Scaling Implementation of Collaborative Care for Depression: Adaptation of the Stages of Implementation Completion (SIC)

  • Lisa SaldanaEmail author
  • Ian Bennett
  • Diane Powers
  • Mindy Vredevoogd
  • Tess Grover
  • Holle Schaper
  • Mark Campbell
Original Article


Tools to monitor implementation progress could facilitate scale-up of effective treatments. Most treatment for depression, a common and disabling condition, is provided in primary care settings. Collaborative Care Management (CoCM) is an evidence-based model for treating common mental health conditions, including depression, in this setting; yet, it is not widely implemented. The Stages of Implementation Completion (SIC) was adapted for CoCM and piloted in eight rural primary care clinics serving adults challenged by low-income status. The CoCM-SIC accurately assessed implementation effectiveness and detected site variations in performance, suggesting key implementation activities to aid future scale-ups of CoCM for diverse populations.


Collaborative Care CoCM Depression Adaptation Implementation SIC 



The preparation of this article was supported in part by the Implementation Research Institute (IRI), at the George Warren Brown School of Social Work, Washington University in St. Louis; through an award from the National Institute of Mental Health (R25 MH080916-01A2) and the Department of Veterans Affairs, Health Services Research & Development Service, Quality Enhancement Research Initiative (QUERI); funding from the National Institute of Mental Health (R01 MH097748, Saldana; R01 MH108548, Bennett); and through an award from The John A. Hartford Foundation (2012-0213, Unützer) that includes support from the Corporation for National and Community Service Social Innovation Fund.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

This article does not contain any studies with human participants performed by any of the authors.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Oregon Social Learning CenterEugeneUSA
  2. 2.University of WashingtonSeattleUSA

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