Cited by 121Health Policy Implementation ScienceMental Health Treatment and AccessPsychiatric care and mental health services

Project IMPACT: A Report on Barriers and Facilitators to Sustainability

Blasinsky, Margaret, Goldman, Howard H., Unützer, Jürgen·2006·Administration and Policy in Mental Health and Mental Health Services Research

Abstract

Project IMPACT is a collaborative care intervention to assist older adults suffering from major depressive disorder or dysthymia. Qualitative research methods were used to determine the barriers and facilitators to sustaining IMPACT in a primary care setting. Strong evidence supports the program's sustainability, but considerable variation exists in continuation strategies and operationalization across sites. Sustainability depended on the organizations' support of collaborative care models, the availability of staff trained in the intervention, and funding. The intervention's success was the most important sustainability factor, as documented by outcome data and through the "real world" experience of treating patients with this intervention.

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Crossref · 10.1007/s10488-006-0086-7

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Authors
Blasinsky, M., Goldman, H. H., & Unützer, J.
Affiliations
  • University of Maryland, Baltimore (US)
  • University of Washington Medical Center (US)
Corresponding author
Blasinsky, Margaret
Venue
Administration and Policy in Mental Health and Mental Health Services Research
Published
2006-09-13
Volume
33
Issue
6
Pages
718-729
ISSN
  • 0894-587X (ISSN-L)
  • 1573-3289
OpenAlex
W1963816311
Cited by
121
References
46
Citations by year
2026: 3 · 2025: 4 · 2024: 3 · 2023: 3 · 2022: 6 · 2021: 1 · 2020: 7 · 2019: 6 · 2018: 2 · 2017: 9 · 2016: 7 · 2015: 5 · 2014: 10 · 2013: 14 · 2012: 6
FWCI
10.94
Type
journal article
Language
en
Open access
closed
Locations
  • Administration and Policy in Mental Health and Mental Health Services Research (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords
project impact, collaborative care, geriatric depression, dysthymia, program sustainability, barriers and facilitators, primary care, organizational support, employee training, funding
MeSH terms
Aged, Continuity of Patient Care, Major Depressive Disorder, Depressive Disorder, Major, Humans, Interviews as Topic, Mental Health Services, Pamphlets, Patient Education as Topic, Primary Health Care, Problem Solving, United States, Videotape Recording, Multicenter Studies as Topic, Program Evaluation, Models, Organizational, Case Management, Dysthymic Disorder, Qualitative Research

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