Current Psychiatry Reports

, Volume 14, Issue 6, pp 687–695

Integrating Bipolar Disorder Management in Primary Care

  • Amy M. Kilbourne
  • David E. Goodrich
  • Allison N. O’Donnell
  • Christopher J. Miller
Bipolar Disorders (MA Frye, Section Editor)
  • 550 Downloads

Abstract

There is growing realization that persons with bipolar disorder may exclusively be seen in primary (general medical) care settings, notably because of limited access to mental health care and stigma in seeking mental health treatment. At least two clinical practice guidelines for bipolar disorder recommend collaborative chronic care models (CCMs) to help integrate mental health care to better manage this illness. CCMs, which include provider guideline support, self-management support, care management, and measurement-based care, are well-established in primary care settings, and may help primary care practitioners manage bipolar disorder. However, further research is required to adapt CCMs to support complexities in diagnosing persons with bipolar disorder, and integrate decision-making processes regarding medication safety and tolerability in primary care. Additional implementation studies are also needed to adapt CCMs for persons with bipolar disorder in primary care, especially those seen in smaller practices with limited infrastructure and access to mental health care.

Keywords

Bipolar disorder Mood disorder Co-occurring conditions Primary care Integrated care Collaborative care Chronic Care Model CCM Screening Diagnosis Treatment Access Mental health services Psychiatry 

Copyright information

© Springer Science+Business Media, LLC (outside the USA) 2012

Authors and Affiliations

  • Amy M. Kilbourne
    • 1
    • 2
  • David E. Goodrich
    • 1
    • 2
  • Allison N. O’Donnell
    • 1
  • Christopher J. Miller
    • 3
  1. 1.VA Ann Arbor Center for Clinical Management ResearchAnn ArborUSA
  2. 2.Department of PsychiatryUniversity of Michigan Medical SchoolAnn ArborUSA
  3. 3.Center for Organization, Leadership, & Management ResearchVA Boston Healthcare SystemBostonUSA

Personalised recommendations