Multi-Sector Assessment and Client-Perception of Social Need at Long-Term Follow-Up of a Group-Randomized Trial of Community-Engaged Collaborative Care for Adults with Depression

Nicolás E Barceló; Enrico G Castillo; Roya Ijadi-Maghsoodi; Nichole Goodsmith; Lingqi Tang; David Okikawa; Felica Jones; Pluscedia Williams; Christopher Benitez; Bowen Chung; Kenneth B Wells

doi:10.3390/ijerph191610212

Multi-Sector Assessment and Client-Perception of Social Need at Long-Term Follow-Up of a Group-Randomized Trial of Community-Engaged Collaborative Care for Adults with Depression

Int J Environ Res Public Health. 2022 Aug 17;19(16):10212. doi: 10.3390/ijerph191610212.

Authors

Nicolás E Barceló¹, Enrico G Castillo^{2

3}, Roya Ijadi-Maghsoodi^{3

4}, Nichole Goodsmith^{3

4}, Lingqi Tang⁵, David Okikawa⁶, Felica Jones⁷, Pluscedia Williams^{7

8

9

10}, Christopher Benitez¹¹, Bowen Chung^{5

11

12}, Kenneth B Wells^{1

3

4

5

6

13

14}

Affiliations

¹ UCLA National Clinician Scholars Program, Los Angeles, CA 90024, USA.
² Center for Social Medicine and Humanities, UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA 90024, USA.
³ Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles, CA 90095, USA.
⁴ VA Health Service Research and Development Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA 90073, USA.
⁵ Center for Health Services and Society, UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA 90024, USA.
⁶ UCLA David Geffen School of Medicine, Los Angeles, CA 90095, USA.
⁷ Healthy African American Families II, Los Angeles, CA 90008, USA.
⁸ The Practice of Community Faculty, Charles R. Drew University of Science and Medicine, Los Angeles, CA 90059, USA.
⁹ Lundquist Institute, Harbor-UCLA Medical Center, Los Angeles, CA 90502, USA.
¹⁰ Emergency Medicine Palliative Care Access (EMPallA), NYU-Langone Health Care, New York City, NY 10016, USA.
¹¹ Los Angeles County Department of Mental Health, Los Angeles, CA 90020, USA.
¹² Department of Psychiatry, Harbor-UCLA Medical Center, Los Angeles Biomedical Research Institute, Los Angeles, CA 90502, USA.
¹³ Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA 90095, USA.
¹⁴ Greater Los Angeles Veterans Administration Health System, Los Angeles, CA 90073, USA.

Abstract

Understanding client perceptions of need for underlying social determinant support may improve services for depression care. This secondary analysis examines perceptions of "social needs" related to housing and employment, financial, and legal (EFL) concerns among individuals with depression. Data were analyzed from Community Partners in Care, a randomized comparative effectiveness trial of multi-sector collaborative care for depression among a sample of people who were predominantly racial/ethnic minorities and low-income. Adults with depression (n = 980) in both interventions were surveyed at 36-month follow-up for (1) being asked about and (2) having social needs for housing or EFL concerns. In multivariate models, life difficulty and mental health visits in non-healthcare sectors predicted being asked about housing and EFL. Lower social determinants of health-related life satisfaction increased the odds of having unmet housing and EFL needs. These findings underscore the role of non-healthcare organizations as community resources for depression care and in screening and addressing social needs.

Keywords: depression; mental health equity; patient experience; quality improvement; social determinants of health.

Publication types

Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Research Support, N.I.H., Extramural

MeSH terms

Adult
Community Mental Health Services*
Depression* / epidemiology
Depression* / therapy
Follow-Up Studies
Humans
Perception
Quality of Life / psychology

Abstract

Publication types

MeSH terms

Grants and funding