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Collaborative mental health care

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354 papers 100 to 500 followers Health service delivery models and postgraduate education in integrated, collaborative and/or colocated liaison care between psychiatry and primary care
https://www.readbyqxmd.com/read/28413366/organizational-context-and-capabilities-for-integrating-care-a-framework-for-improvement
#1
Jenna M Evans, Agnes Grudniewicz, G Ross Baker, Walter P Wodchis
BACKGROUND: Interventions aimed at integrating care have become widespread in healthcare; however, there is significant variability in their success. Differences in organizational contexts and associated capabilities may be responsible for some of this variability. PURPOSE: This study develops and validates a conceptual framework of organizational capabilities for integrating care, identifies which of these capabilities may be most important, and explores the mechanisms by which they influence integrated care efforts...
August 31, 2016: International Journal of Integrated Care
https://www.readbyqxmd.com/read/28407746/understanding-experiences-of-and-preferences-for-service-user-and-carer-involvement-in-physical-health-care-discussions-within-mental-health-care-planning
#2
Nicola Small, Helen Brooks, Andrew Grundy, Rebecca Pedley, Chris Gibbons, Karina Lovell, Penny Bee
BACKGROUND: People with severe mental illness suffer more physical comorbidity than the general population, which can require a tailored approach to physical health care discussions within mental health care planning. Although evidence pertaining to service user and carer involvement in mental health care planning is accumulating, current understanding of how physical health is prioritised within this framework is limited. Understanding stakeholder experiences of physical health discussions within mental health care planning, and the key domains that underpin this phenomena is essential to improve quality of care...
April 13, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28416026/evaluation-of-a-pilot-service-to-facilitate-discharge-of-patients-with-stable-long-term-mental-health-needs-from-secondary-to-primary-care-the-role-of-primary-care-mental-health-specialists
#3
Kate Hamilton-West, Sarah Hotham, Wei Yang, Julie Hedayioglu, Charlotte Brigden
Aim We aimed to evaluate a pilot service to facilitate discharge of patients with stable long-term mental health needs from secondary to primary care. BACKGROUND: Patients with stable long-term mental health conditions are often not discharged from secondary mental health services when no longer needed due to insufficient systems and processes to enable safe, effective, recovery-focussed treatment and support. The Primary Care Mental Health Specialist (PCMHS) Service was developed to address this gap; new PCMHS posts were introduced to act as a conduit for patients being discharged from secondary care and a single point of referral back into secondary care, should it be required...
April 18, 2017: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/28292520/response-to-impact-of-a-national-collaborative-care-initiative-for-patients-with-depression-and-diabetes-or-cardiovascular-disease
#4
LETTER
Kathleen S Tatem, Remle Newton-Dame, Jessica Black, Jesse Singer
No abstract text is available yet for this article.
February 20, 2017: General Hospital Psychiatry
https://www.readbyqxmd.com/read/28292224/universal-depression-screening-to-improve-depression-outcomes-in-primary-care-sounds-good-but-where-is-the-evidence
#5
Ramin Mojtabai
The 2016 recommendation statement by the U.S. Preventive Services Task Force (USPSTF) endorsed screening for depression in the general adult population. The recommendation was mainly based on studies that compared enhanced depression care that included depression screening with usual care. In contrast to the USPSTF recommendation, the 2013 guidelines from the Canadian Task Force on Preventive Health Care (CTFPHC) recommended against routine depression screening. The CTFPHC could not identify any studies comparing depression outcomes of usual care with and without the addition of routine depression screening...
March 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28314857/participatory-approaches-to-evaluating-integrated-care-the-vital-role-for-client-inclusion-and-participation
#6
LETTER
Nadiya Sunderji, Allyson Ion, Elizabeth Lin, Abbas Ghavam-Rassoul, Gwen Jansz
No abstract text is available yet for this article.
March 17, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/28276840/staff-perceptions-implementing-interprofessional-team-based-behavioural-healthcare
#7
Bo Kim, Christopher J Miller, A Rani Elwy, Sally K Holmes, Craig M Coldwell, Mark S Bauer
The US Veterans Health Administration (VHA) in 2013 mandated a nationwide implementation of interprofessional team-based care in the general mental health setting and officially endorsed the collaborative care model in 2015 to guide the coordinated and anticipatory care to be delivered by these teams. Front-line clinic staff are major stakeholders whose practices are most directly affected by this implementation and may or may not view teams as useful or feasible for their practice. Our objective was to examine their perspectives on delivering team-to-patient care in order to understand what system-level efforts can best support the transition to such care from the more conventional provider-to-patient care...
May 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/28276949/mental-health-measurement-among-women-veterans-receiving-co-located-collaborative-care-services
#8
Kaitlin R Lilienthal, Laura J Buchholz, Paul R King, Christina L Vair, Jennifer S Funderburk, Gregory P Beehler
Routine use of measurement to identify patient concerns and track treatment progress is critical to high quality patient care. This is particularly relevant to the Primary Care Behavioral Health model, where rapid symptom assessment and effective referral management are critical to sustaining population-based care. However, research suggests that women who receive treatment in co-located collaborative care settings utilizing the PCBH model are less likely to be assessed with standard measures than men in these settings...
February 22, 2017: Psychology, Health & Medicine
https://www.readbyqxmd.com/read/28301335/interdisciplinary-collaboration-in-maternal-mental-health
#9
Nancy Selix, Erin Henshaw, Alinne Barrera, Luba Botcheva, Erin Huie, Gabrielle Kaufman
One out of every five to seven births is affected by postpartum depression, making it the most common maternal health problem in the first year after childbirth. Early identification and treatment are essential, though screening and treatment rates are low. Factors that inhibit effective screening and treatment include lack of uniform screening policies in all maternal health settings, poor coordination of care between primary care and mental health services, coordination of community education efforts and resources, social stigma surrounding mental health treatment, and ineffective application of research and technology in the clinical setting...
March 15, 2017: MCN. the American Journal of Maternal Child Nursing
https://www.readbyqxmd.com/read/28317469/policy-power-stigma-and-silence-exploring-the-complexities-of-a-primary-mental-health-care-model-in-a-rural-south-african-setting
#10
Rochelle Ann Burgess
The Movement for Global Mental Health's (MGMH) efforts to scale up the availability of mental health services have been moderately successful. Investigations in resource-poor countries like South Africa have pointed to the value of an integrated primary mental health care model and multidisciplinary collaboration to support mental health needs in underserved and underresourced communities. However, there remains a need to explore how these policies play out within the daily realities of communities marked by varied environmental and relational complexities...
December 2016: Transcultural Psychiatry
https://www.readbyqxmd.com/read/28333516/collaborative-mental-health-care-for-pediatric-behavior-disorders-in-primary-care-does-it-reduce-mental-health-care-costs
#11
Hao Yu, David J Kolko, Eunice Torres
OVERVIEW: One recently completed randomized controlled trial (RCT) demonstrated the effectiveness of a doctor-office collaborative care (DOCC), relative to enhanced usual care (EUC), for pediatric behavior problems and attention-deficit/hyperactivity disorder. In this study, we sought to extend the literature by incorporating a cost-analysis component at the conclusion of the aforementioned trial. To our knowledge, it was the first study to examine whether the DOCC model leads to lower costs of mental health services for children...
March 2017: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/28233531/developing-a-collaborative-care-training-program-in-a-psychiatry-residency
#12
REVIEW
Hsiang Huang, Marshall Forstein, Robert Joseph
BACKGROUND: Collaborative care is an evidence-based approach for improving quality mental health access in primary care settings. Although job opportunities will grow over the next decade, few psychiatry residencies have established curricula to train the next generation of psychiatrists to work in this expanding model of care. OBJECTIVE: In this article, the authors describe the collaborative care training experience at a safety-net academic institution to provide a template for psychiatry residencies designing curricula to prepare psychiatry residents for collaborative care practices...
December 20, 2016: Psychosomatics
https://www.readbyqxmd.com/read/28245694/learning-to-integrate-cardiometabolic-care-in-serious-mental-illness
#13
Lydia Chwastiak, John Fortney
No abstract text is available yet for this article.
March 1, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28241357/effect-of-collaborative-care-vs-usual-care-on-depressive-symptoms-in-older-adults-with-subthreshold-depression-the-casper-randomized-clinical-trial
#14
RANDOMIZED CONTROLLED TRIAL
Simon Gilbody, Helen Lewis, Joy Adamson, Katie Atherton, Della Bailey, Jacqueline Birtwistle, Katharine Bosanquet, Emily Clare, Jaime Delgadillo, David Ekers, Deborah Foster, Rhian Gabe, Samantha Gascoyne, Lesley Haley, Jahnese Hamilton, Rebecca Hargate, Catherine Hewitt, John Holmes, Ada Keding, Amanda Lilley-Kelly, Shaista Meer, Natasha Mitchell, Karen Overend, Madeline Pasterfield, Jodi Pervin, David A Richards, Karen Spilsbury, Gemma Traviss-Turner, Dominic Trépel, Rebecca Woodhouse, Friederike Ziegler, Dean McMillan
Importance: There is little evidence to guide management of depressive symptoms in older people. Objective: To evaluate whether a collaborative care intervention can reduce depressive symptoms and prevent more severe depression in older people. Design, Setting, and Participants: Randomized clinical trial conducted from May 24, 2011, to November 14, 2014, in 32 primary care centers in the United Kingdom among 705 participants aged 65 years or older with Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) subthreshold depression; participants were followed up for 12 months...
February 21, 2017: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/28243873/closing-the-false-divide-sustainable-approaches-to-integrating-mental-health-services-into-primary-care
#15
Kurt Kroenke, Jurgen Unutzer
Mental disorders account for 25% of all health-related disability worldwide. More patients receive treatment for mental disorders in the primary care sector than in the mental health specialty setting. However, brief visits, inadequate reimbursement, deficits in primary care provider (PCP) training, and competing demands often limit the capacity of the PCP to produce optimal outcomes in patients with common mental disorders. More than 80 randomized trials have shown the benefits of collaborative care (CC) models for improving outcomes of patients with depression and anxiety...
April 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28130953/primary-care-collaborative-memory-clinics-building-capacity-for-optimized-dementia-care
#16
Linda Lee, Loretta M Hillier, Frank Molnar, Michael J Borrie
Increasingly, primary care collaborative memory clinics (PCCMCs) are being established to build capacity for person-centred dementia care. This paper reflects on the significance of PCCMCs within the system of care for older adults, supported with data from ongoing evaluation studies. Results highlight timelier access to assessment with a high proportion of patients being managed in primary care within a person-centred approach to care. Enhancing primary care capacity for dementia care with interprofessional and collaborative care will strengthen the system's ability to respond to increasing demands for service and mitigate the growth of wait times to access geriatric specialist assessment...
2017: Healthcare Quarterly
https://www.readbyqxmd.com/read/28116565/pulling-together-and-pulling-apart-influences-of-convergence-and-divergence-on-distributed-healthcare-teams
#17
L Lingard, C Sue-Chue-Lam, G R Tait, J Bates, J Shadd, V Schulz
Effective healthcare requires both competent individuals and competent teams. With this recognition, health professions education is grappling with how to factor team competence into training and assessment strategies. These efforts are impeded, however, by the absence of a sophisticated understanding of the the relationship between competent individuals and competent teams . Using data from a constructivist grounded theory study of team-based healthcare for patients with advanced heart failure, this paper explores the relationship between individual team members' perceived goals, understandings, values and routines and the collective competence of the team...
January 23, 2017: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/28115833/collaborative-care-in-real-world-settings-barriers-and-opportunities-for-sustainability
#18
Katherine Sanchez
Patient-centered care and self-management of chronic disease are optimally characterized by distinct adjunct services such as education, and support for the behavioral and psychosocial elements of managing disease. The collaborative care model for the treatment of depression and anxiety in primary care includes the integration of a behavioral health specialist, in collaboration with the primary care provider, and psychiatric consultation to effectively screen and treat common mental health problems. Dissemination and sustainability of the model have encountered numerous barriers across systems of care...
2017: Patient Preference and Adherence
https://www.readbyqxmd.com/read/28141930/value-based-payment-in-implementing-evidence-based-care-the-mental-health-integration-program-in-washington-state
#19
Yuhua Bao, Thomas G McGuire, Ya-Fen Chan, Ashley A Eggman, Andrew M Ryan, Martha L Bruce, Harold Alan Pincus, Erin Hafer, Jürgen Unützer
OBJECTIVES: To assess the role of value-based payment (VBP) in improving fidelity and patient outcomes in community implementation of an evidence-based mental health intervention, the Collaborative Care Model (CCM). STUDY DESIGN: Retrospective study based on a natural experiment. METHODS: We used the clinical tracking data of 1806 adult patients enrolled in a large implementation of the CCM in community health clinics in Washington state. VBP was initiated in year 2 of the program, creating a natural experiment...
January 2017: American Journal of Managed Care
https://www.readbyqxmd.com/read/28185977/the-central-role-of-relationships-to-trauma-informed-integrated-care-for-children-and-youth
#20
Jonathan D Brown, Melissa A King, Lawrence S Wissow
OBJECTIVE: Primary care plays an essential role in the primary and secondary prevention of children's mental health problems. A growing series of trials have demonstrated the capacity of primary care providers to deliver care that specifically addresses risks to healthy social and emotional development by incorporating mental health services into their routines and integrating their work with the mental health care system. This paper describes elements common to various integration schemes that seem essential to their success...
February 6, 2017: Academic Pediatrics
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