scholarly journals Integrating Primary Care and Behavioral Health: The Role of the Psychiatrist in the Collaborative Care Model

2017 ◽  
Vol 15 (3) ◽  
pp. 354-360
Author(s):  
Lori E. Raney
Keyword(s):  
Primary Care ◽  
Behavioral Health ◽  
Collaborative Care ◽  
Care Model ◽  
Collaborative Care Model

Enhancing the scalability of the collaborative care model for depression using mobile technology

2020 ◽  
Vol 10 (3) ◽  
pp. 573-579
Author(s):  
Kelly E Carleton ◽  
Urvashi B Patel ◽  
Dana Stein ◽  
David Mou ◽  
Alissa Mallow ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Behavioral Health ◽  
Clinical Outcomes ◽  
Collaborative Care ◽  
Depression Treatment ◽  
Care Model ◽  
Sample Mean ◽  
Collaborative Care Model ◽  
Contact Frequency

Abstract The collaborative care model (CoCM) has substantial support for improving behavioral health care in primary care. However, large-scale CoCM adoption relies on addressing operational and financial implementation challenges across health care settings with varying resources. An academic medical center serving socioeconomically and racially diverse patients implemented the CoCM in seven practices. A smartphone application was introduced to facilitate CoCM care management during depression treatment (app-augmented CoCM). App features included secure texting, goal/appointment reminders, symptom monitoring, and health education material. A nonrandomized convenience patient sample (N = 807) was enrolled in app-augmented CoCM and compared with patients in standard CoCM (N = 3,975). Data were collected on clinical contact frequency, engagement, and clinical outcomes. App-augmented CoCM patients received more health care team contacts (7.9 vs. 4.9, p < .001) and shorter time to follow up compared with the standard CoCM sample (mean = 11 vs. 19 days, p < .001). App-augmented CoCM patients had clinical outcomes similar to the standard CoCM group (47% vs. 46% with ≥50% depression improvement or score <10), despite app-augmented patients having more prior depression treatment episodes. Further, the app-augmented group with greater app engagement demonstrated increased behavioral health appointment compliance, including more completed appointments and fewer no shows, and greater depression symptom improvement than those with less app engagement. App-augmented CoCM may improve patient engagement in treatment and provide opportunities to implement key CoCM elements without overburdening practice resources. CoCM sustainability and scalability in primary care may be enhanced by using this technology.

scholarly journals Diffusion of a collaborative care model in primary care: a longitudinal qualitative study

2013 ◽  
Vol 14 (1) ◽  
Author(s):  
Isabelle Vedel ◽  
Veronique Ghadi ◽  
Matthieu De Stampa ◽  
Christelle Routelous ◽  
Howard Bergman ◽  
...  
Keyword(s):  
Primary Care ◽  
Qualitative Study ◽  
Collaborative Care ◽  
Care Model ◽  
Collaborative Care Model

scholarly journals A Stepped-Wedge Evaluation of an Initiative to Spread the Collaborative Care Model for Depression in Primary Care

2015 ◽  
Vol 13 (5) ◽  
pp. 412-420 ◽  
Author(s):  
L. I. Solberg ◽  
A. L. Crain ◽  
M. V. Maciosek ◽  
J. Unutzer ◽  
K. A. Ohnsorg ◽  
...  
Keyword(s):  
Primary Care ◽  
Collaborative Care ◽  
Stepped Wedge ◽  
Care Model ◽  
Collaborative Care Model

scholarly journals Evidence-Based Approaches to Suicide in Older Adults—Collaborative Care

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 625-625
Author(s):  
Michael Schoenbaum
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Primary Care ◽  
Suicidal Ideation ◽  
Collaborative Care ◽  
Mental Health Treatment ◽  
Evidence Based ◽  
Care Model ◽  
Health Treatment ◽  
Collaborative Care Model

Abstract This individual symposium abstract will focus another evidence-based approach to mental health treatment and in older adults, the collaborative care model. Collaborative care is a consultation-based approach in primary care that has been described with multiple clinical trials, with significant benefit for access and treatment. The Prevention of Suicide in Primary Care Elderly: Collaborative Trial (PROSPECT) using the collaborative care model found that those older adults receiving the intervention had a higher utilization of mental health treatment (psychotherapy and/or antidepressant treatment) and had a 2.2 times greater decline in suicidal ideation over 24 months. The authors will describe the utility of using the collaborative care model on the identification of suicidal ideation and subsequent mental health treatment for older adults. The authors will also share about challenges and successes related to collaborative care implementation in healthcare settings for older adults, and relevant policy and financing components for the model.

Multidisciplinary treatment of opioid use disorder in primary care using the collaborative care model

2021 ◽  
pp. 1-5
Author(s):  
Charles D. Brackett ◽  
Matthew Duncan ◽  
Joanne Fadale Wagner ◽  
Laura Fineberg ◽  
Sally Kraft
Keyword(s):  
Primary Care ◽  
Collaborative Care ◽  
Multidisciplinary Treatment ◽  
Opioid Use Disorder ◽  
Opioid Use ◽  
Care Model ◽  
Collaborative Care Model

Provision of Collaborative Care Model and General Behavioral Health Integration Services in Medicare

2021 ◽  
pp. appi.ps.2020002
Author(s):  
Leah M. Marcotte ◽  
Ashok Reddy ◽  
Lingmei Zhou ◽  
Anna Razliff ◽  
Jürgen Unützer ◽  
...  
Keyword(s):  
Behavioral Health ◽  
Collaborative Care ◽  
Care Model ◽  
Collaborative Care Model ◽  
Behavioral Health Integration

scholarly journals Collaborative care model for diabetes in primary care settings in Qatar: a qualitative exploration among healthcare professionals and patients who experienced the service

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sara Abdulrhim ◽  
Sowndramalingam Sankaralingam ◽  
Mohamed Izham Mohamed Ibrahim ◽  
Mohammed Issam Diab ◽  
Mohamed Abdelazim Mohamed Hussain ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Primary Care ◽  
Collaborative Care ◽  
Healthcare Professionals ◽  
Barriers And Facilitators ◽  
Easy Access ◽  
Care Model ◽  
Structured Interviews ◽  
Collaborative Care Model ◽  
Patients With Diabetes

Abstract Background Diabetes mellitus is highly prevalent and associated with huge economic burden globally. The conventional care and management of diabetes mellitus is highly fragmented and complex, warranting the need for a comprehensive Collaborative Care Model (CCM). Little is known about the perception of patients with diabetes and their healthcare providers about CCM, its barriers and facilitators. This study aimed to explore the value of CCM in diabetes care at a primary healthcare (PHC) setting from the perspective of patients with diabetes and healthcare professionals (HCPs), in an effort to expand our current knowledge on collaborative care in diabetes at primary care level for the purpose of quality improvement and service expansion. Methods Using an exploratory case study approach, semi-structured interviews were conducted among patients and HCPs who encountered CCM in Qatar during 2019 and 2020. The semi-structured interviews were transcribed verbatim and the data were analysed and interpreted using a deductive-inductive thematic analysis approach. Results Twelve patients and 12 HCPs at a diabetes clinic participated in one-to-one interviews. The interviews resulted in five different themes: the process and components of collaborative care model (four subthemes), current organizational support and resources (three subthemes), impact of collaborative care model on diabetes outcomes (three subthemes), enablers of collaborative care model (three subthemes), and barriers to collaborative care model (three subthemes). The participants indicated easy access to and communication with competent and pleasant HCPs. The patients appreciated the extra time spent with HCPs, frequent follow-up visits, and health education, which empowered them to self-manage diabetes. HCPs believed that successful CCM provision relied on their interest and commitment to care for patients with diabetes. Generally, participants identified barriers and facilitators that are related to patients, HCPs, and healthcare system. Conclusions The providers and users of CCM had an overall positive perception and appreciation of this model in PHC settings. Barriers to CCM such as undesirable attributes of HCPs and patients, unsupportive hospital system, and high workload must be addressed before implementing the model in other PHC settings.

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