HMO, perspective and treatment of depression

What do the authors describe as a naturalistic setting in an HMO? Do you agree with this description?

What is your perspective on the outcome of the study described? Do you agree or disagree with the reported results?

According to this study, is treatment for adult depression effective in a managed care environment? Explain your answer; why or why not?

Article is from below: Journal of consulting a clinical psychology. Benchmarking the Effectiveness of Psychotherapy Treatment for Adult Depression in a Managed Care Environment.