Journal article
Development of the National Network of Depression Centers Mood Outcomes Program: A Multisite Platform for Measurement-Based Care
Psychiatric services (Washington, D.C.), Vol.71(5), pp.456-464
05/01/2020
DOI: 10.1176/appi.ps.201900481
PMID: 31960777
Abstract
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.
Details
- Title: Subtitle
- Development of the National Network of Depression Centers Mood Outcomes Program: A Multisite Platform for Measurement-Based Care
- Creators
- Peter P. Zandi - Johns Hopkins UniversityYu-Hsun Wang - Johns Hopkins UniversityParesh D. Patel - University of MichiganDavid Katzelnick - Mayo Clinic Rochester, MNCarolyn L. Turvey - University of IowaJesse H. Wright - University of Louisville HospitalOlusola Ajilore - University of Illinois ChicagoWilliam Coryell - University of IowaChristopher D. Schneck - University of Colorado SystemConstance Guille - Medical University of South CarolinaErika F. H. Saunders - Pennsylvania State UniversitySophie A. Lazarus - The Ohio State UniversityValeria A. Cuellar - The University of Texas Health Science Center at HoustonSudhakar Selvaraj - The University of Texas Health Science Center at HoustonPatricia Dill Rinvelt - National Network of Mood DisordersJohn F. Greden - University of MichiganJ. Raymond Depaulo - Johns Hopkins University
- Resource Type
- Journal article
- Publication Details
- Psychiatric services (Washington, D.C.), Vol.71(5), pp.456-464
- DOI
- 10.1176/appi.ps.201900481
- PMID
- 31960777
- NLM abbreviation
- Psychiatr Serv
- ISSN
- 1075-2730
- eISSN
- 1557-9700
- Publisher
- Amer Psychiatric Publishing, Inc
- Number of pages
- 9
- Grant note
- Myriad Neuroscience National Network of Depression Centers AssureX
- Language
- English
- Date published
- 05/01/2020
- Academic Unit
- Psychiatry; Epidemiology
- Record Identifier
- 9984281752702771
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