Defeating the Deadly Double: Depression and Diabetes (DDD)

In 2017, to mark its 25th anniversary, the Virginia Health Care Foundation (VHCF) announced Beyond Blue, a $1.5 million multi-pronged behavioral health initiative designed to increase access to mental health services for medically underserved and uninsured Virginians.

Defeating the Deadly Double: Depression and Diabetes (DDD) is a component of the Beyond Blue behavioral health initiative. DDD was designed to enable health safety net (HSN) organizations that offer co-located behavioral health services and primary medical care to elevate the degree of integration of these services for HSN patients who suffer from the co-morbidities of depression and diabetes.

The goal of DDD is to reduce the severity of depression in participating diabetic patients so they can more fully engage in creating and adhering to their diabetes treatment plans. It is expected that this, combined with effective patient education and supports, will ultimately result in improvements in diabetes as evidenced by lower A1C levels, weight loss, and lower body mass index (BMI). Reduced levels of depression will be reflected by lower PHQ-9 scores.

The following organizations were selected to participate in this exciting 24-month initiative, which launched on February 1, 2018. Each is working to reduce depression in diabetic HSN patients so they can more fully engage in adhering to their diabetes treatment plans. 

  • Blue Ridge Medical Center
  • Central Virginia Health Services
  • CrossOver Healthcare Ministry
  • Neighborhood Health
  • New Horizons Healthcare

 If you have any questions about the DDD initiative, please contact VHCF’s Program Officers:

Cat Hulburt, Chief Program & Engagement Officer
Phone: (804) 525-1483
Andrea Lancaster, Senior Program Officer
Phone: (804) 828-7481

If you are interested in expanding behavioral health services or in the integration of behavioral health and primary care at your organization, please let us know! Your plans may be a fit for another type of VHCF grant.


VHCF is grateful for the input and advice of leaders from the Virginia Community Healthcare Association, the Virginia Association of Free and Charitable Clinics,
and Community Health Solutions in developing this initiative.