| Potential Client Measures | |||
|---|---|---|---|
| Client Characteristics | Process of Depression Care | Outcomes of Care | |
| Sociodemographics (0) | Assessment a | *Depression diagnosis (0) | |
| Insurance status (0,6,12,24) | *Current symptoms | *Depressive symptoms (0,6,12,24) | |
| Family members (0,6, 12,24) | Previous episodes | Household or work productivity (0,6,12,24) | |
| †Physical comorbidities | *Suicidal ideation | *Physical and Emotional functioning | |
| †Psychiatric comorbidities | *Substance use | (0,6,12,24) | |
| †Lifetime schizophrenia, †hospitalization for psychosis(0) | *Probable depression (0,6,12,24) | ||
| † One year | Treatment | Treatment compliance (0,6,12,24) | |
| PTSD screener (0) | *Use of psychotropic medications (0,6,12,24) | Satisfaction with treatment (6,12,24) | |
| Panic screener (0, 6, 12,24) | Treatment at index visit (0) | *Unmet Need (6,12,24) | |
| Alcohol screener (0, 6, 12,24) | *Primary care counseling (0,6,12,24) | ||
| Use of illicit substances (0) | *Specialty care referral and | ||
| Stressful life events (0,6, 12,24) | counseling (0,6,12,24) | ||
| Social supports (0) | Prior treatment (0) | ||
| Active/passive coping (0,6, 12,24) | |||
| Ethnicity/acculturation (0) | |||
| Depression knowledge (0,6) | |||
| Stigma concerns (0) | |||
| Treatment Preferences (0,6) | |||
| Readiness for treatment (0) | |||
| Organizational Measures (baseline,1st, 2nd, 3rd follow-up administrator/clinician surveys as indicated below) | |||
| Organizational Background | Services | Resources | Inter-Agency Linkages & Partnerships |
| Structure & Capacity | |||
| *Organization typea | *Services offeredc | *Fundingc | *Inter-agency linkages d |
| *Ownership/legal statusa | *Client size and compositionc | Staffing levelsc | Experiences & interest in partneringd |
| Organizational structurea | *Staff qualifications for depression cared | Physical space Information technologyc | Perceived barriers to partneringd |
| Organizational | *Experience with depression QI interventionsc | ||
| Culture & Climate | |||
| *Mission and prioritiesb | |||
| Receptivity to innovationb | |||
| Support for QIb & *PIC/WE Care interventionsd | |||
| Implementation Measures | |||
| Group dynamics of partnership | Exposure to training materials and roles | ||
| *Perceived level of participation | *Implementation activities | ||
| Communication & decision-making process | *Model adaptation | ||
| *Perceived level of trust | *Clinical use of PIC/WE Care | ||
| Intermediate partnership effectiveness | *Perceptions of PIC/WE Care interventions | ||
| Perceived accomplishments | Expansion of implementation/intent to spread | ||
| *Perceived empowerment & ownership | |||
| *Network development | |||
| Provider Measures and Timeframe (baseline-0, 12,24,36-month follow-up) | |||
| Occupation background (0) | *Depression treatment practices (0, 12, 24, 36) | Depression treatment proclivity (0,12,24,36) | |
| Demographics: Age, gender, ethnicity (0) | *Depression treatment knowledge (0, 12,24,36) | Readiness to change (0, 12, 24, 36) | |
| Workload (0) | Quality improvement experience (0, 12,24,36) | Perceived barriers to treatment (0, 12, 24, 36) | |
| Skill level with depression services (0, 12,24,36) | Satisfaction with work environment (0, 12, 24 36) | ||
*
Indicates priority measures.
†
0=baseline or screening, 6 or 12 = followup month.
a
available from CPI study or agency recruitment phase and highly stable;
b
assessed at baseline only and highly stable;
c
assessed at baseline, moderately stable and updated at baseline and 3rd follow-up.
d
assessed at all waves and related to implementation measures