This randomized trial looked at major depression among Karen refugees receiving care in primary care settings. The study involved 214 patients who were either given an intensive psychotherapy and case management intervention or received care as usual. Participants were followed for 18 months to see how their health service use and costs changed over time.
The group receiving the intervention saw reduced inpatient healthcare costs compared to the usual care group. On average, the cost saving exceeded $8,000 per patient. They also experienced shorter hospital stays and improved patient status at discharge. Outpatient costs were lower in the intervention group after accounting for key patient characteristics.
No adverse events or discontinuations were reported during the study. However, the researchers noted that future research is needed to better understand long-term effects and to further optimize care for refugees. This trial suggests that integrated behavioral health interventions can lower healthcare costs for refugees with complex health needs.
