Date of Award


Degree Name

Master of Arts



First Advisor

Dr. C. Richard Spates

Second Advisor

Dr. Scott Gaynor

Third Advisor

Dr. Amy Naugle

Access Setting

Masters Thesis-Open Access


The present study sought to investigate two areas of interest: (1) the process issues involved in conducting a randomized controlled trial with low-income individuals being seen at community mental health agencies and (2) patterns in case histories of individuals who participated in depression treatment outcome research at community mental health agencies. This study gives a detailed analysis of conducting a randomized controlled trial for unipolar mood disorders in two community mental health agencies in the Southwestern Michigan region. Process issues at the levels of identification and recruitment of participants, attendance and retention of participants, project implementation, and broader systemic issues are identified and discussed. Additionally, patterns in demographic variables, inconsistencies in depression measures, sudden gains, and treatment attendance are also investigated.