The John A. Hartford Foundation

The John A. Hartford Foundation
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The John A. Hartford Foundation will fund five to eight organizations to disseminate its IMPACT model of depression treatment through community health clinics in low-income rural areas in Wyoming, Washington, Alaska, Montana, and Idaho. By reducing costs for health expenditures and caregiving and increasing employment income of those affected by depression, they aim to increase economic well-being for individuals served.

Grantee Information
Federal Awards: 
$2 million over two years
Focus Area: 
Healthy Futures
Geographic Focus: 
Low-income, rural areas in Wyoming, Washington, Alaska, Montana, and Idaho
Collaborating Partners: 
University of Washington Advancing Integrated Mental Health Solutions (AIMS) Center
Collaborating Funders: 
John A. Hartford Foundation

Sample photoDepression is one of the leading causes of disability worldwide, the number two cause of disability in the US (after heart disease) and is associated with poor health and economic outcomes, including higher healthcare costs, reduced productivity, and lower incomes. The WWAMI region, comprised of Washington, Wyoming, Alaska, Montana, and Idaho, is a philanthropically underserved rural area with little access to effective depression care. The John A. Hartford Fund (JAHF) will support between five and eight nonprofit community primary care clinics in the WWAMI region over three years to implement evidence-based IMPACT depression care.

Through the IMPACT depression care program, primary care providers are supported by trained mental health specialists to care for the large number of patients they see with undiagnosed, untreated or ineffectively treated depression. Effective treatment using IMPACT improves depression symptoms, social and work-related functioning, and economic outcomes. Subgrantees will each identify and treat at least 600 to 1,000 adults over 3 years. Clinics implementing the IMPACT model will conduct independent assessments of patients' depression, functional, and economic outcomes. The effects of improved treatment will benefit individual patients, their family and caregivers, the community-based health care providers developing new skills to more effectively serve a high-need population, and community organizations that partner with participating clinics to provide meaningful ways of engaging individuals in paid and nonpaid activities as they recover from depression.

Track Record before Social Innovation Fund Grant:

  • JAHF is a grantmaker with over 80 years of philanthropic experience, including funding the original research trial that established the effectiveness IMPACT and the subsequent grant to disseminate the program to over 500 clinics.
  • The Director of the University of Washington’s Advancing Integrated Mental Health Solutions (AIMS) Center—JAHF’s partner in the SIF—was the lead researcher on the IMPACT research trial and has directed dissemination of the program for the past 8 years. The University of Washington (UW) is the only medical school serving the WWAMI area and has a 40-year history of supporting quality improvement and healthcare workforce development programs in this vast region of the United States.
  • Previous evaluations of the IMPACT model show that patients receiving IMPACT Collaborative Care were more than twice as likely as those in usual care to experience a substantial improvement in their depression over 12 months. They also had less physical pain, better social and physical functioning, and better overall quality of life than patients in care as usual. IMPACT was also strongly endorsed by patients and primary care providers.

 

Nonprofits Receiving Social Innovation Fund Awards from The John A. Hartford Foundation

Partnership Health Center

Community Health Center of Central Wyoming
Peninsula Community Health ServicesLewis County Community Health Services and Valley View Health Center
Mat-Su Health Services 

Partnership Health Center
Missoula, Montana
Initial Award Amount: $488,000
Awarded in 2013

 

Community Health Center of Central Wyoming
Casper, Wyoming
Initial Award Amount: $315,000
Awarded in 2013

 

Peninsula Community Health Services
Bremerton, Washington
Initial Award Amount: $320,000
Awarded in 2013

 

Lewis County Community Health Services and Valley View Health Center
Chehalis, Washington
Initial Award Amount: $350,000
Awarded in 2013

 

Mat-Su Health Services
Wasilla, Alaska
Initial Award Amount: $465,000
Awarded in 2013

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