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Am J Psychiatry 157:1867-1869, November 2000
© 2000 American Psychiatric Association


Brief Report

Treatment for Depression Following the 1996 National Depression Screening Day

Shelly F. Greenfield, M.D., M.P.H., Joelle Meszler Reizes, M.A., Larry R. Muenz, Ph.D., Barbara Kopans, B.A., Rene C. Kozloff, Ph.D., and Douglas G. Jacobs, M.D.

OBJECTIVE: Characteristics of the subsequent treatment received by people who screened positive for depression in the 1996 National Depression Screening Day were investigated. METHOD: A follow-up telephone survey was completed by 1,502 randomly selected participants from 2,800 sites. RESULTS: Of 927 people for whom additional evaluation was recommended, 602 (64.9%) obtained evaluations and 503 (83.6%) received treatment. Of these 503, 260 (51.7%) received psychotherapy and medication, 130 (25.8%) received medication only, and 93 (18.5%) received psychotherapy only. Compared with people without health or mental health insurance, individuals with health insurance (66.7% versus 57.5%) and mental health insurance (74.6% versus 55.3%) were more likely to comply with the recommendation to obtain follow-up evaluation. CONCLUSIONS: One-half of the people treated for depression received a combination of psychotherapy and medication. Lack of insurance was associated with not following the recommendation to obtain further evaluation and treatment.




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