The EPiC-4DM Project aimed to address the large health disparity among minority populations with Type 2 Diabetes, Depression, and Diabetes distress in Denver, Colorado. Through collaboration with various community partners, a practice level intervention was created and tailored to meet the specific needs of the six federally qualified health centers (FQHCs) involved in the EPiC-4DM project. This project focused on patient centered care by: a) utilizing the 5A model to create individualized action plans for diabetes management and b) creating a 3-way linkage among patients, practices, and community based programs and resources to improve outcomes relating to diabetes self-management, diabetes distress, and depression.
- Engaging community partners in the creation of the intervention was key in determining the specific needs of the community and its members.
- Integrating behavioral health leadership and patient navigators led to improved project implementation and provided additional patient support in creating individualized self-management action plans.