Implementing Technology-Supported Care for Depression and Alcohol Use Disorder in Primary Care in Colombia: Preliminary Findings.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
  • Additional Information
    • Affiliation:
      Department of Psychiatry (Torrey, Bartels, Cubillos, Marsch) and Department of Biomedical Data Science (Camblor), Geisel School of Medicine, Dartmouth College, Hanover, New Hampshire
    • Abstract:
      Objective: Depression and alcohol use disorder are among the most common causes of disability and death worldwide. Health care systems are seeking ways to leverage technology to screen, evaluate, and treat these conditions, because workforce interventions alone, particularly in low- and middle-income countries, are insufficient. This article reports data from the first year of implementation of a technology-supported, systematic approach to identify and care for persons with these disorders in primary care in Colombia.Methods: A care process that includes waiting room kiosks to screen primary care patients, decision support tablets to guide doctors in diagnosis and treatment, and access to digital therapeutics as a treatment option was implemented in two primary care clinics, one urban and one in a small town. The project collected data on the number of people screened, diagnosed, and engaged in the research and their demographic characteristics.Results: In the first year, 2,656 individuals were screened for depression and unhealthy alcohol use in the two clinics. Primary care doctors increased the percentage of patients diagnosed as having depression and alcohol use disorder from next to 0% to 17% and 2%, respectively.Conclusions: Early experience with implementing technology-supported screening and decision support for depression and alcohol use disorder into the workflow of busy primary care clinics in Colombia indicates that this care model is feasible and leads to dramatically higher rates of diagnoses of these conditions. Diagnosis in these settings appeared to be easier for depression than for alcohol use disorder.
    • Journal Subset:
      Biomedical; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA
    • ISSN:
      1075-2730
    • MEDLINE Info:
      PMID: NLM32151216 NLM UID: 9502838
    • Grant Information:
      U19 MH109988/MH/NIMH NIH HHS/United States; P30 DA029926/DA/NIDA NIH HHS/United States
    • Publication Date:
      In Process
    • Publication Date:
      20200706
    • DOI:
      http://dx.doi.org/10.1176/appi.ps.201900457
    • Accession Number:
      144326086
  • Citations
    • ABNT:
      TORREY, W. C. et al. Implementing Technology-Supported Care for Depression and Alcohol Use Disorder in Primary Care in Colombia: Preliminary Findings. Psychiatric Services, [s. l.], v. 71, n. 7, p. 678–683, 2020. DOI 10.1176/appi.ps.201900457. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=144326086. Acesso em: 6 ago. 2020.
    • AMA:
      Torrey WC, Cepeda M, Castro S, et al. Implementing Technology-Supported Care for Depression and Alcohol Use Disorder in Primary Care in Colombia: Preliminary Findings. Psychiatric Services. 2020;71(7):678-683. doi:10.1176/appi.ps.201900457.
    • AMA11:
      Torrey WC, Cepeda M, Castro S, et al. Implementing Technology-Supported Care for Depression and Alcohol Use Disorder in Primary Care in Colombia: Preliminary Findings. Psychiatric Services. 2020;71(7):678-683. doi:10.1176/appi.ps.201900457
    • APA:
      Torrey, W. C., Cepeda, M., Castro, S., Bartels, S. M., Cubillos, L., Obando, F. S., Camblor, P. M., Uribe-Restrepo, J. M., Williams, M., Gómez-Restrepo, C., & Marsch, L. A. (2020). Implementing Technology-Supported Care for Depression and Alcohol Use Disorder in Primary Care in Colombia: Preliminary Findings. Psychiatric Services, 71(7), 678–683. https://doi.org/10.1176/appi.ps.201900457
    • Chicago/Turabian: Author-Date:
      Torrey, William C., Magda Cepeda, Sergio Castro, Sophia M. Bartels, Leonardo Cubillos, Fernando Suárez Obando, Pablo Martínez Camblor, et al. 2020. “Implementing Technology-Supported Care for Depression and Alcohol Use Disorder in Primary Care in Colombia: Preliminary Findings.” Psychiatric Services 71 (7): 678–83. doi:10.1176/appi.ps.201900457.
    • Harvard:
      Torrey, W. C. et al. (2020) ‘Implementing Technology-Supported Care for Depression and Alcohol Use Disorder in Primary Care in Colombia: Preliminary Findings’, Psychiatric Services, 71(7), pp. 678–683. doi: 10.1176/appi.ps.201900457.
    • Harvard: Australian:
      Torrey, WC, Cepeda, M, Castro, S, Bartels, SM, Cubillos, L, Obando, FS, Camblor, PM, Uribe-Restrepo, JM, Williams, M, Gómez-Restrepo, C & Marsch, LA 2020, ‘Implementing Technology-Supported Care for Depression and Alcohol Use Disorder in Primary Care in Colombia: Preliminary Findings’, Psychiatric Services, vol. 71, no. 7, pp. 678–683, viewed 6 August 2020, .
    • MLA:
      Torrey, William C., et al. “Implementing Technology-Supported Care for Depression and Alcohol Use Disorder in Primary Care in Colombia: Preliminary Findings.” Psychiatric Services, vol. 71, no. 7, July 2020, pp. 678–683. EBSCOhost, doi:10.1176/appi.ps.201900457.
    • Chicago/Turabian: Humanities:
      Torrey, William C., Magda Cepeda, Sergio Castro, Sophia M. Bartels, Leonardo Cubillos, Fernando Suárez Obando, Pablo Martínez Camblor, et al. “Implementing Technology-Supported Care for Depression and Alcohol Use Disorder in Primary Care in Colombia: Preliminary Findings.” Psychiatric Services 71, no. 7 (July 2020): 678–83. doi:10.1176/appi.ps.201900457.
    • Vancouver/ICMJE:
      Torrey WC, Cepeda M, Castro S, Bartels SM, Cubillos L, Obando FS, et al. Implementing Technology-Supported Care for Depression and Alcohol Use Disorder in Primary Care in Colombia: Preliminary Findings. Psychiatric Services [Internet]. 2020 Jul [cited 2020 Aug 6];71(7):678–83. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=144326086