Table 1.

Collaborative Depression Care Management Intervention

Elements of the Collaborative Management	Cancer Trial	Diabetes Trial	Home Care Trial
Depression Treatment	PST and/or Antidepressant (AM) Consider patient preference of first line treatment Follow with stepped care treatment PST and or AM algorithm
Provide PST by Depression Clinical Specialist (DCS)	Social worker, consultation with the study psychiatrist	Social worker, consultation with the study psychiatrist	Trained agency staff mental health nurse, social worker, or psychologist
Prescribe AM	Study psychiatrist	Clinic PCP applying study AM algorithm	Home health referring physician
Collaboration	The DCS communicates with AM prescriber about patient’s depression status, co-morbid illness medications, medical and psychosocial status, and assessed need to prescribe or adjust AM dosage consideration of an anti-anxiety agent or sedative-hypnotic.
PST Workplace	Clinic	Clinic	Residence
Maintenance Follow-Up	Telephone calls	Telephone calls	Tel/Home visits
Patient Navigator	Telephone/In-person	Telephone/In-person	DCS provider via /tel/home visit
Support Group	Open-ended optional PST support group	Open-ended optional PST support group	Not applicable