Study Overview

Patient Intervention

Clinician Intervention

Survey Instruments
Patient Intervention
 

A Depression Case Manager (DCM) served as the patient interventionist. Both the standard and patient-centered DCM provided patients extensive one-on-one follow-up to assess patients’ depression status and to encourage adherence to recommended treatments and exposure to educational materials. The common goals of the standard and patient-centered Depression Case Managers (DCM) were to provide needs assessment, education, and activation messages to patients. In addition to these common features, specific features of each intervention are presented in the following table.

Data collected/delivered
Standard intervention
Patient-centered intervention
Needs assessment
(five core assessment areas)
X
Patient-centered needs assessment 1
(11 core assessment areas)1
X
Education and Activation
X
X
Social support/informal counseling
X
X
Standard education materials
X
Culturally targeted education materials
X
Black mental health alliance resource list
X
Cultural information packet for MH Providers
X

1More in-depth individualized questioning (using Kleinman’s explanatory model approach 1) about symptoms, functional status, social support, treatment preferences compared to the standard needs assessment. Additional assessment questions were about literacy and language, spirituality, financial concerns, and clinician relationship.

 

Patient education materials
 
Standard
intervention
Patient-centered intervention
Communication material
Book
     How to Heal Depression 2
X
     Chicken Soup for the African American Soul 3
X
Print media
     Depression 4
X
     Depression and African Americans 5
X
     Prayer Card
X
     Real Men, Real Depression 4
X
     Men and Depression *4
X
Visual media
     Coping with Symptoms of Depression, DVD or Video 6
X
     Black and Blue, DVD or Video 7
X
     Bridge Calendar
X

*Distributed to men only
7Please select here to view a preview of the Black and Blue DVD.

References

1. Kleinman A, Eisenberg L, Good B:
Culture, illness, and care: clinical lessons from anthropologic and cross-cultural research.
Ann Intern Med 1978, 88(2):251-258.

2. Bloomfield HH MP:
How to Heal Depression: Allen Park, MI, USA.: Mary Brooks/ Prelude Press; 1994.

3. Canfield J, Hansen MV, Nichols L, and Joyner T:
Chicken Soup for the African American Soul: Celebrating and Sharing Our Culture. One Story at a Time. 2004.

4. National Institute of Mental Health.
http://www.nimh.nih.gov/health/publications/depression/complete-index.shtml

5. National Mental Health Association.
http://www.mentalhealthamerica.net/go/depression

6. Foundation of Informed Medical Decision Making. http://www.informedmedicaldecisions.org/patient_decision_aids.html

7. Primm AB, Cabot D, Pettis J, Vu HT, Cooper LA:
The acceptability of a culturally-tailored depression education videotape to African Americans.
J Natl Med Assoc 2002, 94(11):1007-1016. http://www.bluerockproductions.com