A Pilot for Improving Depression Care on College Campuses: Results of the College Breakthrough Series–Depression (CBS-D) Project
Abstract
OBJECTIVE: To implement a pilot quality improvement project for depression identification and treatment in college health. PARTICIPANTS: Eight college health center teams composed primarily of primary care and counseling service directors and clinicians. METHODS: Chronic (Collaborative) Care Model (CCM) used with standardized screening to identify, treat, and track depressed students for 12 weeks to monitor predetermined process and clinical outcomes. RESULTS: Of all students receiving primary medical care services between January 2007 and May 2008, 69% (n = 71,908) were screened for depression. A total of 801 depressed students were treated and tracked; most predetermined treatment process and clinical outcome targets were achieved. CONCLUSION: The CCM for depression shows promise for improving depression identification and care for college students.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Research on treatment and prevention programs for child and adolescent mental disorders has produced promising results regarding the impact on education.
“Research on treatment and prevention programs for child and adolescent mental disorders has produced promising results regarding the impact on education [46–51].”
From Long-term effects of mental disorders on educational attainment in the National Comorbidity Survey ten-year follow-up (2015) · cites this paper as [51]
Cites
The PHQ-9: Validity of a brief depression severity measure
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016009606.x · Cited by 44,910 · see citing works
Blanco, C., Okuda, M., Wright, C., Hasin, D. S., Grant, B. F., Liu, S.-M., & Olfson, M. (2008) · Archives of General Psychiatry · doi:10.1001/archpsyc.65.12.1429 · Cited by 1,582 · see citing works
Mental Health and Academic Success in College
Eisenberg, D., Golberstein, E., & Hunt, J. B. (2009) · The B.E. Journal of Economic Analysis & Policy · doi:10.2202/1935-1682.2191 · Cited by 929 · see citing works
Persistence of mental health problems and needs in a college student population
Zivin, K., Eisenberg, D., Gollust, S. E., & Golberstein, E. (2009) · Journal of Affective Disorders · doi:10.1016/j.jad.2009.01.001 · Cited by 784 · see citing works
Quality Improvement in Chronic Illness Care: A Collaborative Approach
Wagner, E. H., Glasgow, R. E., Davis, C., Bonomi, A. E., Provost, L., McCulloch, D., Carver, P., & Sixta, C. (2001) · The Joint Commission Journal on Quality Improvement · doi:10.1016/s1070-3241(01)27007-2 · Cited by 726 · see citing works
Huang, F. Y., Chung, H., Kroenke, K., Delucchi, K., & Spitzer, R. L. (2006) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2006.00409.x · Cited by 688 · see citing works
Self-citationChanges in counseling center client problems across 13 years
Benton, S. A., Robertson, J. M., Tseng, W.-C., Newton, F. B., & Benton, S. L. (2003) · Professional Psychology: Research and Practice · doi:10.1037/0735-7028.34.1.66 · Cited by 619 · see citing works
Screening for Depression in Adults: U.S. Preventive Services Task Force Recommendation Statement
U.S. Preventive Services Task Force* (2009) · Annals of Internal Medicine · doi:10.7326/0003-4819-151-11-200912010-00006 · Cited by 581 · see citing works
Managing Depression in Medical Outpatients
Whooley, M. A., & Simon, G. E. (2000) · New England Journal of Medicine · doi:10.1056/nejm200012283432607 · Cited by 374 · see citing works
Weitzman, E. R. (2004) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000120885.17362.94 · Cited by 362 · see citing works
Integration of mental health/substance abuse and primary care.
(2008) · PubMed Central · Cited by 346 · see citing works
Suicide and recency of health care contacts
Pirkis, J., & Burgess, P. M. (1998) · The British Journal of Psychiatry · doi:10.1192/bjp.173.6.462 · Cited by 249 · see citing works
Unützer, J., Schoenbaum, M., Druss, B. G., & Katon, W. J. (2006) · Psychiatric Services · doi:10.1176/appi.ps.57.1.37 · Cited by 247 · see citing works
Williams, S. B., O’Connor, E., Eder, M. L., & Whitlock, E. P. (2009) · PEDIATRICS · doi:10.1542/peds.2008-2415 · Cited by 235 · see citing works
Counseling Utilization by Ethnic Minority College Students.
Kearney, L. K., Draper, M. R., & Barón, A. (2005) · Cultural Diversity & Ethnic Minority Psychology · doi:10.1037/1099-9809.11.3.272 · Cited by 210 · see citing works
Chung, H., Teresi, J. A., Guarnaccia, P. J., Meyers, B. S., Holmes, D., Bobrowitz, T., Eimicke, J. P., & Ferran, E. (2003) · Community Mental Health Journal · doi:10.1023/a:1021221806912 · Cited by 113 · see citing works
Self-citationDuffy, F. F., Chung, H., Trivedi, M. H., Rae, D. S., Regier, D. A., & Katzelnick, D. J. (2008) · Psychiatric Services · doi:10.1176/ps.2008.59.10.1148 · Cited by 109 · see citing works
Self-citationPersistent Depression and Anxiety in the United States: Prevalence and Quality of Care
Young, A. S., Klap, R. S., Shoai, R., & Wells, K. B. (2008) · Psychiatric Services · doi:10.1176/appi.ps.59.12.1391 · Cited by 104 · see citing works
Rush, A. J., Trivedi, M. H., Carmody, T. J., Biggs, M. M., Shores‐Wilson, K., Ibrahim, H. M., & Crismon, M. L. (2004) · Biological Psychiatry · doi:10.1016/j.biopsych.2004.04.005 · Cited by 103 · see citing works
Depression Decision Support in Primary Care: A Cluster Randomized Trial
Dobscha, S. K., Corson, K., Hickam, D. H., Perrin, N., Kraemer, D. F., & Gerrity, M. (2006) · Annals of Internal Medicine · doi:10.7326/0003-4819-145-7-200610030-00005 · Cited by 79 · see citing works
Transformation of Health Care at the Front Line
Conway, P. H. (2009) · JAMA · doi:10.1001/jama.2009.103 · Cited by 78 · see citing works
Persistent Depression and Anxiety in the United States: Prevalence and Quality of Care
Young, A. S., Klap, R. S., Shoai, R., et al. (2008) · Psychiatric Services · doi:10.1176/ps.2008.59.12.1391 · Cited by 78 · see citing works
Racial and Ethnic Differences in the Relationship Between Depression Severity and Functional Status
Huang, F. Y., Chung, H., Kroenke, K., & Spitzer, R. L. (2006) · Psychiatric Services · doi:10.1176/ps.2006.57.4.498 · Cited by 62 · see citing works
Self-citationDepression in Primary Care: Detection, Diagnosis, and Treatment
Panel, D. G. (1994) · Journal of the American Academy of Nurse Practitioners · doi:10.1111/j.1745-7599.1994.tb00946.x · Cited by 59 · see citing works
Applying Depression-Specific Change Concepts in a Collaborative Breakthrough Series
Katzelnick, D. J., Korff, M. V., Chung, H., Provost, L., & Wagner, E. H. (2005) · The Joint Commission Journal on Quality and Patient Safety · doi:10.1016/s1553-7250(05)31052-x · Cited by 54 · see citing works
Self-citationNutting, P. A., Gallagher, K. M., Riley, K., White, S., Dietrich, A. J., & Dickinson, W. P. (2006) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-006-0090-y · Cited by 50 · see citing works
Miller, E., & Chung, H. (2009) · Psychiatric Services · doi:10.1176/ps.2009.60.9.1257 · Cited by 48 · see citing works
Self-citationFalling through the Cracks — Virginia Tech and the Restructuring of College Mental Health Services
Shuchman, M. (2007) · New England Journal of Medicine · doi:10.1056/nejmp078096 · Cited by 44 · see citing works
General Medical and Specialty Mental Health Service Use for Major Depression
Burns, B. J., Wagner, H. R., Gaynes, B. N., Wells, K. B., & Schulberg, H. C. (2000) · The International Journal of Psychiatry in Medicine · doi:10.2190/tlxj-yxlx-f4ya-6pha · Cited by 41 · see citing works
Changes in Client Problems: Contributions and Limitations From a 13-Year Study.
Benton, S. A., Benton, S. L., Newton, F. B., Benton, K. L., & Robertson, J. M. (2004) · Professional Psychology Research and Practice · doi:10.1037/0735-7028.35.3.317 · Cited by 31 · see citing works
Miller, E., & Chung, H. (2009) · Psychiatric Services · doi:10.1176/appi.ps.60.9.1257 · Cited by 13 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Eisenberg, D., Hunt, J., & Speer, N. (2012) · Harvard Review of Psychiatry · doi:10.3109/10673229.2012.712839 · Cited by 365 · see citing works
Mojtabai, R., Stuart, E. A., Hwang, I., Eaton, W. W., Sampson, N., & Kessler, R. C. (2015) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-015-1083-5 · Cited by 215 · see citing works
Mojtabai, R., Stuart, E. A., Hwang, I. H., Susukida, R., Eaton, W. W., Sampson, N. A., & Kessler, R. C. (2015) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-015-1097-z · Cited by 160 · see citing works
Collaborative mental health care: A narrative review
Reist, C., Petiwala, I., Latimer, J., Raffaelli, S. B., Chiang, M., Eisenberg, D., & Campbell, S. (2022) · Medicine · doi:10.1097/md.0000000000032554 · Cited by 162 · see citing works
Post-Secondary Stress and Mental Well-Being: A Scoping Review of the Academic Literature
Linden, B., & Stuart, H. L. (2020) · Canadian Journal of Community Mental Health · doi:10.7870/cjcmh-2020-002 · Cited by 116 · see citing works
An Examination of Depressive Symptoms and Drinking Patterns in First Year College Students
Geisner, I. M., Mallett, K. A., & Kilmer, J. R. (2012) · Issues in Mental Health Nursing · doi:10.3109/01612840.2011.653036 · Cited by 91 · see citing works
Consultation liaison in primary care for people with mental disorders
Gillies, D. M., Buykx, P., Parker, A. G., & Hetrick, S. E. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007193.pub2 · Cited by 84 · see citing works
Be True to Our Schools—Models of Care in College Mental Health
Downs, N. S., Galles, E., Skehan, B., & Lipson, S. K. (2018) · Current Psychiatry Reports · doi:10.1007/s11920-018-0935-6 · Cited by 79 · see citing works
Examining the Role of Anxiety and Depression in Dietary Choices among College Students
Keck, M. M., Vivier, H., Cassisi, J. E., Dvorak, R. D., Dunn, M. E., Neer, S. M., & Ross, E. J. (2020) · Nutrients · doi:10.3390/nu12072061 · Cited by 71 · see citing works
Francis, P. C., & Horn, A. S. (2017) · Higher Education Policy · doi:10.1057/s41307-016-0036-2 · Cited by 64 · see citing works
Adequacy of depression treatment among college students in the United States
Eisenberg, D., & Chung, H. (2012) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2012.01.002 · Cited by 60 · see citing works
Self-citationCampus Suicide Prevention: Bridging Paradigms and Forging Partnerships
Drum, D. J., & Denmark, A. B. (2012) · Harvard Review of Psychiatry · doi:10.3109/10673229.2012.712841 · Cited by 59 · see citing works
Abelson, S., Lipson, S. K., & Eisenberg, D. (2022) · Higher education · doi:10.1007/978-3-030-76660-3_6 · Cited by 61 · see citing works
A Bioecological Systems Approach for Navigating the College Mental Health Crisis
Pinder-Amaker, S., & Bell, C. (2012) · Harvard Review of Psychiatry · doi:10.3109/10673229.2012.712842 · Cited by 31 · see citing works
Dawood, S., Thomas, K. M., Wright, A. G. C., & Hopwood, C. J. (2013) · Journal of Personality Assessment · doi:10.1080/00223891.2013.781031 · Cited by 29 · see citing works
College Students’ Responses to Mental Health Status Updates on Facebook
Egan, K. G., Koff, R. N., & Moreno, M. A. (2013) · Issues in Mental Health Nursing · doi:10.3109/01612840.2012.718044 · Cited by 29 · see citing works
Abelson, S., Lipson, S. K., & Eisenberg, D. (2021) · Higher education · doi:10.1007/978-3-030-66959-1_6-1 · Cited by 33 · see citing works
Keeler, L. A., Skidmore, B. L., Leenstra, T. R., MacDonald, J. R., & Stewart, D. W. (2019) · Journal of College Student Psychotherapy · doi:10.1080/87568225.2019.1660293 · Cited by 24 · see citing works
Zhou, S., Banawa, R. A., & Oh, H. Y. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.12.132 · Cited by 26 · see citing works
Connors, E. H., Smith-Millman, M. K., Bohnenkamp, J. H., Carter, T., Lever, N. A., & Hoover, S. (2020) · School Mental Health · doi:10.1007/s12310-020-09374-x · Cited by 23 · see citing works
A Study on Korean University Students’ Depression and Anxiety
Choi, J. H. (2016) · Indian Journal of Science and Technology · doi:10.17485/ijst/2015/v8is8/74705 · Cited by 15 · see citing works
Virk, P., Arora, R., Burt, H., Gadermann, A., Barbic, S. P., Nelson, M., Davidson, J., Cornish, P. A., & Doan, Q. H. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.812965 · Cited by 9 · see citing works
Change IS Possible: Reducing High-Risk Drinking Using a Collaborative Improvement Model
Lanter, P. L., Wolff, K. B., Johnson, L. C., Ercolano, E. M., Kilmer, J. R., & Provost, L. (2015) · Journal of American College Health · doi:10.1080/07448481.2015.1015021 · Cited by 7 · see citing works
Self-Care, Resilience, and Work-Life Balance
Worley, L. L. M., & Stonnington, C. M. (2017) · Springer eBooks · doi:10.1007/978-3-319-55583-6_11 · Cited by 6 · see citing works
Bennett, M., & Christensen, K. (2024) · Journal of Higher Education Theory and Practice · doi:10.33423/jhetp.v24i1.6761 · Cited by 4 · see citing works
Initiation of Standardized Depression Screening in College Health: A Quality Improvement Project
Slabaugh, K., Harris, S., & Wilcock, S. P. (2018) · Journal of Doctoral Nursing Practice · doi:10.1891/2380-9418.11.2.143 · Cited by 4 · see citing works
Ulupinar, D., & Zalaquett, C. P. (2022) · Journal of Mental Health Counseling · doi:10.17744/mehc.44.4.06 · Cited by 2 · see citing works
Phillips, Z., Mitsumoto, J., Fisher, H. C., Wilhite, J. A., Hardowar, K., Robertson, V., Paige, J., Shahroudi, J., Albert, S., Li, J., et al. (2024) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2024.01.014 · Cited by 2 · see citing works
Cheung, A., Polavarapu, M., Kosuru, S., Chiang, M., Lombardi, D., Liu, M., Bakeman, D. D., Raj, A., Skehan, B., & Fan, X. (2019) · Psychiatry Research · doi:10.1016/j.psychres.2019.112699 · Cited by 2 · see citing works
Addressing student depression on campus: Barriers and assets
KappelmanBeyer, D. (2015) · NDSU Repository (North Dakota State University)
Understanding and Addressing Unmet Need for Mental Health Services in College Populations.
Lipson, S. K. (2016) · Deep Blue (University of Michigan) · Cited by 1 · see citing works
English, I. (2017) · The Mathematics Enthusiast
Increasing Psychiatric Treatment Engagement and Adherence in the College Population
Bardin, A., Cheney, B., & Braider, L. (2019) · Springer eBooks · doi:10.1007/978-3-030-12665-0_5 · Cited by 1 · see citing works
Best Practices for the Occupation of Education for College Students with Mental Health Issues
Jaspers, K., & Johnson, B. E. (2020) · UND Scholarly Commons (University of North Dakota)
Burt, H. (2021) · cIRcle (University of British Columbia) · doi:10.14288/1.0401765
Behavioral health referrals and patient engagement in integrated primary care: a brief report
Readdean, K. C., Steinbach, J., & Navar, D. (2026) · Journal of American College Health · doi:10.1080/07448481.2026.2706042
- Authors
- Chung, H., Klein, M. C., Silverman, D., Corson-Rikert, J., Davidson, E., Ellis, P., & Kasnakian, C.
- Affiliations
- New York University (US)
- LifeBridge Health (US)
- Cornell University (US)
- Case Western Reserve University (US)
- St. Lawrence University (US)
- Baruch College (US)
- Venue
- Journal of American College Health
- Publisher
- Informa UK Limited
- Published
- 2011-08-01
- Volume
- 59
- Issue
- 7
- Pages
- 628-639
- ISSN
- 0164-4300 (ISSN-L)
- 0744-8481
- 1940-3208
- OpenAlex
- W2030960248
- Cited by
- 38
- References
- 31
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 1 · 2022: 4 · 2021: 2 · 2020: 4 · 2019: 3 · 2018: 2 · 2017: 3 · 2016: 3 · 2015: 5 · 2013: 3 · 2012: 5
- FWCI
- 3.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of American College Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- depression, university students, college health centers, depression screening, Chronic Care Model, quality improvement, mental health services, primary care, counseling services, student mental health
- MeSH terms
- Adolescent, Adult, Chronic Disease, Cooperative Behavior, Depression, Female, Health Promotion, Health Status Indicators, Humans, Male, Mental Health, Pilot Projects, Primary Health Care, Psychometrics, Registries, Students, Universities, Program Evaluation, Program Development, Social Marketing, Secondary Prevention, Young Adult, Quality Improvement
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review