The impact of “real world” collaborative care on depression and absenteeism for depressed employees seen in primary care practices using objective employer absence data.
A retrospective cohort study comparing depressed employees seen in primary care practices who enrolled for a “real world” collaborative care program to practice as usual (PAU) on objective absence days and depression response and remission at 6, and 12-month time periods.
Absence days were more in the collaborative care group compared with the PAU group at 3 and 6 months but at 12 months the difference was no longer statistically significant. Collaborative care led to better response and remission depression scores compared with PAU at 12 months.
Collaborative care led to faster improvement in depression symptoms but did not translate to less time away from work.
Department of Psychiatry & Psychology (Dr Adaji); Division of Preventive, Occupational, and Aerospace Medicine, Department of Internal Medicine (Dr Newcomb); Department of Health Sciences Research (Dr Wang); and Division of Integrated Behavioral Health, Department of Psychiatry & Psychology (Dr Williams), Mayo Clinic, Rochester, Minnesota.
Address correspondence to: Akuh Adaji, MBBS, PhD, Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905 (Adaji.Akuh@mayo.edu).
Source of funding: None.
Conflicts of interest: None declared.