Development and Implementation of an Ambulatory Integrated Care Pathway for Major Depressive Disorder and Alcohol Dependence

Psychiatr Serv. 2015 Dec 1;66(12):1265-7. doi: 10.1176/ Epub 2015 Aug 17.


Integrated care pathways (ICPs) provide an approach for delivering evidence-based treatment in a hospital setting. This column describes the development and pilot implementation in a clinical setting of an ICP for patients with concurrent major depressive disorder and alcohol dependence at the Centre for Addiction and Mental Health (CAMH), an academic tertiary care hospital, in Toronto, Canada. The ICP methodology includes evidence reviews, knowledge translation, process reengineering, and change management. Pilot results indicate high patient satisfaction, evidence of symptom improvement, and excellent retention.

MeSH terms

  • Alcoholism / complications
  • Alcoholism / therapy*
  • Ambulatory Care / methods*
  • Canada
  • Community Mental Health Services
  • Delivery of Health Care, Integrated*
  • Depressive Disorder, Major / complications
  • Depressive Disorder, Major / therapy*
  • Health Plan Implementation
  • Humans
  • Pilot Projects
  • Program Evaluation*
  • Treatment Outcome