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Project IMPACT: A Report on Barriers and Facilitators to Sustainability

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Abstract

Project IMPACT is a collaborative care intervention to assist older adults suffering from major depressive disorder or dysthymia. Qualitative research methods were used to determine the barriers and facilitators to sustaining IMPACT in a primary care setting. Strong evidence supports the program’s sustainability, but considerable variation exists in continuation strategies and operationalization across sites. Sustainability depended on the organizations’ support of collaborative care models, the availability of staff trained in the intervention, and funding. The intervention’s success was the most important sustainability factor, as documented by outcome data and through the “real world” experience of treating patients with this intervention.

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Authors and Affiliations

  1. CSR Incorporated, 2107 Wilson Boulevard Suite 1000, Arlington, VA, 22201, USA

    Margaret Blasinsky

  2. School of Medicine, University of Maryland, Baltimore, MD, USA

    Howard H. Goldman

  3. Department of Psychiatry and Behavioral Sciences, Project IMPACT Implementation Center, Psychiatry, University of Washington Medical Center, Seattle, WA, USA

    Jürgen Unützer

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  1. Margaret Blasinsky
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  2. Howard H. Goldman
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  3. Jürgen Unützer
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Correspondence to Margaret Blasinsky.

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Blasinsky, M., Goldman, H.H. & Unützer, J. Project IMPACT: A Report on Barriers and Facilitators to Sustainability. Adm Policy Ment Health 33, 718–729 (2006). https://doi.org/10.1007/s10488-006-0086-7

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