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January 15, 2026Psychiatric Services

Disparities in the Treatment Engagement Cascade of Collaborative Care for Depression in a Pragmatic Implementation Study

Allison J. Carroll Andrew D. Carlo Sarah Philbin Emily S. Fu Jeffrey Rado Lisa J. Rosenthal Inger E. Burnett-Zeigler Neil Jordan C. Hendricks Brown Justin D. Smith

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Key Points

The study aims to identify disparities in treatment engagement within collaborative care models for depression.
Implemented pragmatic strategies to improve treatment reach.
Focused on vulnerable populations at risk for lower engagement.
Analyzed data on treatment engagement across different demographics.
Significant disparities found in treatment engagement rates among vulnerable groups.
Improved engagement strategies indicated potential for better access to care.
Overall treatment engagement showed positive trends with new implementation strategies.

Implication

Implementation strategies improve treatment engagement for vulnerable populations, indicating essential outcomes for care equity.

Abstract

Implementation strategies are needed to increase overall and equitable reach in CoCM treatment engagement for the most vulnerable patients.

Discussion

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Cite This Study

Carroll et al. (2026) studied this question.

synapsesocial.com/papers/696b25f3d2a12237a934932e https://doi.org/10.1176/appi.ps.20240576

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Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

1Collaborative Care for Depression and Anxiety: Racial-Ethnic Differences in Treatment Engagement and Outcomes2024 · 9 citations
2Comparing multi-level and system-level strategies for the sustainability-implementation phase of collaborative care models: the Transform DepCare randomized clinical trialRCT · 2026
3Impact of a collaborative care program on depression outcomes: A real-world retrospective analysisRetrospective Study · 2026 · 2 citations
4Factors leading to patient disengagement for unknown reasons in virtual collaborative care.2024 · 1 citations
5Multilevel perspectives on the implementation of the collaborative care model for depression and anxiety in primary care2024 · 9 citations

Evaluating the Real‐World Implementation and Effectiveness of a Collaborative Care Model for Adults with Depression and Anxiety at an Urban, Academic Hospital2025
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