Use of bilingual therapists with a master’s degree in social work as Depression Diabetes Care Specialist (DDCS)
Brief training in cultural competency to all intervention staff via a self-administered cultural competence training manual
Engagement of clinic medical and nursing staff in decision making about individual clinic needs and preferences
Medical staff (e.g., primary care physicians, nursing staff, and diabetes nurses) received depression treatment training conducted by study psychiatrist and research staff
Communication methods with intervention staff determined by PCPs
Weekly clinical telephone conferences with study psychiatrist and DDCS
Standardized depression measures (e.g., PHQ-9) used to monitor and guide treatment decisions
Use of a clinical decision-making algorithm based on practice guidelines
Supplemental patient navigation intervention to address known barriers to both diabetes and depression treatments and to facilitate receipt of supportive services
Intense in person and/or telephone follow-up through remission and maintenance
Provision of culturally competent PST
Open-ended PST support group in English and Spanish during maintenance phase
Computerized encrypted patient tracking system available to DDCS, PN, and psychiatrist