Mental Health Collaborative Care and its Role in Primary Care Settings
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Collaborative care models (CCMs) provide a pragmatic strategy to deliver integrated mental health and medical care for persons with mental health conditions served in primary care settings. CCMs are team-based intervention to enact system-level redesign by improving patient care through organizational leadership support, provider decision support, and clinical information systems, as well as engaging patients in their care through self-management support and linkages to community resources. The model is also a cost-efficient strategy for primary care practices to improve outcomes for a range of mental health conditions across populations and settings. CCMs can help achieve integrated care aims underhealth care reform yet organizational and financial issues may affect adoption into routine primary care. Notably, successful implementation of CCMs in routine care will require alignment of financial incentives to support systems redesign investments, reimbursements for mental health providers, and adaptation across different practice settings and infrastructure to offer all CCM components.
KeywordsMental health Co-occurring conditions Primary care PCP Integrated care Collaborative care Chronic care model CCM Accountable care organization ACO Patient-centered medical home Screening Diagnosis Treatment Access Mental health services Psychiatry Bipolar disorder Mood disorder Substance abuse disorder Anxiety disorder Serious mental illness
This work was supported by the Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development [HSRD IIR 10–340], the VA Health Services Research and Development Center for Organization, Leadership, and Management Research (COLMR), the National Institute of Mental Health [RO1 MH 79994 and R34 MH 74509], and the University of Michigan Comprehensive Depression Center (Director’s Innovation Fund). The views expressed in this article are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs.
Compliance with Ethics Guidelines
Conflict of Interest
David E. Goodrich declares that he has no conflict of interest.
Amy M. Kilbourne has received consulting fees from Kaiser Permanente, research funding from Agency for Healthcare Research and Quality and National Institute of Mental Health, and royalties from New Harbinger.
Kristina M. Nord declares that she has no conflict of interest.
Mark S. Bauer has received royalties from Springer Publishing Company and New Harbinger.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest have been highlighted as: • Of importance •• Of major importance
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