Work-Focused Interventions for Depression: Final Report
Gary R. Bond, Debra Lerner, Robert E. Drake, Cheryl Reidy, and Jacky Choi
Westat
Printer Friendly Version in PDF Format (55 PDF pages)
Work-Focused Interventions for Depression: Final Report
Among employed adults, major depression is a leading cause of work absences (absenteeism) and impaired work performance (presenteeism) as well as short-term and long-term work disability. Depression is one of the largest and fastest growing categories of work disability claims filings in the public and private disability insurance sectors. Despite
DeprInterv.pdf
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Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation
Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation
Executive Summary
May 15, 2014
Jonathan Brown, Sarah Hudson Scholle and Melissa Azur
Mathematica Policy Research
Abstract
Effectiveness of Alternative Ways of Implementing Care Management Components in Medicare DSNPs: The Care Wisconsin and Gateway Study
Effectiveness of Alternative Ways of Implementing Care Management Components in Medicare D-SNPs: The Care Wisconsin and Gateway Study
Executive Summary
Jelena Zurovac, Randy Brown, Bob Schmitz and Richard Chapman
Mathematica Policy Research
January 2014
Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation
Various types of psychotherapy can benefit people who experience depression, anxiety, and other common mental disorders. However, the extent to which these psychotherapies are available and delivered effectively is largely unknown. In the context of health care reforms that encourage performance measurement, a strong set of measures focused on psy
QualPsy.pdf
Effectiveness of Alternative Ways of Implementing Care Management Components in Medicare DSNPs:The Brand New Day Study
Little information exists on how to design various components of care coordination interventions for
complex patients to reduce patients’ needs for hospitalizations or emergency room use. Efficient
orthogonal design--a methodology widely used in manufacturing and marketing, but rarely used in
health care settings--provides a rigorous method f
OrthoV2.pdf
Effectiveness of Alternative Ways of Implementing Care Management Components in Medicare DSNPs:The Care Wisconsin and Gateway Study
Little information exists on how to design various components of care coordination interventions for
complex patients to reduce patients’ needs for hospitalizations or emergency room use. Efficient
orthogonal design--a methodology widely used in manufacturing and marketing, but rarely used in
health care settings--provides a rigorous method f
OrthoV1.pdf
An AI/AN Suicide Prevention Hotline: Literature Review and Discussion with Experts
This exploratory study provides background information pertaining to an American Indian/Alaska Native (AI/AN) Suicide Prevention Hotline. The topics explored include: the extent of use of such a hotline by AI/ANs, barriers to use, hotline implementation models, cultural competencies needed by hotline staff, extent of AI/AN community support, and
index.pdf
Vulnerable Youth and the Transition to Adulthood: Youth with Depression/Anxiety
The transition to adulthood can be particularly challenging when a young adult experiences mental health problems. This fact sheet uses data from the National Longitudinal Survey of Youth 1997 to explore the young adult outcomes and adolescent risk behaviors of youth suffering from depression and anxiety as they make this transition. [5 PDF Pages]
index.pdf
The Effects of Marriage on Health: A Synthesis of Recent Research Evidence
This report synthesizes current research on the relationship between marital status and healthy behaviors, health status and longevity, mental health and substance use, health care access and utilization, and intergenerational health effects. It focuses on relevant U.S. studies that carefully address selection and causality and were published in p
report.pdf
An AI/AN Suicide Prevention Hotline: Literature Review and Discussion with Experts
An American Indian/Alaska Native Suicide Prevention Hotline: Literature Review and Discussion with Experts
Prepared by: Peggy Halpern Ph.D, U.S. Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation
November, 2009
This report is available on the Internet at: http://aspe.hhs.gov/hsp/09/AIAN
index.pdf
Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation. Appendix A. Clinical Guideline Definitions of Evidence Ratings
Guideline Developer
Term and Definition
American Psychiatric Association
Substantial clinical confidence : Definition not provided in guideline.
Moderate clinical confidence : Definition not provided in guideline.
Guideline Workgroup and Guideline Steering Committee : The guideline was developed by a work group and under t
Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation. References
Aarons, G.A., C. Glisson, P.D. Green, K. Hoagwood, K.J. Kelleher, J.A. Landsverk, Research Network on Youth Mental Health, J.R. Weisz, B. Chorpita, R. Gibbons, C. Glisson, E.P. Green, K. Hoagwood, P.S. Jensen, K. Kelleher, J. Landsverk, S. Mayberg, J. Miranda, L. Palinkas, and S. Schoenwald. "The Organizational Social Context of Mental Health Serv
Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation. B. Conclusion
Developing and implementing quality measures for psychotherapy requires a comprehensive plan to identify the end uses of measures, the data available to support measures, and measurement priorities. With this paper, we attempt to provide a foundation for developing such a plan by identifying measure options and describing their strengths and limit
Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation. A. Opportunities for Psychotherapy Measures
Based on our synthesis of the strengths and limitations of measurement approaches and feedback from our expert panel, we propose prioritizing the measurement of outcomes. This would involve developing the infrastructure for outcomes monitoring and building capacity for delivering evidence-based psychotherapies.
Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation. VII. Conclusions and Next Steps
Measures that assess the content, duration, and outcomes of psychotherapy have the potential to inform quality improvement efforts and bring greater accountability to the delivery of mental health care. Several different measurement strategies could offer insight into the quality of psychotherapy; all would require investments, varying levels of c
Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation. B. Challenges
Health systems must overcome several obstacles to widely implement psychotherapy outcome measures, including: (1) selecting outcome measures that are meaningful for consumers, providers, and other stakeholders; (2) deciding on the appropriate level of reporting and strategies for making fair comparisons across providers, plans, or systems; (3) ove
Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation. A. Advantages
Outcome measures can be used for clinical decision making and to engage consumers in care . As described in the examples above, routine outcomes monitoring can serve at least two purposes: (1) to help track consumer progress and identify individuals who fail to respond to treatment; and (2) to encourage consumer engagement in treatment.
Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation. VI. Outcome Measures
Outcome measures would assess whether individuals receiving psychotherapy experience improvements in their symptoms and functioning across a broad range of life domains, including employment, school functioning, relationships, and engagement in the community (Hoagwood et al. 2012). The use of such measures would complement efforts already underway
Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation. C. Consumer and Provider Reports of the Content of Psychotherapy
Measures of whether specific psychotherapy content was delivered could be based on data collected through consumer or provider–reported surveys. When used for accountability purposes, such measures would have to consider the optimal timing and recall periods and the ability of consumers and providers to accurately report the content of treatment
