Implementing Technology-Supported Care for Depression and Alcohol Use Disorder in Primary Care in Colombia: Preliminary Findings.

Psychiatric Services : a Journal of the American Psychiatric Association
William C TorreyLisa A Marsch

Abstract

Depression and alcohol use disorder are among the most common causes of disability and death worldwide. Health care systems are seeking ways to leverage technology to screen, evaluate, and treat these conditions, because workforce interventions alone, particularly in low- and middle-income countries, are insufficient. This article reports data from the first year of implementation of a technology-supported, systematic approach to identify and care for persons with these disorders in primary care in Colombia. A care process that includes waiting room kiosks to screen primary care patients, decision support tablets to guide doctors in diagnosis and treatment, and access to digital therapeutics as a treatment option was implemented in two primary care clinics, one urban and one in a small town. The project collected data on the number of people screened, diagnosed, and engaged in the research and their demographic characteristics. In the first year, 2,656 individuals were screened for depression and unhealthy alcohol use in the two clinics. Primary care doctors increased the percentage of patients diagnosed as having depression and alcohol use disorder from next to 0% to 17% and 2%, respectively. Early experience with implementing...Continue Reading

References

Jul 11, 2000·Archives of Internal Medicine·D A FiellinP G O'Connor
Sep 15, 2001·Journal of General Internal Medicine·K KroenkeJ B Williams
Sep 26, 2001·Journal of Women's Health & Gender-based Medicine·K D BertakisJ A Robbins
Nov 10, 2006·BMC Medical Research Methodology·Celia A Brown, Richard J Lilford
Dec 2, 2009·Annals of Internal Medicine·UNKNOWN U.S. Preventive Services Task Force
Mar 3, 2011·Psychiatric Services : a Journal of the American Psychiatric Association·Donovan T MaustDavid W Oslin
Apr 20, 2013·Journal of Dual Diagnosis·Lisa A Marsch, David H Gustafson
Nov 18, 2015·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·Jürgen RehmAntoni Gual
Nov 21, 2015·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·Pamela Y Collins, Beverly A Pringle
Feb 11, 2016·Journal of General Internal Medicine·Joseph E GlassRichard L Brown
Dec 21, 2016·Revista colombiana de psiquiatría·Carlos Gómez-RestrepoNubia Bautisa
Dec 21, 2016·Revista colombiana de psiquiatría·Ricardo Andrés de la Espriella GuerreroCarlos Gómez-Restrepo
Dec 21, 2016·Revista colombiana de psiquiatría·Viviana RodriguezNathalie Tamayo Martínez
Sep 9, 2017·International Journal of Environmental Research and Public Health·Jennifer F BobbKatharine A Bradley
Mar 28, 2018·JAMA Internal Medicine·Katharine A BradleyDaniel R Kivlahan
Nov 14, 2018·JAMA : the Journal of the American Medical Association·UNKNOWN US Preventive Services Task ForceJohn B Wong
Apr 11, 2019·BMJ : British Medical Journal·Brooke LevisUNKNOWN DEPRESsion Screening Data (DEPRESSD) Collaboration

❮ Previous
Next ❯

Citations

Jan 29, 2021·JMIR Mental Health·Sarah E LordLisa A Marsch
Mar 19, 2021·Revista colombiana de psiquiatría·José Miguel Uribe-RestrepoCarlos Gómez-Restrepo
Mar 19, 2021·Revista colombiana de psiquiatría·Ana María Medina ChCarlos Gómez-Restrepo
May 19, 2021·Revista colombiana de psiquiatría·Carlos Gómez-RestrepoLisa A Marsch
Jul 11, 2021·Revista Colombiana De Psiquiatría (English Ed.)·Carlos Gómez-RestrepoLisa A Marsch
Jul 19, 2021·Revista Colombiana De Psiquiatría (English Ed.)·Ana María Medina ChCarlos Gómez-Restrepo
Jul 15, 2021·Revista Colombiana De Psiquiatría (English Ed.)·Arturo Marroquin RiveraCarlos Gómez-Restrepo
Aug 3, 2021·Revista Colombiana De Psiquiatría (English Ed.)·José Miguel Uribe-RestrepoCarlos Gómez-Restrepo
Aug 5, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Lisa A MarschMakeda J Williams
Aug 28, 2020·The Lancet. Psychiatry·Atif RahmanMilton L Wainberg

❮ Previous
Next ❯

Software Mentioned

Laddr
DIADA

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Medical Clinics of North America
Daniel E Jonas, James C Garbutt
American Family Physician
Elizabeth Salisbury-Afshar, Michael Fleming
Journal of General Internal Medicine
Peter C SmithRichard Saitz
Alcohol Research & Health : the Journal of the National Institute on Alcohol Abuse and Alcoholism
Stephanie S O'Malley, Patrick G O'Connor
© 2021 Meta ULC. All rights reserved