatment is associated with improved depression and substance use outcomes.

JOURNAL ARTICLE

Depression Associated with Lower Medication Adherence Among Patients with Chronic Disease — May 10, 2011

People who are depressed are less likely to adhere to medications for their chronic health problems than patients who are not depressed, putting them at increased risk of poor health.

NEWS RELEASE

Depression Associated with Lower Medication Adherence Among Patients with Chronic Disease — May 10, 2011

People who are depressed are less likely to adhere to medications for their chronic health problems than patients who are not depressed, putting them at increased risk of poor health.

JOURNAL ARTICLE

Children with Diabetes Compared to Peers: Depressed? Distressed? A Meta-Analytic Review — Mar 28, 2011

This meta-analysis suggests that children with diabetes are at slightly elevated risk for psychological difficulties such as depression, anxiety, and behavioral problems.

JOURNAL ARTICLE

Effect of Depression Treatment on Chronic Pain Outcomes — Feb 24, 2011

Depression treatment improves mental health and reduces the effects of pain on work among individuals with both chronic pain and depression.

JOURNAL ARTICLE

Effect of Usual Source of Care on Depression Among Medicare Beneficiaries: An Application of a Simultaneous-Equations Model — Feb 8, 2011

Having a usual source of care was associated with lower depression prevalence and higher realized access among community-dwelling Medicare beneficiaries.

JOURNAL ARTICLE

Developing Medical Record-Based Performance Indicators to Measure the Quality of Mental Healthcare — Jan 14, 2011

This paper presents the methodology used to develop a comprehensive set of performance indicators in a national evaluation of the mental healthcare delivered by the Veterans Health Administration.

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