Community Mental Health Journal

, Volume 55, Issue 1, pp 57–62 | Cite as

Exploring Antidepressant Adherence at a Student-Run Free Mental Health Clinic

  • Claire L. MannEmail author
  • Robert A. Rifkin
  • Elisa M. Nabel
  • David C. Thomas
  • Yasmin S. Meah
  • Craig L. Katz
Brief Report


Minority groups experience higher depression but lower treatment rates. Student-run free mental health (MH) clinics, such as the East Harlem Health Outreach Partnership (EHHOP) MH clinic, address this disparity. This study scrutinized EHHOP MH’s depression treatment by measuring adherence to antidepressants. Pharmacy data from seventy-nine patients were reviewed according to HEDIS criteria. Results compare EHHOP MH to New York State (NYS) Medicaid and NYS commercial insurance providers. In the acute treatment phase, EHHOP MH performed similarly to NYS Medicaid. In all other comparisons, EHHOP MH had lower adherence rates. Physician notes were reviewed to identify reasons for low adherence.


Antidepressant adherence Student-run clinic HEDIS criteria Free clinic Mental health clinic 



This study has no funding sources to report.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

This study did not require informed consent, as it was granted IRB exemption.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Claire L. Mann
    • 1
    Email author
  • Robert A. Rifkin
    • 1
  • Elisa M. Nabel
    • 1
  • David C. Thomas
    • 2
  • Yasmin S. Meah
    • 3
  • Craig L. Katz
    • 4
  1. 1.Icahn School of Medicine at Mount SinaiNew YorkUSA
  2. 2.Department of Medical Education, Rehabilitation Medicine, and Department of MedicineIcahn School of Medicine at Mount SinaiNew YorkUSA
  3. 3.Department of Medical Education, and Department of MedicineIcahn School of Medicine at Mount SinaiNew YorkUSA
  4. 4.Department of Medical Education, and Department of PsychiatryIcahn School of Medicine at Mount SinaiNew YorkUSA

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