Usual Care Psychotherapy for Depression in a Large Managed Behavioral Health Organization

Published in: Administration and Policy in Mental Health and Mental Health Services Research, v. 37, no. 3, May 2010, p. 270-278

Posted on RAND.org on January 01, 2010

by Kimberly A. Hepner, Gregory L. Greenwood, Francisca Azocar, Jeanne Miranda, M. Audrey Burnam

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Evidence-based psychotherapies to treat depression are available, yet it remains unknown the extent to which these practices are used in routine care for depression. Using survey and administrative data, we sought to describe usual care psychotherapy for depression for adult patients receiving care through a large, managed behavioral health care organization. Data from 420 patients receiving psychotherapy for depression and 159 of their therapists provide evidence that some practitioners are using evidence-based psychotherapy techniques for depression, but also demonstrate the need for improved tools to monitor and improve quality of psychotherapy in usual care.

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