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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 care remains unchanged
Notes:
- Medicare reimburses for Collaborative care model services
Specific
Care Management Plus
General
case management; chronic care management
References
- Geriatric Review Syllabus, 10th edition (GRS10)
Harper GM, Lyons WL, Potter JF (eds)
American Geriatrics Society, 2019
- 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