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Project IMPACT: A Report on Barriers and Facilitators to Sustainability
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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“Empirical research also shows that the presence of internal and external champions, supporters, and advocates influences program sustainment [26, 51–53]”
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Flagged first, then by citations
Research works printed but not linked: 1
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Cited by
Sorted by citations
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Metadata
- 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
- Licence
- www.springer.com/tdm (tdm)
- 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
- Health Sciences › Medicine › Psychiatry and Mental health › 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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