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Collaborative mental health care

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507 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/30122137/pregnant-and-postpartum-women-with-bipolar-disorder-taking-the-care-to-where-they-are
#1
Amritha Bhat, Joseph M Cerimele, Nancy Byatt
Up to 20% of women who screen positive for depression in the perinatal period in primary care and obstetric settings may have bipolar disorder, but little is known about best practices for this population. This column describes clinical programs that support identification and management of depression and bipolar disorder among women in non-mental health settings. The programs use diverse management strategies, including referral to specialty mental health, collaborative care, and consultation and care coordination...
August 20, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/30152273/comparison-of-collaborative-care-and-colocation-treatment-for-patients-with-clinically-significant-depression-symptoms-in-primary-care
#2
Michelle A Blackmore, Kelly E Carleton, Sarah M Ricketts, Urvashi B Patel, Dana Stein, Alissa Mallow, Joseph P Deluca, Henry Chung
OBJECTIVE: The study compared clinical outcomes of depression treatment in primary care with a colocation model versus a collaborative care model (CoCM). METHODS: Patients (N=240) with Patient Health Questionnaire-9 (PHQ-9) scores of ≥10 treated for clinically significant depression symptoms in primary care sites implementing the CoCM or a colocation model were compared. PHQ-9 scores were collected at baseline and 12 weeks. RESULTS: From baseline to follow-up, reductions in PHQ-9 scores were 33% for the CoCM sites and 14% for the colocation sites, with an unadjusted mean difference in scores of 2...
August 28, 2018: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/30134941/protocol-for-the-rose-sustainment-roses-study-a-sequential-multiple-assignment-randomized-trial-to-determine-the-minimum-necessary-intervention-to-maintain-a-postpartum-depression-prevention-program-in-prenatal-clinics-serving-low-income-women
#3
Jennifer E Johnson, Shannon Wiltsey-Stirman, Alla Sikorskii, Ted Miller, Amanda King, Jennifer L Blume, Xuan Pham, Tiffany A Moore Simas, Ellen Poleshuck, Rebecca Weinberg, Caron Zlotnick
BACKGROUND: More research on sustainment of interventions is needed, especially return on investment (ROI) studies to determine cost-benefit trade-offs for effort required to sustain and how much is gained when effective programs are sustained. The ROSE sustainment (ROSES) study uses a sequential multiple assignment randomized (SMART) design to evaluate the effectiveness and cost-effectiveness of a stepwise approach to sustainment of the ROSE postpartum depression prevention program in 90 outpatient clinics providing prenatal care to pregnant women on public assistance...
August 22, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/30150240/what-we-need-to-learn-about-multimorbidity
#4
EDITORIAL
Ken Flegel
No abstract text is available yet for this article.
August 27, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/30150242/effectiveness-of-interventions-for-managing-multiple-high-burden-chronic-diseases-in-older-adults-a-systematic-review-and-meta-analysis
#5
Monika Kastner, Roberta Cardoso, Yonda Lai, Victoria Treister, Jemila S Hamid, Leigh Hayden, Geoff Wong, Noah M Ivers, Barbara Liu, Sharon Marr, Jayna Holroyd-Leduc, Sharon E Straus
INTRODUCTION: More than half of older adults (age ≥ 65 yr) have 2 or more high-burden multimorbidity conditions (i.e., highly prevalent chronic diseases, which are associated with increased health care utilization; these include diabetes [DM], dementia, depression, chronic obstructive pulmonary disease [COPD], cardiovascular disease [CVD], arthritis, and heart failure [HF]), yet most existing interventions for managing chronic disease focus on a single disease or do not respond to the specialized needs of older adults...
August 27, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/30139563/not-missing-the-opportunity-improving-depression-screening-and-follow-up-in-a-multicultural-community
#6
Ann M Schaeffer, Diana Jolles
BACKGROUND: Screening for depression and documenting follow-up is a National Quality Forum-endorsed measure. Yet only seven states report depression screening and follow-up, making it the fourth-least-reported measure on the Medicaid Adult Core Set. In 2016 a multicultural health center found that only 9.1% of clients were screened and followed up for depression. This quality improvement project was conducted to increase the efficacy of Screening, Brief Intervention, and Referral to Treatment (SBIRT) for depression to 75% for screen-positive clients...
August 20, 2018: Joint Commission Journal on Quality and Patient Safety
https://www.readbyqxmd.com/read/30104189/aligning-innovations-in-health-funding-with-innovations-in-care
#7
Noah M Ivers, Irfan Dhalla, Adalsteinn Brown
No abstract text is available yet for this article.
August 13, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/30097002/collaborative-care-or-the-pinball-syndrome
#8
Alain Braillon
No abstract text is available yet for this article.
August 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/30083495/financing-for-collaborative-care-a-narrative-review
#9
Andrew D Carlo, Jürgen Unützer, Anna D H Ratzliff, Joseph M Cerimele
Purpose of Review: Collaborative care (CoCM) is an evidence-based model for the treatment of common mental health conditions in the primary care setting. Its workflow encourages systematic communication among clinicians outside of face-to-face patient encounters, which has posed financial challenges in traditional fee-for-service reimbursement environments. Recent Findings: Organizations have employed various financing strategies to promote CoCM sustainability, including external grants, alternate payment model contracts with specific payers and the use of billing codes for individual components of CoCM...
September 2018: Current Treatment Options in Psychiatry
https://www.readbyqxmd.com/read/30097288/exploring-the-telepsychiatry-experience-primary-care-provider-perception-of-the-michigan-child-collaborative-care-mc3-program
#10
Nasuh Malas, Edwin Klein, Elizabeth Tengelitsch, Anne Kramer, Sheila Marcus, Joanna Quigley
Pediatric mental healthcare is a growing component of primary care practice. However, there is a lack of access to mental health services, particularly Child and Adolescent Psychiatrists. The Michigan Child Collaborative Care (MC3) Program is a telepsychiatry service that offers embedded behavioral health consultants within primary care practices, telephonic consultation, video consultation and embedded care. Primary care provider (PCP) utilization of telepsychiatry services is predicated on perceiving the consultation service as user-friendly, helpful, and feasible in their practice...
June 21, 2018: Psychosomatics
https://www.readbyqxmd.com/read/30109586/interventions-to-increase-depression-treatment-initiation-in-primary-care-patients-a-systematic-review
#11
Nathalie Moise, Louise Falzon, Megan Obi, Siqin Ye, Sapana Patel, Christopher Gonzalez, Kelsey Bryant, Ian M Kronish
INTRODUCTION: Nearly 50% of depressed primary care patients referred to mental health services do not initiate mental health treatment. The most promising interventions for increasing depression treatment initiation in primary care settings remain unclear. METHODS: We performed a systematic search of publicly available databases from inception through August 2017 to identify interventions designed to increase depression treatment initiation. Two authors independently selected, extracted data, and rated risk of bias from included studies...
August 14, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30097003/advancing-integrated-care-through-psychiatric-workforce-development-a-systematic-review-of-educational-interventions-to-train-psychiatrists-in-integrated-care
#12
Nadiya Sunderji, Allyson Ion, Dan Huynh, Paul Benassi, Abbas Ghavam-Rassoul, Adriana Carvalhal
OBJECTIVE: Integrated or collaborative care is a well-evidenced and widely practiced approach to improve access to high-quality mental health care in primary care and other settings. Psychiatrists require preparation for this emerging type of practice, and such training is now mandatory for Canadian psychiatry residents. However, it is not known how best to mount such training, and in the absence of such knowledge, the quality of training across Canada has suffered. To guide integrated care education nationally, we conducted a systematic review of published and unpublished training programs...
August 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29696576/measuring-variation-across-dimensions-of-integrated-care-the-maryland-medicaid-health-home-model
#13
Alene Kennedy-Hendricks, Gail L Daumit, Seema Choksy, Sarah Linden, Emma E McGinty
Despite the proliferation of initiatives to integrate services for people with serious mental illness (SMI), measures of distinct dimensions of integration, such as spatial arrangement and care team expertise, are lacking. Such measures are needed to support organizations' assessment of progress toward integrated service delivery. We developed measures characterizing integration of behavioral, somatic, and social services to operationalize the integrated care dimensions conceived by the Agency for Healthcare Research and Quality...
April 25, 2018: Administration and Policy in Mental Health
https://www.readbyqxmd.com/read/29698902/patient-outcomes-associated-with-primary-care-behavioral-health-services-a-systematic-review
#14
REVIEW
Kyle Possemato, Emily M Johnson, Gregory P Beehler, Robyn L Shepardson, Paul King, Christina L Vair, Jennifer S Funderburk, Stephen A Maisto, Laura O Wray
OBJECTIVE: This systematic review focused on Primary Care Behavioral Health (PCBH) services delivered under normal clinic conditions that included the patient outcomes of: 1) access/utilization of behavioral health services, 2) health status, and 3) satisfaction. METHOD: Following PRISMA guidelines, comprehensive database searches and rigorous coding procedures rendered 36 articles meeting inclusion criteria. The principle summary measures of odd ratios or Cohen's d effect sizes were reported...
July 2018: General Hospital Psychiatry
https://www.readbyqxmd.com/read/29866141/-i-had-to-somehow-still-be-flexible-exploring-adaptations-during-implementation-of-brief-cognitive-behavioral-therapy-in-primary-care
#15
Joseph Mignogna, Lindsey Ann Martin, Juliette Harik, Natalie E Hundt, Michael Kauth, Aanand D Naik, Kristen Sorocco, Justin Benzer, Jeffrey Cully
BACKGROUND: Primary care clinics present challenges to implementing evidence-based psychotherapies (EBPs) for depression and anxiety, and frontline providers infrequently adopt these treatments. The current study explored providers' perspectives on fidelity to a manualized brief cognitive behavioral therapy (CBT) as delivered in primary care clinics as part of a pragmatic randomized trial. Data from the primary study demonstrated the clinical effectiveness of the treatment and indicated that providers delivered brief CBT with high fidelity, as evaluated by experts using a standardized rating form...
June 5, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29914524/sustaining-alcohol-and-opioid-use-disorder-treatment-in-primary-care-a-mixed-methods-study
#16
Sarah B Hunter, Allison J Ober, Colleen M McCullough, Erik D Storholm, Praise O Iyiewuare, Chau Pham, Katherine E Watkins
BACKGROUND: Efforts to integrate substance use disorder treatment into primary care settings are growing. Little is known about how well primary care settings can sustain treatment delivery to address substance use following the end of implementation support. METHODS: Data from two clinics operated by one multi-site federally qualified health center (FQHC) in the US, including administrative data, staff surveys, interviews, and focus groups, were used to gather information about changes in organizational capacity related to alcohol and opioid use disorder (AOUD) treatment delivery during and after a multi-year implementation intervention was executed...
June 18, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29632037/consolidated-principles-for-screening-based-on-a-systematic-review-and-consensus-process
#17
Mark J Dobrow, Victoria Hagens, Roger Chafe, Terrence Sullivan, Linda Rabeneck
BACKGROUND: In 1968, Wilson and Jungner published 10 principles of screening that often represent the de facto starting point for screening decisions today; 50 years on, are these principles still the right ones? Our objectives were to review published work that presents principles for population-based screening decisions since Wilson and Jungner's seminal publication, and to conduct a Delphi consensus process to assess the review results. METHODS: We conducted a systematic review and modified Delphi consensus process...
April 9, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/29632043/depression-guideline-written-by-patients-for-patients-a-first-for-canada
#18
Lauren Vogel
No abstract text is available yet for this article.
April 9, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/29712679/recognition-of-family-physicians-as-experts-rather-than-gatekeepers-requires-cultural-shift
#19
Carolyn Brown
No abstract text is available yet for this article.
April 30, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/29789285/-all-my-relations-experiences-and-perceptions-of-indigenous-patients-connecting-with-indigenous-elders-in-an-inner-city-primary-care-partnership-for-mental-health-and-well-being
#20
George Hadjipavlou, Colleen Varcoe, David Tu, Jennifer Dehoney, Roberta Price, Annette J Browne
BACKGROUND: Mental health services in urban settings generally have not been adapted to serve the needs of Indigenous patients. We explored how patients' encounters with Indigenous Elders affected their overall mental health and well-being to identify therapeutic mechanisms underlying improvement. METHODS: We conducted qualitative interviews of participants enrolled in a 6-month prospective mixed-methods evaluation of a program for mental health and well-being that featured the inclusion of Elders in the direct care of Indigenous patients in an inner city primary care clinic...
May 22, 2018: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
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