The Care Transition Intervention: A Look at Adherence to the Model for Clients with Depression

Susan Fila, Fordham University

Abstract

This mixed methods content analysis research study looks at how coaches working with clients diagnosed with a chronic health condition who are discharged from acute inpatient hospitalization modified the Care Transition Intervention (CTI) to meet the needs of clients who were also experiencing depression as evidenced by an elevated score on a Patient Health Questionaire-9 (PHQ-9) screening tool. The study examined coach progress notes from Jewish Family Service of Los Angeles’s CTI program from 2013-2015. A sample of 238 was obtained based on a stratification process using age, gender, language, and depression status. Measurements included coach written progress notes from face-to-face home visits, follow-up phone calls, and PHQ-9 scores. Findings of the study suggest that coaches modified the CTI for depressed clients in the following domains: helping client to manage their own healthcare; helping client to self-manage medication; helping client to independently make appointment with doctor; providing client with referrals to the community; helping client to complete PHR independently.

Subject Area

Mental health|Health care management

Recommended Citation

Fila, Susan, "The Care Transition Intervention: A Look at Adherence to the Model for Clients with Depression" (2018). ETD Collection for Fordham University. AAI10812715.
https://research.library.fordham.edu/dissertations/AAI10812715

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