Todd Gilmer|Chris Walker|Elizabeth Johnson|Athena Philis?Tsimikas|Jürgen Unützer
Improving Treatment of Depression Among Latinos With Diabetes Using Project Dulce and IMPACT
University of California, San Diego|Scripps Whittier Diabetes Institute|Scripps Whittier Diabetes Institute|Scripps Whittier Diabetes Institute|University of Washington
assess feasibility cost integrating diabetes depression care management three community clinics serving lowincome predominantly spanishspeaking latino populationwe screened diabetes patients depression depressive symptoms provided depression care management assessed changes depressive symptoms using patient health questionnaire9 phq9 diabetes selfcare activities nutrition exercise medication adherence coststhirtythree percent patients diabetes symptoms major depression among 99 patients completing study phq9 scores declined average 75 points 148 73 p 0001 clients averaged 67 visits care manager study period costs depression care management estimated 512 per participantadding depression care manager existing diabetes management team effective reducing depressive symptoms reasonable cost