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IMPLEMENTATION STORIES

Recently, the Initiative completed a formal evaluation of this website. In response, we asked five of our collaborating organizations to provide brief narratives describing their use of Initiative materials and support from 3CM.

The first three are from organizations that participated in the randomized controlled trial. Two, from Intermountain Healthcare and from MaineHealth, have continued to apply the Three Component Model with modest modifications. Colorado Access provides a third narrative describing their participation in the RCT followed by substantial modifications in their application of the Three Component Model to have allowed key elements and benefits to be sustained.

The remaining narratives are from new partners who began collaborating with the Initiative and with 3CM after the completion of the RCT.

The narrative from the Jefferson Reaves Senior Health Center in Overtown, Florida, near Miami, describes using Initiative materials and advice from 3CM to enhance depression care to low-income minority patients. The narrative shows how Dr. David Brown and his colleagues leveraged materials from the website to obtain local support and implement important elements of the Three Component Model to benefit patients.

With support from the Agency for Healthcare Research and Quality (AHRQ), Barbara Yawn and her TRIPPD study team are testing an intervention, Translating Research into Practice for Postpartum Depresssion, to enhance the recognition and management of postpartum depression by family physicians and their practices. In that section, she describes their experience so far.

The final narrative describes an expansion of the Three Component Model to address posttraumatic stress disorder. Working with collaborators at the Department of Defense, Deployment Health Clinical Center, the Three Component Model was expanded to include posttraumatic stress disorder and depression and has been applied at US Army medical posts to benefit active duty troops, many of whom have returned from deployment.

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