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Depressive disorders are leading causes of disability worldwide. Efficacious treatments exist, but many persons, especially Latinos and African Americans, do not receive evidence-based care for depression. In primary care settings, rates of detection of depression and of use detection of depression and of use of evidence-based treatments are low to moderate. Disease management interventions can improve outcomes for depressed patients over 6-28 months, and yield favorable cost-effectiveness ratios relative to usual care. Depressed patients who are Latino or African American have poorer outcomes than whites under usual care, but practice intervention can improve outcome more for Latinos and African Americans, reducing health outcome disparities.

New! Ethnicity and Disease, Volume 16, Supplement 1, Winter 2006,
The Community Health Improvement Collaboration: Building Community-Academic Partnerships to Reduce Disparities"...
Archives of General Psychiatry, Volume 61, Number 4, "
Five Year Impact of Quality Improvement for Depression,"
Kenneth B. Wells et al., April 7, 2004.

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