Table 1.

Examples of Open Door intervention

Psychologic barrier	Open Door intervention activity	Source of technique (PST, MI, or PE)	Outcome
Personal stigma concern: “My neighbor will not include me if she thinks I’m crazy.”	Validate concern (stigma is real!)	MI – reflective listening and empathy	Support
	Define disclosure options	PST – brainstorming	More hope
	Emphasize personal choice	MI – collaboration	Less helplessness
	Review pros and cons of each option	PST – identify pros and cons and compare	Action plan
Treatment efficacy concerns: “What’s talking going to do? Nothing can change.”	Identify hopeless as symptoms of depression	PE- – education about depression	Increase in knowledge
		PST – identify a goal	Increased motivation
	Identify what she wishes to change	PE – review psychotherapy efficacy data and discuss the process of seeking care	Engagement
	Link goal with treatment outcome
Attribution of depression symptoms: “It’s the diabetes and my age that cause my troubles”	Validate overlap of medical and psychologic symptoms	PE – depression symptom and medical symptom overlap	Increased knowledge
			Increased perceived need for treatment
	Describe symptoms of depression	PE – information on depression
	Review myths and potential for misattribution	PE – discuss myths and stereotypes

Abbreviations: PE, psychoeducation; PST, problem-solving therapy; MI, motivational interviewing.