Chronic care model for the management of depression: Synthesis of barriers to, and facilitators of, success
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Depression is a socially‐ and physically‐disabling condition. The Chronic Care Model (CCM) was developed to promote better management of long‐term conditions, such as depression, in primary care settings. The aim of the study was to identify barriers to, and facilitators of, success when implementing the CCM for the management of depression in primary care. A systematic search was conducted in electronic databases from January 2005 to December 2011. Thirteen articles met the inclusion criteria and were reviewed by means of a thematic analysis. The barriers were categorized under two themes: lack of organizational, administrative, and professional ability to change and implement the components of the CCM; and lack of clarity pertaining to the responsibility inherent in the role of care manager (often a nurse) when it comes to promoting the patient's self‐management ability. In terms of the facilitators of success, two themes emerged: leadership support and vision, and redesigning the delivery system. When shaping an environment for organizational change, leadership and professionals must work towards a common goal and vision. Such processes require a care manager with a clear role and responsibilities in order for the health‐care system to meet the needs of the person with depression.
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Barriers to implementation included lack of time and resources to perform additional data entry or deal with paperwork.
“support to perform additional data entry or deal with paperwork [31, 67, 71, 72] were reported as barriers.”
From Achieving change in primary care—causes of the evidence to practice gap: systematic reviews of reviews (2015) · cites this paper as [71]
Cites
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“Quality concerns have surfaced in the mental health arena, where less than 15 % of patients with chronic problems such as major depression, panic disorder or generalised anxiety disorder receive evidence-based treatment (Wang et al. 2000).”
BackgroundPatten, S. B. (2009) · BMC Psychiatry · doi:10.1186/1471-244x-9-19 · Cited by 96 · cited 1× · see citing works
“Patten (2009) found that the estimates in a community sample were nearly twice as high (l9.”
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Lau, R., Stevenson, F., Ong, B. N., Dziedzic, K., Treweek, S., Eldridge, S., Everitt, H., Kennedy, A., Qureshi, N., Rogers, A., et al. (2015) · Implementation Science · doi:10.1186/s13012-016-0396-4 · Cited by 533 · see citing works
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- Authors
- Holm, A. L., & Severinsson, E.
- Affiliations
- Høgskolen Stord/Haugesund (NO)
- Stavanger University Hospital (NO)
- Corresponding author
- Holm, Anne Lise
- Venue
- International Journal of Mental Health Nursing
- Publisher
- Wiley
- Published
- 2012-05-29
- Volume
- 21
- Issue
- 6
- Pages
- 513-523
- ISSN
- 1445-8330 (ISSN-L)
- 1447-0349
- OpenAlex
- W1752647852
- Cited by
- 36
- References
- 3
- Citations by year
- 2022: 4 · 2021: 2 · 2020: 1 · 2018: 4 · 2017: 3 · 2016: 1 · 2015: 6 · 2014: 10 · 2013: 4 · 2012: 1
- FWCI
- 1.00
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- International Journal of Mental Health Nursing (publishedVersion)
- PubMed (publishedVersion)
- NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- Chronic Care Model, depression treatment, primary care, implementation barriers, implementation facilitators, organizational change, care manager role, nurse-led care, patient self-management, leadership support
- MeSH terms
- Depressive Disorder, Humans, Long-Term Care, Mental Health Services, Models, Psychological, Patient Care Management, Psychiatric Nursing, Self Care
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