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

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.

A Pharmacist-Led Collaborative Care Model for Cardiometabolic Risk Reduction: A Case Study

2021 ◽  
pp. 2633559X2199485
Author(s):  
Shawn R. Smith ◽  
Christian W. Ruiz ◽  
Salihah Ali ◽  
Caroline J. Kim ◽  
Michael S. Murchie ◽  
...  
Keyword(s):  
Risk Reduction ◽  
Collaborative Care ◽  
Cardiometabolic Risk ◽  
Care Model ◽  
Collaborative Care Model

scholarly journals Integrated Community Collaborative Care for Seniors with Depression/Anxiety and any Physical Illness

2021 ◽  
Vol 24 (3) ◽  
pp. 251-257
Author(s):  
Richard Shulman ◽  
Reenu Arora ◽  
Rose Geist ◽  
Amna Ali ◽  
Julia Ma ◽  
...  
Keyword(s):  
Collaborative Care ◽  
Rating Scales ◽  
Qualitative Interviews ◽  
Geriatric Medicine ◽  
Physical Illness ◽  
Fee For Service ◽  
Case Review ◽  
Care Model ◽  
Collaborative Care Model ◽  
Community Collaborative

Background We report on the feasibility and effectiveness of an integrated community collaborative care model in improving the health of seniors with depression/anxiety symptoms and chronic physical illness. Methods This community collaborative care model integrates geriatric medicine and geriatric psychiatry with care managers (CM) providing holistic initial and follow-up assessments, who use standardized rating scales to monitor treatment and provide psychotherapy (ENGAGE). The CM presents cases in a structured case review to a geriatrician and geriatric psychia­trist. Recommendations are communicated by the CM to the patient’s primary care provider. Results 187 patients were evaluated. The average age was 80 years old. Two-thirds were experiencing moderate-to-severe depres­sion upon entry and this proportion decreased significantly to one-third at completion. Qualitative interviews with patients, family caregivers, team members, and referring physicians indicated that the program was well-received. Patients had on average six visits with the CM without the need to have a face-to-face meeting with a specialist. Conclusion The evaluation shows that the program is feasible and effect­ive as it was well received by patients and patient outcomes improved. Implementation in fee-for-service publicly funded health-care environments may be limited by the need for dedicated funding.

scholarly journals Implementing the Collaborative Care Model as Part of a Countywide Initiative

2016 ◽  
Vol 67 (5) ◽  
pp. 476-478
Author(s):  
Marcia Valenstein ◽  
Gregory W. Dalack ◽  
Teague Simoncic ◽  
Karla Metzger ◽  
D. Edward Deneke ◽  
...  
Keyword(s):  
Collaborative Care ◽  
Care Model ◽  
Collaborative Care Model
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