The Foundation's initiative, Finding Answers: Disparities Research for Change, was designed to use research and evaluation to test hypothetical solutions for reducing racial and ethnic disparities in health care settings and actual disparity reduction outcomes in ongoing programs.Underserved African American and Latino communities have lower access to appropriate care for depression, poor resources to implement practice quality improvement (QI) programs known to improve outcomes, and often confront historical issues of distrust. However, African Americans and Latinos improve more in outcomes after participating in a comprehensive depression treatment program than comparable Whites. In order to improve depression care in underserved communities, effective interventions are needed at three levels: evidence-based treatments, QI strategies, and community-based implementation strategies that can be applied across the diverse services agencies supporting underserved clients. Community engagement promotes organizational and community member participation and leadership in goal setting, program development and implementation, and evaluation by shifting the authority for action to the community. This project will evaluate the effectiveness of a community engagement approach to improve depression management skills and adoption of evidence-based depression quality improvement programs among health care providers, such as physicians, nurses, and case workers. It will also identify facilitators and barriers that lead to differential uptake of the intervention by providers and evaluate differences in provider depression management skills on patient depression outcomes.
Amount Awarded $274,821.00
Awarded on: 4/4/2008
Time frame: 5/1/2008 - 4/30/2011
Grant Number: 64244
11000 Kinross Avenue, Suite 211
Los Angeles, CA, 90095-1406