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Generalist care managers for the treatment of depressed medicaid patients in North Carolina: A pilot study by Suzanne E Landis; Bradley N Gaynes; Joseph P Morrissey; Nina Vinson; Alan R Ellis; Marisa E Domino is a Health Professions article available to read on EtoBox.

What is Generalist care managers for the treatment of depressed medicaid patients in North Carolina: A pilot study about?

## Background In most states, mental illness costs are an increasing share of Medicaid expenditures. Specialized depression care managers (CM) have consistently demonstrated improvements in patient outcomes relative to usual primary care (UC), but are costly and may not be fully utilized in smaller practices. A generalist care manager (GCM) could manage multiple chronic conditions and be more accepted and cost-effective than the specialist depression CM. We designed a pilot program to demonstrate the feasibility of training/deploying GCMs into primary care settings. ## Methods We randomized depressed adult Medicaid patients in 2 primary care practices in Western North Carolina to a GCM intervention or to UC. GCMs, already providing services in diabetes and asthma in both study arms, were further trained to provide depression services including self-management, decision support, use of information systems, and care management. The following data were analyzed: baseline, 3- and 6-month Patient Health Questionnaire (PHQ9) scores; baseline and 6-month Short Form (SF) 12 scores; Medicaid claims data; questionnaire on patients' perceptions of treatment; GCM case notes; physician and offi

Who reads Generalist care managers for the treatment of depressed medicaid patients in North Carolina: A pilot study?

Author

Suzanne E Landis; Bradley N Gaynes; Joseph P Morrissey; Nina Vinson; Alan R Ellis; Marisa E Domino

Publisher

BioMed Central; Springer (Biomed Central Ltd.); London: BioMed Central, 2000-; Springer Science and Business Media LLC; Society for Mining, Metallurgy and Exploration Inc. (ISSN 1471-2296)

Published

2007

Language

EN

Field

Health Professions (Health Sciences)