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Collaborative mental health care

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305 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/27833396/strengthening-the-coordination-of-pediatric-mental-health-and-medical-care-piloting-a-collaborative-model-for-freestanding-practices
#1
Carolyn A Greene, Julian D Ford, Barbara Ward-Zimmerman, Lisa Honigfeld, Anne E Pidano
BACKGROUND: Collaborative pediatric mental health and primary care is increasingly recognized as optimal for meeting the needs of children with mental health problems. This paper describes the challenges faced by freestanding specialty mental health clinics and pediatric health practices to provide such coordinated mind-and-body treatment. It describes critical elements of a proactive approach to achieving collaborative pediatric care under real-world circumstances using the patient-centered medical home neighborhood (PCMH-N) model...
October 2016: Child & Youth Care Forum
https://www.readbyqxmd.com/read/27842779/collaborative-care-for-women-with-depression-a-systematic-review
#2
REVIEW
Hsiang Huang, M Karen Tabb, M Joseph Cerimele, Nahida Ahmed, Amritha Bhat, Rachel Kester
BACKGROUND: The collaborative care model has been found to be effective for depression management in various primary care populations; however, no review has synthesized trials tailored to treat women. OBJECTIVE: The purpose of this systematic review is to evaluate the current evidence for collaborative depression care for women. METHODOLOGY: We searched for English language articles via MEDLINE, CINAHL, PsycINFO, EMBASE, Cochrane Library, and reference lists of key articles...
September 6, 2016: Psychosomatics
https://www.readbyqxmd.com/read/27871183/hiv-patient-and-provider-feedback-on-a-telehealth-collaborative-care-for-depression-intervention
#3
Karen L Drummond, Jacob T Painter, Geoffrey M Curran, Regina Stanley, Allen L Gifford, Maria Rodriguez-Barradas, David Rimland, Thomas P Monson, Jeffrey M Pyne
In the HIV Translating Initiatives for Depression into Effective Solutions project, we conducted a randomized controlled effectiveness and implementation trial comparing depression collaborative care with enhanced usual care in Veterans Health Administration HIV clinics in the US. An offsite HIV depression care team including a psychiatrist, a depression care manager (DCM), and a clinical pharmacist provided collaborative care using a stepped-care model of treatment and made recommendations to providers through the electronic health record system...
November 22, 2016: AIDS Care
https://www.readbyqxmd.com/read/27789628/implementation-of-care-management-an-analysis-of-recent-ahrq-research
#4
Andrada Tomoaia-Cotisel, Timothy W Farrell, Leif I Solberg, Carolyn A Berry, Neil S Calman, Peter F Cronholm, Katrina E Donahue, David L Driscoll, Diane Hauser, Jeanne W McAllister, Sanjeev N Mehta, Robert J Reid, Ming Tai-Seale, Christopher G Wise, Michael D Fetters, Jodi Summers Holtrop, Hector P Rodriguez, Cherie P Brunker, Erin L McGinley, Rachel L Day, Debra L Scammon, Michael I Harrison, Janice L Genevro, Robert A Gabbay, Michael K Magill
Care management (CM) is a promising team-based, patient-centered approach "designed to assist patients and their support systems in managing medical conditions more effectively." As little is known about its implementation, this article describes CM implementation and associated lessons from 12 Agency for Healthcare Research and Quality-sponsored projects. Two rounds of data collection resulted in project-specific narratives that were analyzed using an iterative approach analogous to framework analysis. Informants also participated as coauthors...
October 20, 2016: Medical Care Research and Review: MCRR
https://www.readbyqxmd.com/read/27842470/effectiveness-of-collaborative-care-for-depression-in-public-sector-primary-care-clinics-serving-latinos
#5
Isabel T Lagomasino, Megan Dwight-Johnson, Jennifer M Green, Lingqi Tang, Lily Zhang, Naihua Duan, Jeanne Miranda
OBJECTIVE: Quality improvement interventions for depression care have been shown to be effective for improving quality of care and depression outcomes in settings with primarily insured patients. The aim of this study was to determine the impact of a collaborative care intervention for depression that was tailored for low-income Latino patients seen in public-sector clinics. METHODS: A total of 400 depressed patients from three public-sector primary care clinics were enrolled in a randomized controlled trial of a tailored collaborative care intervention versus enhanced usual care...
November 15, 2016: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/27584064/paradoxical-truths-and-persistent-myths-reframing-the-team-competence-conversation
#6
Lorelei Lingard
Medicine has conventionally had an individualist orientation to competence. Individual competence is conceptualized as a stable possession that, once acquired, holds across contexts. Individual competence is necessary; however, it is insufficient for quality health care. We also need to attend to collective competence in order to grapple with paradoxical truths about teamwork, such as: competent individuals can form incompetent teams. Collective competence is conceptualized as a distributed capacity of a system, an evolving, relational phenomenon that emerges from the resources and constraints of particular contexts...
2016: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/27812973/behavioral-health-and-primary-care-integration-in-ohio-s-psychiatry-residency-training
#7
Eric Reed, Dushka Crane, Dale Svendsen, Lon Herman, Brian Evans, Julie Niedermier, William Resch, Robert Ronis, Joseph Varley, Randy Welton
No abstract text is available yet for this article.
November 3, 2016: Academic Psychiatry
https://www.readbyqxmd.com/read/27805953/seven-dirty-words-hot-button-language-that-undermines-interprofessional-education-and-practice
#8
Peter S Cahn
An increasingly common goal of health professions education is preparing learners to collaborate with the full range of members on a health care team. While curriculum developers have identified many logistical and conceptual barriers to interprofessional education, one overlooked factor threatens to undermine interprofessional education and practice: language. Language reveals the mental metaphors governing thoughts and actions. The words that faculty members and health care providers use send messages that can-consciously or not-undermine explicit lessons about valuing each member of the care team...
November 1, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27807615/the-role-of-religious-advisors-in-mental-health-care-in-the-world-mental-health-surveys
#9
Vivianne Kovess-Masfety, Sara Evans-Lacko, David Williams, Laura Helena Andrade, Corina Benjet, Margreet Ten Have, Klaas Wardenaar, Elie G Karam, Ronny Bruffaerts, Jibril Abdumalik, Josep Maria Haro Abad, Silvia Florescu, Benjamin Wu, Peter De Jonge, Yasmina Altwaijri, Hristo Hinkov, Norito Kawakami, Jose Miguel Caldas-de-Almeida, Evelyn Bromet, Giovanni de Girolamo, José Posada-Villa, Ali Al-Hamzawi, Yueqin Huang, Chiyi Hu, Maria Carmen Viana, John Fayyad, Maria Elena Medina-Mora, Koen Demyttenaere, Jean-Pierre Lepine, Samuel Murphy, Miguel Xavier, Tadashi Takeshima, Oye Gureje
OBJECTIVES: To examine the role of religious advisors in mental health care (MHC) according to disorder severity, socio-demographics, religious involvement and country income groups. METHODS: Face to face household surveys in ten high income (HI), six upper-middle income (UMI) and five low/lower-middle (LLMI) income countries totalling 101,258 adults interviewed with the WMH CIDI plus questions on use of care for mental health problems and religiosity. RESULTS: 1...
November 2, 2016: Social Psychiatry and Psychiatric Epidemiology
https://www.readbyqxmd.com/read/27796859/anxiety-and-cardiovascular-disease-risk-a-review
#10
REVIEW
Phillip J Tully, Nathan J Harrison, Peter Cheung, Suzanne Cosh
Unrecognized anxiety is a difficult clinical presentation in cardiology. Anxiety leads to recurring emergency department visits and the need for numerous diagnostic evaluations to rule out cardiovascular disease (CVD). This review focuses broadly on anxiety and its subtypes in relation to the onset and progression of CVD while describing helpful guidelines to better identify and treat anxiety. Potential mechanisms of cardiopathogenesis are also described. An emerging literature demonstrates that anxiety disorders increase the risk for incident CVD but a causal relationship has not been demonstrated...
December 2016: Current Cardiology Reports
https://www.readbyqxmd.com/read/27620686/the-exnovation-of-chronic-care-management-processes-by-physician-organizations
#11
Hector P Rodriguez, Rachel Mosher Henke, Salma Bibi, Patricia P Ramsay, Stephen M Shortell
UNLABELLED: Policy Points The rate of adoption of chronic care management processes (CMPs) by physician organizations has been fairly slow in spite of demonstrated effectiveness of CMPs in improving outcomes of chronic care. Exnovation (ie, removal of innovations) by physician organizations largely explains the slow population-level increases in practice use of CMPs over time. Expanded health information technology functions may aid practices in retaining CMPs. Low provider reimbursement by Medicaid programs, however, may contribute to disinvestment in CMPs by physician organizations...
September 2016: Milbank Quarterly
https://www.readbyqxmd.com/read/27810893/solving-a-weighty-problem-systematic-review-and-meta-analysis-of-nutrition-interventions-in-severe-mental-illness
#12
REVIEW
Scott B Teasdale, Philip B Ward, Simon Rosenbaum, Katherine Samaras, Brendon Stubbs
BACKGROUND: Nutrition interventions would appear fundamental for weight management and cardiometabolic risk reduction in people experiencing severe mental illness (SMI). Comprehensive evaluation of nutrition interventions is lacking. AIMS: To subject randomised controlled trials of nutrition interventions in people with SMI to systematic review and meta-analysis, and to measure anthropometric and biochemical parameters and nutritional intake. METHOD: An electronic database search identified trials with nutrition intervention components...
November 3, 2016: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/27770225/measurement-of-common-mental-health-conditions-in-vha-co-located-collaborative-care
#13
Gregory P Beehler, Paul R King, Christina L Vair, Julie Gass, Jennifer S Funderburk
The VA has integrated psychologists and other licensed mental health providers, known collectively as co-located collaborative care (CCC) providers, into patients' primary care medical homes to improve mental health services for veterans. However, it is unclear if CCC providers are routinely using mental health measures as part of evidence-based, coordinated care. This study aimed to determine the prevalence and predictors of CCC provider utilization of brief, validated measures. A retrospective review of VA electronic medical records from 8403 veterans diagnosed with depression, posttraumatic stress disorder, or anxiety disorder was conducted...
December 2016: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/27774828/integrating-mental-health-in-primary-healthcare-in-low-income-countries-changing-the-future-for-people-with-mental-disorders
#14
Carina Winkler Sørensen, Ole Bæk, Per Kallestrup, Jessica Carlsson
BACKGROUND: Untreated mental disorders are a huge challenge for healthcare systems worldwide. Treatment possibilities are particularly scarce in low-income countries (LICs). WHO estimates that up to 85% of all people with a mental disorder in LICs do not have access to evidence-based treatment. AIMS: This paper seeks to explore the rationale behind the WHO recommendations for improving mental health services in LICs. At the core of these recommendations is an integration of mental health services into existing primary healthcare...
October 24, 2016: Nordic Journal of Psychiatry
https://www.readbyqxmd.com/read/27780336/improving-physical-health-in-patients-with-chronic-mental-disorders-twelve-month-results-from-a-randomized-controlled-collaborative-care-trial
#15
Amy M Kilbourne, Michelle M Barbaresso, Zongshan Lai, Kristina M Nord, Margretta Bramlet, David E Goodrich, Edward P Post, Daniel Almirall, Mark S Bauer
OBJECTIVE: Persons with chronic mental disorders are disproportionately burdened with physical health conditions. We determined whether Life Goals Collaborative Care compared to usual care improves physical health in patients with mental disorders within 12 months. METHODS: This single-blind randomized controlled effectiveness study of a collaborative care model was conducted at a midwestern Veterans Affairs urban outpatient mental health clinic. Patients (N = 293 out of 474 eligible approached) with an ICD-9-CM diagnosis of schizophrenia, bipolar disorder, or major depressive disorder and at least 1 cardiovascular disease risk factor provided informed consent and were randomized (February 24, 2010, to April 29, 2015) to Life Goals (n = 146) or usual care (n = 147)...
October 25, 2016: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/27753670/integrating-geropsychiatric-nursing-and-interprofessional-collaborative-practice-competencies-into-adult-gerontology-clinical-nurse-specialist-education
#16
Ann M Mayo, Melodee Harris, Bill Buron
Specific changes to the national clinical nurse specialist (CNS) certification are necessitating a move away the psychiatric/mental health (P/MH) CNS population focus. However, a rapidly increasing older adult population with P/MH comorbidities such as depression and anxiety means that the adult-gerontology CNS (AGCNS) will likely be coordinating much of the complex care needs of this vulnerable population. Therefore, strategies are needed to ensure AGCNSs are competent in advanced practice P/MH nursing. In addition, at this critical time in the redesign of healthcare, the Institute of Medicine has made interprofessional practice center stage for healthcare professional education...
November 2016: Clinical Nurse Specialist CNS
https://www.readbyqxmd.com/read/27756297/implementation-of-the-quebec-mental-health-reform-2005-2015
#17
Marie-Josée Fleury, Guy Grenier, Catherine Vallée, Denise Aubé, Lambert Farand, Jean-Marie Bamvita, Geneviève Cyr
BACKGROUND: This study evaluates implementation of the Quebec Mental Health (MH) Reform (2005-2015) which aimed to improve accessibility, quality and continuity of care by developing primary care and optimizing integrated service networks. Implementation of MH primary care teams, clinical strategies for consolidating primary care, integration strategies to improve collaboration between primary care and specialized services, and facilitators and barriers related to these measures were examined...
October 18, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27579632/from-aids-to-opioids-how-to-combat-an-epidemic
#18
Arthur R Williams, Adam Bisaga
The United States is facing a vast epidemic of opioid-related deaths. More than 2.4 million Americans have a severe opioid-use disorder (OUD) involving dependence on pain medications, heroin, or both, and rates of drug-overdose deaths in this country have outpaced mortality from motor vehicle..
September 1, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27626516/rethinking-the-primary-care-workforce-an-expanded-role-for-nurses
#19
Thomas Bodenheimer, Laurie Bauer
The adult population of the United States will soon have a different primary care experience than we’ve been used to. In the primary care practice of the future, the physician’s role will increasingly be played by nurse practitioners (NPs). In addition, the 150 million adults with one or more..
September 15, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27736110/development-and-validation-of-a-measure-of-primary-care-behavioral-health-integration
#20
Rodger S Kessler, Andrea Auxier, Juvena R Hitt, C R Macchi, Daniel Mullin, Constance van Eeghen, Benjamin Littenberg
Introduction: We developed the Practice Integration Profile (PIP) to measure the degree of behavioral health integration in clinical practices with a focus on primary care (PC). Its 30 items, completed by providers, managers, and staff, provide an overall score and 6 domain scores derived from the Lexicon of Collaborative Care. We describe its history and psychometric properties. Method: The PIP was tested in a convenience sample of practices. Linear regression compared scores across integration exemplars, PC with behavioral services, PC without behavioral services, and community mental health centers without PC...
October 13, 2016: Families, Systems & Health: the Journal of Collaborative Family Healthcare
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