205034 Community Partners in Care: A description of the planning phase of a community partnered participatory research project to adapt and to disseminate quality improvement for depression care into underserved, low income, minority communities in Los Angeles

Tuesday, November 10, 2009

Bowen Chung, MD, MSHS , Department of Psychiatry, Geffen School of Medicine, Harbor-UCLA Medical Center, Torrance, CA
Elizabeth L. Dixon, RN, PhD , QueensCare Health & Faith Partnership, Los Angeles, CA
Loretta S. Jones, MA , Healthy African American Families II, Los Angeles, CA
Timothy Wright, RN, PhD , QueensCare Health & Faith Partnership, Los Angeles, CA
Leopoldo Cabassa, PhD , New York State Center of Excellence for Cultural Competence, New York State Psychiatric Institute/Columbia University, New York, NY
Mariana Horta, BA , RAND Corporation, Santa Monica, CA
Jeanne Miranda, PhD , Health Services Research Center, UCLA Semel Institute for Neuroscience & Human Behavior, UCLA, Los Angeles, CA
Kenneth Wells, MD, MPH , Health Services Research Center, UCLA Semel Institute for Neuroscience & Human Behavior, UCLA, Los Angeles, CA
Participatory community planning for depression is a new area in the United States. The objective is to describe Community Partners in Care, a randomized trial of a community planning approach to the adaptation and dissemination of an evidence based, quality improvement intervention for depression. An additional objective is to present themes from an open community discussion of a multi-stakeholder group on: 1) How to define community; 2) What agencies, organizations, or individuals need to be included to develop trusted and respected community solutions to reduce depression in the community; 3) What innovative, creative solutions are needed to improve services for depression in the community. Methods: Qualitative data analysis techniques (pile-sorting methodology) were conducted of meeting notes by a sub-committee of community and academic partners. Results: 1) Community was defined by 2 characteristics: i) geographic locations, organizations and places; ii) the function communities play in people's lives; 2) A broad coalition of organizations like churches, schools, and employers can disseminate information about depression and provide connections to specialized services; 3) Community wide education and outreach strategies are important to increase awareness and to decrease the stigma around depression. Workshops and group / peer support services with recreational activities were suggested to improve services. Conclusion: Community developed solutions around depression involve the engagement of a coalition of organizations and members within different communities. Increased education and outreach through coalitions around depression care need to be combined with linkages to more specialty care and innovative strategies for community support.

Learning Objectives:
1) Explain the relevance of Community Partnered Participatory Research (CPPR) as a method to engage low-income, minority underserved communities 2) Describe how Community Partners in Care utilizes CPPR as an approach for engaging community agencies around design decisions in a randomized controlled trial. 3)Summarize a qualitative data analysis from an open community forum to solicit feedback on definitions of “community,” “what partners / agencies need to be partners?,” and “what innovative community solutions would you suggest for depression?”

Keywords: Depression, Community-Based Partnership

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am an investigator on the study.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.