Community-based Treatments Offset Depression Disparities

[intro music]>>Chambers: There have been a lot of efforts
to try and improve depression care within the context of clinical trials. But often
if you have effective interventions, there’s not as much success in figuring out how do
we implement those more broadly so that they reach the populations as well as they possibly
can. This particular study was trying to take the next step of saying how can we take an
effective model for depression care–collaborative care for depression–and scale it up within
community settings, particularly for those who don’t typically benefit from care or who
don’t receive any care. This was an innovative model that was looking at a community engagement
approach toward trying to implement collaborative care and thinking about community agencies
as a logical focus as opposed to assuming that a clinic-based model, which has been
the more traditional approach, would be preferred by communities who may not have kind of infrastructure.
This took place within south and east Los Angeles. The communities were primarily those
with high levels of poverty, particularly high levels of comorbidity, and high levels
of community stress–primarily African American and Latino populations. It’s not just that
it’s testing a particular model, but the actual approach to the research was seen as a partnership
between researchers and community agencies. The lead investigators were Ken Wells from
UCLA-RAND as well as Loretta Jones from a nonprofit Healthy African American Families.
Together with a council, they really ran the research. We have efforts to think about community-based
participatory research just as a research approach. What was novel here is that they
were thinking about those partnership principles both in terms of the intervention to try and
implement effective care and the way in which they conducted the research itself. [closing music]

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