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Depression Management Benchmarks: Trends in Integration of Behavioral and Physical Health
Depression Management Benchmarks: Trends in Integration of Behavioral and Physical Health
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As the stigma once associated with mental illness recedes somewhat, there is a growing recognition in primary care that depression needs to be identified and treated because of its comorbidity with other chronic conditions and its impact on patient adherence to treatment recommendations.

Depression Management Benchmarks: Trends in Integration of Behavioral and Physical Health provides actionable information from 260 organizations on their progress in targeting depression in disease management plus lessons learned from early adopters of an integrated approach to mental and physical health. As healthcare reform unfolds, organizations will benefit from a review of these industry metrics and measurements to evaluate and plan programs and compare performance and utilization data.

Download the executive summary of Depression Management Benchmarks: Trends in Integration of Behavioral and Physical Health.

A 2007 National Association of State Mental Health Program Directors study jarred the medical community, revealing that, on average, people with severe mental illness die 25 years earlier than the general population. Compared with non-depressed medically ill patients, patients with major depression are three times more likely to disregard treatment recommendations, and a 2000 study estimated the total cost of depression in the U.S. at $83.1 billion for direct treatment, mortality, excess absenteeism and productivity loss. Even though the majority of depressed people turn first to their primary care providers (PCPS) for assistance, the condition is frequently missed or incorrectly diagnosed because PCPs are not sufficiently trained in recognizing the signs of depression.

This exclusive report analyzes the responses of 260 healthcare organizations to HIN's 2008 Industry Survey on Depression Management, presenting the data in more than 20 easy-to-follow graphs and tables.

Sample Data: Depression Management Benchmarks

This industry snapshot is enhanced by an update on evidence-based approaches to integration of primary care and behavioral health from Laura Galbreath, director of policy and advocacy for the National Council for Community Behavioral Healthcare (NCCBH) and Liz Reardon, president of Reardon Consulting and former managed care director for Vermont Medicaid.

This report provides expanded data on:

  • Sector-by-sector breakdown of healthcare organizations offering depression programs today;
  • Trends in integrated vs. standalone programs;
  • Targeted populations and average duration of interventions;
  • Strategies for improving quality of care for individuals with depression;
  • Accepted methods of participant identification;
  • Preferred depression screening tools;
  • Formats and modalities for program delivery;
  • Key educational, clinical and IT components of programs;
  • Emerging trends in reimbursement, screening and community partnerships to extend reach of depression management programs;
  • The number of organizations that will launch programs in the next year;
  • Frank commentary on what's working in depression management, as well as the challenges and benefits of program development, launch and evaluation;
  • The impact of depression management programs on healthcare utilization, member/patient satisfaction and ROI;
and much more, including examples of programs that have successfully integrated behavioral and physical health and guidelines from the NCCBH on addressing the full health of individuals being served in mental health systems, promoting wellness and its "10 x 10" initiative — making sure that the healthcare industry is taking action to prevent and reduce early mortality among those with severe and persistent mental illness by 10 years over the next 10-year period.

Download the executive summary of Depression Management Benchmarks: Trends in Integration of Behavioral and Physical Health.

Organizations burdened by depression-related healthcare costs in their populations can learn from healthcare payors, purchasers, providers and educators that have begun to address depression in their disease management programs to reduce the emotional, physical and financial strain of depression on health status, worker productivity and healthcare costs.

The 50-page Depression Management Benchmarks: Trends in Integration of Behavioral and Physical Health is the one-of-a-kind resource to evaluate the offerings of your depression management program against peer efforts in order to launch and retool programs that integrate mental and physical health and take aim at depression-related healthcare costs.

Table of Contents

  • Executive Summary
  • Key Findings
    • Current and Future Programs
    • Candidate Identification and Screening
    • Program Content and Delivery
    • Quality and Outcomes Measurement
  • Methodology
  • Analysis of Responses
  • Overview of Survey
    • Who Responded
    • Ingredients of a Successful Depression Management Program
    • Challenges and Benefits of Depression DM
    • ROI & Results: The Behavioral Healthcare Perspective
    • Put it in Writing
    • Conclusion
  • Responses to Questions
    • Respondents: In Their Own Words
      • Greatest Challenge Facing Your Depression Management Program
      • Benefits, Results and ROI From Depression Management Program
      • Additional Comments About Depression Management
  • Integrating Physical and Behavioral Health
    • NCCBH Four-Quadrant Integration Model
    • Diseases Markers of Health Status
    • SAMHSA ‘10 x 10’ Pledge
    • Addressing Behavioral Health in Medical Home
    • Nurse ‘Culture Brokers’ as Patient Advocates
    • Health Records as Care Management Tools
    • States’ Efforts at Mental Health Integration
    • Vermont Medical Home Project
    • Feedback from Case Managers
  • Glossary
  • For More Information
  • About the Presenters
Publication Date: October 2009
Number of Pages: 50
ISBN 10: 1-936186-83-7 (Print version); 1-936186-84-5 (PDF version)
ISBN 13: 978-1-936186-83-9 (Print version); 978-1-936186-84-6 (PDF version)
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