Commentary: An economic perspective on implementing evidence-based depression care

Colleen L. Barry, Richard G. Frank

Research output: Contribution to journalReview articlepeer-review


Despite the development of cost-effective evidence-based models for treating depression in primary care, economic and organizational barriers often impede sustainability in routine clinical practice. Under the Depression in Primary Care: Linking Clinical and System Strategies program, the Robert Wood Johnson Foundation (RWJF) funded eight demonstration grants to implement clinical changes in depression care alongside changes in contractual relationships, payment methods and other economic arrangements. The preceding articles summarize the specific economic and organizational changes implemented under four of these demonstration projects. This commentary highlights certain elements that appear critical to successfully realign system incentives to support evidence-based depression care based in part on the experiences of these four sites.

Original languageEnglish (US)
Pages (from-to)41-45
Number of pages5
JournalAdministration and Policy in Mental Health and Mental Health Services Research
Issue number1
StatePublished - Jan 1 2006
Externally publishedYes


  • Depression
  • Economic incentives
  • Primary care
  • Systems change

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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