What is CPIC?

• CPIC was a 5 year community-based and led research project.
• CPIC aimed to determine how to improve access to quality depression care recovery through community-based organizations working together.
• CPIC aimed to bridge the gap in depression care because public services agencies prioritize more severe illnesses, and access to care for depression can be challenging in underserved communities.
• CPIC was an opportunity for your agency to help the community by contributing in an initiative to improve access for depression care.
• A focus on vulnerable populations and communities of color within South Los Angeles and Hollywood/Metro LA.
• A project funded by the National Institute of Mental Health and led by community and academic organizations such as HAAF, UCLA, QueensCare, Urban League, NAMI, LA Department of Mental Health, RAND, and USC.
• Compared two ways of delivering treatment for adults to see which works best:
a) Resources for Services (RS) intervention
b) Community Engagement and Planning (CEP) Intervention

What is the “win” for my agency?

• If a social service agency aims at improvnig parenting skills and/or provides help in seeking employment, but the client is depressed, there is a barrier to achieving those parenting skills or getting up in the morning to look for a job.
• Awareness of depression and providing access to treatment could lift a barrier that opens the door to more of your clients benefiting from your agency’s services.
• Providers will become part of a community network.
• Providers may receive CEU and CME.
• Training for your staff in identifying depression.
• Access to expert consultation.
• At the end of the study, we may be able to provide your agency with a profile of your clients in terms of the prevalence of depression.

Why should we focus on depression?

Studies show that depression often goes unrecognized and untreated Depression can hold people back from doing every day tasks such as holding a job, having good relationships, parenting children, managing personal finances, and taking care of one’s health. Most people get better with treatment. We are trying to enhance service providers’ abilities by joining forces to recognize and treat depression in our community.
• No major social organization, such as DMH or DHS, targets depression care as their primary service aim.
• However, with a system in place for recognizing and treating depression, the likelihood of success in parenting, relationships, and finding and holding a job improves.
• Research also tells us ethnic minorities tend to respond better to treatments for depression compared to non-minority populations.

What is the difference between Resources for Services (RS) and Community Engagement and Planning (CEP)?

• The Resources for Services (RS) approach provides expert consultation on how to use programs that have already been proven effective in improving depression care. Information is made available to agencies through a training conference and an informative website.
• The goal of the Community Engagement and Planning (CEP) approach is to figure out what it would take to build a network of organizations to improve both access and quality of depression care available within their community. Resources and continued training are provided to facilitate this goal.

What is the same about Resources for Services (RS) and Community Engagement and Planning (CEP)?

• Both approaches offer training.
• Both approaches will use methods proven effective in treating depression care.
• Agencies in both approaches will decide by themselves how to use consultation they receive. They will not be required to follow any advice or protocols.
• At the end of the study, we will support whichever approach works best. All participating CPIC organizations will ultimately have the benefit of participating in the best approach.

How will CPIC determine which of the two approaches is best?

• First, agencies and clients participating in CPIC will be randomly assigned to either the Resources for Services (RS) and Community Engagement and Planning (CEP) groups.
• Next, we will survey administrators, providers, and clients in both groups to find out the advantages and disadvantages of each approach.

Does my agency have to participate in the intervention to be a part of CPIC?

No, we have agencies helping with the planning phase now and we are currently enrolling agencies to help with the intervention phase. We would also like to have agencies participate in the dissemination phase of the project so that we can spread our findings to as many agencies as possible in Los Angeles Communities of Color.

What will you need us to do?

Administrators will be asked to:
• Complete three 30 minute web surveys during the study.
• Provide a private space at each site for CPIC to screen clients over approximately 3 weeks. The quantity screened will depend on the number of clients served at your organization.
• Encourage providers to join CPIC and to keep participating until the project ends.
• Support implementation of intervention activities.
• Send providers to training sessions to learn about effective treatment for depression.
• Work with study investigators to present the study’s goals to agency staff, providers, and case workers, with support from CPIC.
• Work with study investigators to identify potential sites, clinics, or staff teams who may be eligible to participate in the study.
• Allow staff who are participating in the study to complete a few on-line surveys over the course of 3-4 years.
• Administrators will be reimbursed for their time with a $15 gift card per survey.
Providers will be asked to:
• Complete three 20 minute web surveys over the course of the study.
• Allow CPIC staff to approach adult clients to ask them to participate in the study.
• Attend training sessions to learn about effective treatment for depression.
• Providers will be reimbursed for their time with a $15 gift card per survey.
Clients will be asked to:
• Complete an initial survey about their mood.
• Complete between one and three follow-up surveys at a later point.
• Consider accepting different services than they would otherwise, through exposure to intervention activities.
• Clients will be reimbursed for their time with $20 per survey.

When would we start working together? What is the timeline?

• We expect to have a kickoff meeting in summer of 2009
• Clients will be enrolled beginning the fall of 2009.
• In early summer of 2009 we would like administrator and providers who are participating to complete their first online survey.

How many clients will you need to enroll?

• At each individual site, CPIC expects to screen about 100 clients over an approximately 3 week period, depending on the number of clients served at that site.
• We will enroll about 10-15 clients per site who have been identified as possibly depressed during the initial screening.
• We plan to approach about 6,000 people total across all organizations.