[PDF] Collaborative Care Model - New Jersey Psychiatric Association





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[PDF] Module 2: Building a Collaborative Care Team - AIMS Center

Team-based care: effective collaboration between PCPs and Behavioral Health Providers • Nurses, social workers, psychologists, psychiatrists, licensed 




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2012 University of Washington http://uwaims 1 COLLABORATIVE CARE CONSULTATION PSYCHIATRY: A CLINICAL ROTATION CURRICULUM FOR PSYCHIATRY RESIDENTS

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Collaborative care programs are one approach to integration in which primary care providers, care managers, and psychiatric consultants work together to provide 

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Poor mental health is a major public health issue that robs millions of people of their The Collaborative Care Model is a patient-centered, population-

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Collaborative care is delivered to low-income patients with medical and behavioral health needs, such as depression, PTSD, serious mental illness, and substance 




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A Solution: Better care coordination via integration of mental health and primary care has been shown to improve patient access and outcomes

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[PDF] Module 2: Building a Collaborative Care Team - AIMS Center

Supported by funding from the Center for Integrated Health Solutions DRAFT developing role of a psychiatrist functioning as part of a collaborative care team

[PDF] The Collaborative Care Model - Center for Health Care Strategies

Collaborative care programs have been implemented by large health care The integration of physical and mental health care is Evidence-Based Solution

[PDF] Module 2: Building a Collaborative Care Team - AIMS Center

Supported by funding from the Center for Integrated Health Solutions DRAFT developing role of a psychiatrist functioning as part of a collaborative care team

[PDF] The Collaborative Care Model for Mental Health - American

shown the Collaborative Care Model (CoCM) to be more effective than AIMS Center, Advancing Integrated Mental Health Solutions, University of Washington -

[PDF] Collaborative Care Model - New Jersey Psychiatric Association

Poor mental health is a major public health issue that robs millions of people of their chance The Collaborative Care Model is a patient-centered, population- AIMS Center: Advancing Integrated Mental Health Solutions: https://aims uw edu/

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[PDF] Collaborative Care Model - New Jersey Psychiatric Association 55434_7CCM_Summary.pdf Few Patients Receive Effective Treatment for Common Mental Disorders Poor mental health is a major public health issue that robs millions of people of their chance to lead healthy and productive lives. In the United States alone, someone commits suicide every 14 minutes, often as a result of severe depression or substance abuse. For countless others, mental

illnesses make it difficult to take care of themselves or their children. Untreated mental disorders

results in a staggering loss of productivity and an economic cost of more than $100 billion each year.

ůƚŚŽƵŐŚĞĨĨĞĐƚŝǀĞƚƌĞĂƚŵĞŶƚƐĨŽƌŵŽƐƚĨŽƌŵƐŽĨŵĞŶƚĂůŝůůŶĞƐƐĞdžŝƐƚ͕ŵĂŶLJƉĞŽƉůĞĚŽŶ͛ƚƌĞĐĞŝǀĞ

the care they need. Most Americans with common mental health problems are exclusively seen by primary care providers who are often ill equipped to provide effective treatment. As few as

20% of patients started on antidepressant medications in primary care show substantial clinical

ŝŵƉƌŽǀĞŵĞŶƚ͘ĂƚŝĞŶƚƐǁŚŽĂƌĞƌĞĨĞƌƌĞĚƚŽĂŵĞŶƚĂůŚĞĂůƚŚƐƉĞĐŝĂůŝƐƚŽĨƚĞŶĚŽŶ͛ƚĨŽůůŽǁƚŚƌŽƵŐŚ

due to the stigma surrounding mental illness, the associated costs, or other barriers. As a result, only about a third of people diagnosed with a serious mental illness receive minimally adequate treatment.

Improving Access

The Collaborative Care Model is a patient-centered, population- focused approach that can reach the large numbers of people

suffering from mental illness ǁŚŽĐƵƌƌĞŶƚůLJĂƌĞŶ͛ƚďĞŝŶŐƚƌĞĂƚĞĚďLJ

mental health professionals. Psychiatrists and other mental health specialists support primary care providers in familiar settings such as primary care clinics and school-based health centers, effectively bringing mental health treatment to where people feel comfortable receiving care. By providing systematic, caseload- focused consultation, psychiatrists can support evidence-based mental health care for a large number of people, thus closing the gap between what we know and what we can do for patients in need.

A Team-Based Approach

The Collaborative Care Model uses a team approach consisting of a primary care provider, a care manager (nurse, clinical social worker, or psychologist), and a psychiatric consultant. The team

ĐĂƌĞƐĨŽƌĂĚĞĨŝŶĞĚŐƌŽƵƉŽĨƉĂƚŝĞŶƚƐĂŶĚĐůŽƐĞůLJƚƌĂĐŬƐĞĂĐŚƉĂƚŝĞŶƚ͛ƐƉƌŽŐƌĞƐƐƵƐŝŶŐǀĂůŝĚated

clinical rating scales (e.g., PHQ-9 for depression). Treatment is systematically adjusted if patients

ĂƌĞŶŽƚŝŵƉƌŽǀŝŶŐĂƐĞdžƉĞĐƚĞĚ͘ĂƚŝĞŶƚƐǁŚŽĚŽŶ͛ƚƌĞƐƉŽŶĚƚŽƚƌĞĂƚŵĞŶƚĂƌĞƌĞĨĞƌƌĞĚƚŽŵŽƌĞ

intensive mental health specialty care. Psychiatric consultations are largely done via phone with

ĂƌŐĞƐĐĂůĞ

ŝŵƉůĞŵĞŶƚĂƟŽŶƐŽĨ ŽůůĂďŽƌĂƟǀĞĂƌĞ ƌĞƋƵŝƌĞƉƐLJĐŚŝĂƚƌŝƐƚƐ ǁŚŽĂƌĞƐŬŝůůĞĚŝŶ ƉŽƉƵůĂƟŽŶͲďĂƐĞĚĐĂƌĞ͘

Collaborative Care Model:

Extending the Reach of Psychiatric Expertise

the care manager (and sometimes the PCP) with direct patient consultations focused on those patients who are presenting diagnostic or therapeutic challenges to the team. These consultations can be performed face-to-face or using tele-video equipment. This systematic

͚ƐƚĞƉƉĞĚĐĂƌĞ͛ĂƉƉƌŽĂĐŚĐĂŶŚĞůƉŽǀĞƌĐŽŵĞƚŚĞĐůŝŶŝĐĂůŝŶĞƌƚŝĂƚŚĂƚŝƐŽĨƚĞŶƌĞƐƉŽŶƐŝďůĞĨŽƌ

patients continuing on ineffective treatment.

Proven Effectiveness

The Collaborative Care Model has been shown to be more effective and cost-effective than usual care in more than 70 randomized controlled trials. These research findings are robust across diverse practice settings and patient populations. Collaborative Care doubles the effectiveness of depression care, improves patient functioning and overall quality of life, and earns a return of investment of $6.50 for every $1 spent, achieving the Triple Aim of improved patient care

experiences, better clinical outcomes, and lower health care costs. It is estimated that an

effective implementation of Collaborative Care for Medicaid members would result in approximately $15 billion per year in savings.

A Growing Opportunity

Mental health and patient-ĐĞŶƚĞƌĞĚ͕ĂĐĐŽƵŶƚĂďůĞĐĂƌĞĂƌĞŽŶƚŚĞŶĂƚŝŽŶ͛ƐƌĂĚĂƌĚƵƌŝŶŐƚŚŝƐƚŝŵĞ

of Health Care Reform. In this context, psychiatrists and other mental health specialists who are prepared to support a caseload of patients treated in primary care are valuable commodities. Collaborative Care Model also creates new opportunities for Community Mental Health Centers

and other mental health specialty providers to offer consulting and treatment services in

partnership with community health centers and other primary care practices. As more and more large-scale implementations of Collaborative Care get underway (such as the New York State Collaborative Care Initiative, the Depression Improvement Across Minnesota: Offering a New Direction (DIAMOND), the CMMI-funded seven-state COMPASS Initiative, and Washington

ƚĂƚĞ͛ƐĞŶƚĂůĞĂůƚŚŶƚĞŐƌĂƚŝŽŶƌŽŐƌĂŵͿ, we will need a pool of qualified psychiatrists versed

in Collaborative Care.

Professional Development

The APA recommends that psychiatrists in training and in practice learn about the Collaborative Care Model, become skilled in this evidence-and team-based approach, and look for opportunities to practice it. As consumers, payers and regulators increasingly demand such evidence-based mental health services, the psychiatry workforce needs to be prepared. To find out more about Collaborative Care and training opportunities and resources, please visit the websites below: APA Website on Integrated Care: www.psychiatry.org/integratedcare AIMS Center: Advancing Integrated Mental Health Solutions: https://aims.uw.edu/

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