TY - JOUR
T1 - Development of the national network of depression centers mood outcomes program
T2 - A multisite platform for measurement-based care
AU - Zandi, Peter P.
AU - Wang, Yu Hsun
AU - Patel, Paresh D.
AU - Katzelnick, David
AU - Turvey, Carolyn L.
AU - Wright, Jesse H.
AU - Ajilore, Olusola
AU - Coryell, William
AU - Schneck, Christopher D.
AU - Guille, Constance
AU - Saunders, Erika F.H.
AU - Lazarus, Sophie A.
AU - Cuellar, Valeria A.
AU - Selvaraj, Sudhakar
AU - Dill Rinvelt, Patricia
AU - Greden, John F.
AU - Raymond DePaulo, J.
N1 - Publisher Copyright:
© 2020 American Psychiatric Association. All rights reserved.
PY - 2020/5
Y1 - 2020/5
N2 - Objectives: Mood disorders are among the most burdensome public health concerns. The National Network of Depression Centers (NNDC) is a nonprofit consortium of 26 leading clinical and academic member centers in the United States providing care for patients with mood disorders, including depression and bipolar disorder. The NNDC has established a measurement-based care program called the Mood Outcomes Program whereby participating sites follow a standard protocol to electronically collect patient-reported outcome assessments on depression, anxiety, and suicidal ideation in routine clinical care. This article describes the approaches taken to develop and implement the program. Methods: Since 2015, eight pilot sites have implemented the program and followed more than 10,000 patients. This pilot study presents descriptive statistics based on the first 24-month period of data collection. Results: In this sample, 58.6% of patients with bipolar disorder (N=849) and 57.5% of patients with unipolar depression (N=3,998) remained symptomatic at follow-up. Lifetime rates of planned or actual suicide attempts were high, ranging from 27.6% for patients with unipolar mood disorders to 33.5% for patients with bipolar disorder. Men, unmarried individuals, and those with comorbid anxiety had a poorer longitudinal course. This initial snapshot of clinical burden is consistent with public health data indicating that mood disorders are severely debilitating. Conclusions: This study demonstrates the potential of the Mood Outcomes Program to create a nationwide “learning health system” for mood disorders. This goal will be further realized as the program expands in reach and scope across additional NNDC sites.
AB - Objectives: Mood disorders are among the most burdensome public health concerns. The National Network of Depression Centers (NNDC) is a nonprofit consortium of 26 leading clinical and academic member centers in the United States providing care for patients with mood disorders, including depression and bipolar disorder. The NNDC has established a measurement-based care program called the Mood Outcomes Program whereby participating sites follow a standard protocol to electronically collect patient-reported outcome assessments on depression, anxiety, and suicidal ideation in routine clinical care. This article describes the approaches taken to develop and implement the program. Methods: Since 2015, eight pilot sites have implemented the program and followed more than 10,000 patients. This pilot study presents descriptive statistics based on the first 24-month period of data collection. Results: In this sample, 58.6% of patients with bipolar disorder (N=849) and 57.5% of patients with unipolar depression (N=3,998) remained symptomatic at follow-up. Lifetime rates of planned or actual suicide attempts were high, ranging from 27.6% for patients with unipolar mood disorders to 33.5% for patients with bipolar disorder. Men, unmarried individuals, and those with comorbid anxiety had a poorer longitudinal course. This initial snapshot of clinical burden is consistent with public health data indicating that mood disorders are severely debilitating. Conclusions: This study demonstrates the potential of the Mood Outcomes Program to create a nationwide “learning health system” for mood disorders. This goal will be further realized as the program expands in reach and scope across additional NNDC sites.
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U2 - 10.1176/appi.ps.201900481
DO - 10.1176/appi.ps.201900481
M3 - Article
C2 - 31960777
AN - SCOPUS:85084189785
SN - 1075-2730
VL - 71
SP - 456
EP - 464
JO - Psychiatric Services
JF - Psychiatric Services
IS - 5
ER -