The evidence is overwhelming that a collaborative care approach to common mental illnesses is superior to usual care. Why isn’t this model widely available? The authors of this column argue that the problem is not a lack of evidence or documentation of a better...
Audience:
Treating Provider
Integrated Care: Creating Effective Mental and Primary Health Care Teams
Primary Health Care Teams provides the first comprehensive guide for teams to integrate effective mental health care into primary care clinics. Edited by a team of UW Medicine mental health experts, it includes practical information, skills, and clinical approaches...
Psychiatric Case Review and Treatment Intensification in Collaborative Care Management for Depression in Primary Care
Published in Psychiatric Services. This study examined whether psychiatric case review was associated with depression medication modification in a large implementation program of collaborative care for depression in safety-net primary care clinics.
A Randomized Trial of Collaborative Depression Care in Obstetrics and Gynecology Clinics: Socioeconomic Disadvantage and Treatment Response
Published in The American Journal of Psychiatry. Collaborative depression care adapted to obstetrics-gynecology settings had a greater impact on depression outcomes for socially disadvantaged women with no insurance or with public coverage compared with women with...
Long-term Cost Effects of Collaborative Care for Late-life Depression
Published in The American Journal of Managed Care. Compared with usual primary care, the IMPACT program is associated with a high probability of lower total healthcare costs during a 4-year period.
Collaborative Care Management of Late-Life Depression in the Primary Care Setting: A Randomized Controlled Trial
Published in the Journal of the American Medical Association. The IMPACT study is a multisite randomized controlled trial of a collaborative intervention program for late-life depression in primary care. Study protocols were developed in collaboration with all...
The Pathways Study: A Randomized Trial of Collaborative Care in Patients With Diabetes and Depression
Published in Arch Gen Psychiatry. The Pathways collaborative care model improved depression care and outcomes in patients with comorbid major depression and/or dysthymia and diabetes mellitus
Collaborative Care for Depression: A Cumulative Meta-analysis and Review of Longer-term Outcomes
Published in the Archives of Internal Medicine. Collaborative care is more effective than standard care in improving depression outcomes in the short and longer terms. Future research needs to address the implementation of collaborative care, particularly in settings...
Implementing collaborative primary care for depression and posttraumatic stress disorder: Design and sample for a randomized trial in the U.S. military health system
War-related trauma, posttraumatic stress disorder (PTSD), depression and suicide are common in US military members. Often, those affected do not seek treatment due to stigma and barriers to care. When care is sought, it often fails to meet quality standards. A...
A Randomized Control Trial Relapse Prevention of Depression in Primary Care
Published in Arch Gen Psychiatry. A relapse prevention program targeted to primary care patients with a high risk of relapse/recurrence who had largely recovered after antidepressant treatment significantly improved antidepressant adherence and depressive symptom...