IMPACT - Evidence-based depression care
IMPACT training
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Click here for a Summary of Disclosures for Presenters and Planning Committee Members.

Click here for Presenter and Planning Committee Member Bios.

Note! Tracking online training progress is the learner's responsibility
The new online training does not track progress. The AIMS Center has no record of which modules you have completed. This checklist will help you track your progress.

Online Training
We offer a 13 module online training program in IMPACT care adapted from a three-day in-person training offered in September, 2010. In total, it includes approximately 17 hours of content; however, you can choose to complete as many modules as you like. Viewing the training modules is FREE. A certificate for continuing education contact hours requires a recordkeeping fee of $50.


Social Work

PLEASE NOTE: The School of Social Work is only issuing credit for contact hours through the end of May, 2014. Your application must be received by May 31.

This training is co-provided by the University of Washington Continuing Social Work Education department, which will give 17.5 contact hours.

To earn contact hour credit (optional):

  1. View the modules at your own pace. You are not required to complete all of the modules. Partial credit is allowed.
  2. AFTER viewing all modules for which you want credit, complete the application for contact hours and mail with payment of $50.
  3. Your certificate of continuing education contact hours will be mailed approximately 2 weeks after form and check are received.


PLEASE NOTE: The School of Social Work is only issuing credit for contact hours through the end of August, 2014. Your application must be received by August 31.

Professionals who wish to earn 17.5 contact hours may register for credit for a recordkeeping fee of $50. A certificate will be awarded by the University of Washington School of Nursing, a co-provider of this IMPACT training program.

To earn contact hour credit (optional):

  1. Click here (Contact Hour Credit) to register with UWCNE. The recordkeeping fee is $50 payable to the University of Washington (VISA or MasterCard).
  2. Access the course at any time at Click on My Account and enter as an Existing User with your login name and password.
  3. View the modules at your own pace. You must view all modules to receive contact hour credit.
  4. Complete the short post-test (an essay question asking you to describe how you have applied or will apply IMPACT content to your work).
  5. Complete the course evaluation.
  6. Print your contact hour certificate.



  1. The UW School of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
  2. Provider approved by the California Board of Registered Nursing, Provider #07218.
  3. The UW School of Nursing is approved as a clock hour provider by the Washington State Board of Education.

The UW School of Nursing qualifies as a Washington State CE program sponsor under WAC 246-810-610.

Social Workers and Counselors:

The UW School of Nursing qualifies as a Washington State CE program sponsor under WAC 246-924-240(1).

This training introduces you to IMPACT, an evidence-based model of collaborative care management for depression.  A nationwide study demonstrated that this integrated team approach more than doubles the effectiveness of depression treatment and that the effects of the program are sustained even one year after it ends . IMPACT is associated with significantly greater improvement in depression, functioning, and quality of life over a 2-year follow-up period compared with usual care.  Reports also show a reduction of more than $3,000 in total healthcare costs over a four year period. For detailed information about IMPACT and the evidence supporting it, click here.

Learning Objectives

  • Describe key elements of evidence-based depression care
  • Demonstrate practical, evidence-based approaches to recognizing and treating depression in a variety of clinical settings
  • Describe the effectiveness of collaborative care with clinically challenging cases, e.g., persistent depression and comorbid medical or psychiatric conditions
  • Demonstrate non-pharmacologic treatments, like behavioral activation
  • Discuss the effects of depression and strategies for treatment for specific populations, e.g., mothers, adolescents and patients with chronic pain or illness
  • Identify challenges and successes in implementing IMPACT in different settings
  • Develop a plan for implementing IMPACT in your setting

Printable Learning Objectives (pdf)

Overview of Modules

1: Introduction to Integrated Depression Care

  • Describes how to identify patients with depression and explains why and how to treat depression in primary care using a stepped-care approach
  • Summarizes the evidence base for IMPACT, a team approach to integrated depression care

2: Key Components of Integrated Care

  • Outlines the key components of integrated depression care, with emphasis on the central role of the care manager
  • Covers the initial appointment with a patient, the importance of patient education, treatment planning, follow up, symptom tracking (PHQ-9), medication therapy, and relapse prevention

3: Behavioral Activation (BA)

  • Provides an overview of how and why to include BA in depression care

4: Antidepressant Medications

  • Presents the types of medications used in primary care to treat depression
  • Discusses how to talk with a patient about these medications, starting doses, measuring improvement and titrating dose
  • Describes combinations, switching antidepressants, and drug interactions

5: Problem-Solving Treatment (PST)

  • Summarizes the evidence for and key elements of PST, including how to use this psychotherapeutic technique to treat depression

6: Challenging Cases & Psychiatric Consultation

  • Explores the role of the consulting psychiatrist in the integrated care team, especially regarding patients who don’t improve as expected
  • Discusses how to deal with suicidal patients

7: Chronic Pain and Depression

  • Explores the intersection of chronic pain and depression
  • Describes care management for both conditions

8: Chronic Medical Illness and Depression

  • Presents how various chronic medical illnesses (e.g., diabetes, congestive heart failure) and depression affect each other

9: Maternal Depression

  • Overview of perinatal depression, treatment options, and barriers to care
  • Details medication options for depressed moms, with information for pregnant or nursing women

10: Adolescents and Depression

  • Describes depression in teens and how assessment or treatment may differ from adults
  • Learn more about integrated care for depressed teens
  • Examine a case study

11: Implementation Lessons from the Real World

  • Focuses on adaptations of the IMPACT model at sites across the U.S., including various settings, populations, and target conditions (e.g., HMO; FQHC; low-income Latinos; depression and anxiety)

12: Planning Implementation

  • Explains how to build an integrated care team
  • Stresses the importance of a registry
  • Describes how to adapt and implement this model of care in diverse settings.

13: Financing Integrated Mental Health Care

  • Provides an overview of the "business case" for financing integrated behavioral health care
  • Presents concrete examples and discuss start-up costs and long-term financing—all against a backdrop of the national reform movement, “patient-centered medical home”
Online Training Program