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Client Satisfaction

  • Depressed primary care clients aged 13-23 who were randomly assigned to a six month quality improvement intervention (including care managers who supported the primary care clinician in evaluating and managing the clients’ depression) reported a significantly higher level of satisfaction with their mental health care than those receiving care as usual.
    • Joan Asarnow et al., “Effectiveness of a Quality Care Intervention for Adolescent Depression in Primary Care”, JAMA, January 19, 2005, Vol. 293, No. 3.
  • Primary care clients with major depression who took part in a multifaceted intervention (more frequent and intense visits for the first 4-6 weeks and medication follow-ups) were more likely to rate the quality of the care they received for depression as good to excellent (93.0% vs. 75.0%; P < .03) than care-as-usual clients.
    • Wayne Katon et al., “Collaborative management to achieve treatment guidelines: Impact on depression in primary care”, JAMA, April 5, 1995, Vol. 273, No. 13.
  • Adults at HMO primary care clinics who had both diabetes and comorbid major depression were randomly assigned to either a case management intervention or usual care. The intervention clients reported higher levels of satisfaction with their treatment at both six and twelve months.
    • Wayne Katon et al., “The Pathways Study: A Randomized Trial of Collaborative Care in Patients with Diabetes and Depression”, Arch Gen Psychiatry, 2004, 61.
  • “Older adults are more likely to have greater satisfaction with mental health services integrated in primary care settings than through enhanced referrals to specialty mental health and substance abuse clinics.”
    • Hongtu Chen et al., “Satisfaction with Mental Health Services in Older Primary Care Patients”, Am J Geriatric Psychiatry April 2006, 14:371-379.
  • A survey of primary care clients found that most (107 of 131) found psychological treatment for depression and stress in the primary care setting acceptable.
    • Patricia Arean et al., “Do primary care patients accept psychological treatments?” General Hospital Psychiatry, 1996, Vol. 18, Issue 1.
  • The parents of children who received primary care-based individualized psychological treatment indicated improvement or resolution for 74% of children and high satisfaction with the psychological service.
    • Jack W. Finney, “Psychology in Primary Health Care: Effects of Brief Targeted Therapy on Children’s Medical Care Utilization” 1991, Journal of Pediatric Psychology 16(4).
  • Primary care clients randomly assigned to care from clinicians who received depression education and support of a depression decision team consisting of a psychiatrist and nurse reported significantly greater satisfaction than those assigned to care as usual.
    • Steven Dobscha et al., “Depression Decision Support in Primary Care: A Cluster Randomized Trial” Annals of Internal Medicine, October 2006, | Vol. 145 Issue 7.
  • A review of published evidence regarding the management of depression found that such programs had statistically significant positive effects on patients’ satisfaction with treatment.
    • Enkhe Badamgarav et al., “Effectiveness of Disease Management Programs in Depression: A Systematic Review”, Am J Psychiatry December 2003, 160.
  • Primary care clients receiving enhanced education and increased psychiatric visits were more likely to rate the quality of care they received for depression as good to excellent compared with usual care controls.
    • Wayne Katon et al. “Stepped Collaborative Care for Primary Care Patients with Persistent Symptoms of Depression”, Arch Gen Psychiatry. 1999, 56.
  • In an Air Force pilot study, 97% of respondents who used behavioral health services in primary care clinics were either “satisfied” or “very satisfied” with these services.
    • Christine Runyan, et al., “A Novel Approach for Mental Health Disease Management: The Air Force Medical Service’s Interdisciplinary Model”, Disease Management. 2003, 6(3).
  • A majority of senior primary care clients who received depression care management provided by mental health clinical nurse specialists over the course of a year perceived their care as excellent’ were highly satisfied with their relationship with the nurses; would seek future treatment with the nurses; preferred the primary care physician’s office for mental health care; and reported improved clinical and functional outcomes when surveyed.
    • Carol Saur et al. “Satisfaction and Outcomes of Depressed Older Adults With Psychiatric Clinical Nurse Specialists in Primary Care”, Journal of the American Psychiatric Nurses Association, 2007. Vol. 13, No. 1.