Contents

Search

Collaborative care model

Indications: - improve treatment of depression in primary care setting Procedure: - multidisciplinary program - depression case manager - often a nurse case manager or psychologist - provides psychosocial interventions - monitors adherence to treatment - coordinates care with primary care physician & psychiatrist Clinical significance: - associated with better compliance with medication & psychotherapy - increases patient satisfaction - greater improvement in depression symptoms than usual care - costs - cost of mental health services increases - cost of medications increases - total cost of outpatient care remains unchanged Notes: - Medicare reimburses for Collaborative care model services

Specific

Care Management Plus

General

case management; chronic care management

References

  1. Geriatric Review Syllabus, 10th edition (GRS10) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2019
  2. Archer J, Bower P, Gilbody S Collaborative care for depression and anxiety problems. Cochrane Database Syst Rev. 2012 Oct 17;10:CD006525. Review. PMID: 23076925
  3. Chung H, Patel U, Stein D, Collado K, Blackmore M. Medicaid Costs and Utilization of Collaborative Versus Colocation Care for Patients With Depression. Psychiatr Serv. 2023 Nov 1;74(11):1132-1136. PMID: 37221885
  4. Reist C, Petiwala I, Latimer et al Collaborative mental health care: A narrative review. Medicine (Baltimore). 2022 Dec 30;101(52):e32554. PMID: 36595989 PMCID: PMC9803502 Free PMC article. Review. https://pmc.ncbi.nlm.nih.gov/articles/PMC9803502/
  5. Renn BN, Johnson M, Powers DM, Vredevoogd M, Unutzer J Collaborative care for depression yields similar improvement among older and younger rural adults. J Am Geriatr Soc. 2022 Jan;70(1):110-118. PMID: 34536286 https://agsjournals.onlinelibrary.wiley.com/doi/epdf/10.1111/jgs.17457