Delivering Depression Care in OB/GYN Clinics

In primary care settings, collaborative care for depression is effective; however, whether this model would also work in obstetrics and gynecology (OB/GYN) clinics, which are the sole source of healthcare for many women, is not known. Investigators randomized 205 women (mean age, 39; 44% nonwhite; 40% with private insurance) seen at two urban OB/GYN clinics who screened positive for depression to receive usual care (including written material about depression) with or without collaborative care provided in the clinic (evidence-based psychotherapy, active management of follow-up, and antidepressant medication as needed). Participants were followed for 18 months.

Compared with women in the usual-care group, those in the collaborative-care grou…