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 and Kenneth B. Wells
Additional contact information
Nicolás E. Barceló: UCLA National Clinician Scholars Program, Los Angeles, CA 90024, USA
Enrico G. Castillo: Center for Social Medicine and Humanities, UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA 90024, USA
Roya Ijadi-Maghsoodi: Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles, CA 90095, USA
Nichole Goodsmith: Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, Los Angeles, CA 90095, USA
Lingqi Tang: Center for Health Services and Society, UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA 90024, USA
David Okikawa: UCLA David Geffen School of Medicine, Los Angeles, CA 90095, USA
Felica Jones: Healthy African American Families II, Los Angeles, CA 90008, USA
Pluscedia Williams: Healthy African American Families II, Los Angeles, CA 90008, USA
Christopher Benitez: Los Angeles County Department of Mental Health, Los Angeles, CA 90020, USA
Bowen Chung: Center for Health Services and Society, UCLA Jane and Terry Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA 90024, USA
Kenneth B. Wells: UCLA National Clinician Scholars Program, Los Angeles, CA 90024, USA

IJERPH, 2022, vol. 19, issue 16, 1-18

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: social determinants of health; quality improvement; patient experience; depression; mental health equity (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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