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Collaborative mental health care

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421 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/28502240/pediatric-primary-care-providers-use-of-behavioral-health-consultation
#1
Prerna G Arora, Elizabeth H Connors, Kelly Coble, Angela Blizzard, Larry Wissow, David Pruitt
This column describes a qualitative study in which 32 primary care providers (PCPs) reported barriers to and facilitators of using a behavioral health (BH) consultation program. Barriers included program incompatibility with organizational culture, limited exposure to the program, existing access to referral sources, and negative beliefs about BH consultation. Reported facilitators included having personal relationships with BH program staff, exposure to program information, and positive beliefs about BH consultation...
May 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28502244/evaluating-the-implementation-of-integrated-mental-health-care-a-systematic-review-to-guide-the-development-of-quality-measures
#2
Nadiya Sunderji, Allyson Ion, Abbas Ghavam-Rassoul, Amanda Abate
OBJECTIVE: Although the effectiveness of integrated mental health care has been demonstrated, its implementation in real-world settings is highly variable, may not conform to evidence-based practice, and has rarely been evaluated. Quality indicators can guide improvements in integrated care implementation. However, the literature on indicators for this purpose is limited. This article reports findings from a systematic review of existing measures by which to evaluate integrated care models in primary care settings...
September 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28669288/incremental-benefit-cost-of-momcare-collaborative-care-for-perinatal-depression-among-economically-disadvantaged-women
#3
Nancy K Grote, Gregory E Simon, Joan Russo, Mary Jane Lohr, Kathy Carson, Wayne Katon
OBJECTIVE: Effectiveness of collaborative care for perinatal depression has been demonstrated for MOMCare, from early pregnancy up to 15 months postpartum, for Medicaid enrollees in a public health system. MOMCare had a greater impact on reducing depression and improving functioning for women with comorbid posttraumatic stress disorder (PTSD) than for those without PTSD. This study estimated the incremental benefit and cost and the net benefit of MOMCare for women with major depression and PTSD...
November 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28712354/using-a-continuum-based-framework-for-behavioral-health-integration-into-primary-care-in-new-york-state
#4
Elizabeth Chapman, Henry Chung, Harold Alan Pincus
Behavioral health integration with primary care has long been shown to be an essential part of improving health care and, more recently, of achieving the "triple aim" as part of national reform. Many states are promoting integration activities as part of Medicaid reform, using different models and strategies. The purpose of this column is to describe a framework developed to support behavioral health integration into primary care settings in New York State and how it is specifically linked to key policy initiatives...
July 17, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28806893/enhanced-primary-care-treatment-of-behavioral-disorders-with-echo-case-based-learning
#5
Miriam Komaromy, Judy Bartlett, Kathryn Manis, Sanjeev Arora
The Extension for Community Healthcare Outcomes (ECHO) model offers a way for primary care providers to develop expertise in addressing behavioral health issues of primary care patients. It provides an alternative to traditional continuing medical education (CME) for ongoing training and support for health care providers. ECHO uses videoconferencing to connect multiple primary care teams simultaneously with academic specialists and builds capacity via mentorship and case-based learning. ECHO aims to expand access to care by developing capacity to treat common, complex conditions in underserved areas...
September 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/28965484/bronze-award-empowering-primary-care-physicians-to-better-assess-and-manage-pediatric-mental-health-problems
#6
(no author information available yet)
No abstract text is available yet for this article.
October 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29191136/use-of-a-mental-health-center-collaborative-care-team-to-improve-diabetes-care-and-outcomes-for-patients-with-psychosis
#7
Lydia A Chwastiak, Mina Luongo, Joan Russo, Lisa Johnson, Jessica M Lowe, Gail Hoffman, Michael G McDonell, Brent Wisse
OBJECTIVE: This study aimed to evaluate the feasibility, acceptability, and preliminary effectiveness (compared with usual care) of a collaborative care model to treat community mental health center (CMHC) patients with psychosis and poorly controlled diabetes. METHODS: Stakeholder input was used to adapt a primary care-based collaborative care intervention for CMHC settings. Thirty-five adult CMHC clients with type II diabetes and hemoglobin A1c (HbA1c) >8% or blood pressure >140/90 were randomized to receive either collaborative care or usual care...
December 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29191149/when-will-telepsychiatry-reach-its-tipping-point
#8
Michael A Flaum
No abstract text is available yet for this article.
December 1, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29241436/integrated-primary-care-in-assertive-community-treatment
#9
Benjamin F Henwood, Elizabeth Siantz, Debra R Hrouda, Debbie Innes-Gomberg, Todd P Gilmer
Assertive community treatment (ACT) has the potential to serve as a medical home for adults with serious mental illness, a population that experiences some of the most significant health disparities in the United States. Using site visit methodology, the authors describe partnerships that were created between five ACT programs and federally qualified health centers (FQHCs) to provide integrated behavioral health and primary care. The authors examined rates of screening for common chronic conditions. The programs used three distinct approaches: two programs colocated ACT teams at an FQHC, two programs employed primary care providers who split their time between the FQHC and the ACT program, and one program embedded a primary care provider within the ACT team...
December 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
https://www.readbyqxmd.com/read/29314172/shifting-mindsets-a-realist-synthesis-of-evidence-from-self-management-support-training
#10
REVIEW
Freya Davies, Fiona Wood, Alison Bullock, Carolyn Wallace, Adrian Edwards
CONTEXT: Accompanying the growing expectation of patient self-management is the need to ensure health care professionals (HCPs) have the required attitudes and skills to provide effective self-management support (SMS). Results from existing training interventions for HCPs in SMS have been mixed and the evidence base is weaker for certain settings, including supporting people with progressive neurological conditions (PNCs). We set out to understand how training operates, and to identify barriers and facilitators to training designed to support shifts in attitudes amongst HCPs...
January 4, 2018: Medical Education
https://www.readbyqxmd.com/read/29316806/can-collaborative-care-cure-the-mediocrity-of-usual-care-for-common-mental-disorders
#11
Nadiya Sunderji, Paul A Kurdyak, Sanjeev Sockalingam, Benoit H Mulsant
No abstract text is available yet for this article.
January 1, 2018: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
https://www.readbyqxmd.com/read/29322290/psychologists-and-pediatricians-in-the-primary-care-sandbox-communication-is-key-to-cooperative-play
#12
Anne E Pidano, Prerna Arora, Polly Y Gipson, Bradley O Hudson, Kriston B Schellinger
Recent literature, public policy, and funding opportunities call attention to the need for better increased integration of health and mental health care services in primary care settings so as to best meet the needs of children and families. There are many benefits to such integration, but pediatric primary care providers (PCPs) face multiple barriers to identifying and managing patients with mental health difficulties. One way to address this problem is through the integration of psychologists into primary care settings who can collaborate with PCPs to provide integrated behavioral health care to youth and families...
January 10, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29327162/explication-of-a-behavioral-health-primary-care-integration-learning-collaborative-and-its-quality-improvement-implications
#13
Martha Okafor, Victor Ede, Rosemary Kinuthia, David Satcher
In an effort to tackle fragmented care in the US healthcare delivery system, we explored the use of learning collaborative (LC) to advance integration of behavioral health and primary care as one of the potential solutions to a holistic approach to the delivery of quality healthcare to individuals with physical and mental illness. How a diverse group of primary care and behavioral health providers formed a Community of Practice (CoP) with a common purpose and shared vision to advance integrated care using a LC approach is described...
January 11, 2018: Community Mental Health Journal
https://www.readbyqxmd.com/read/29316894/access-to-primary-and-specialized-somatic-health-care-for-persons-with-severe-mental-illness-a-qualitative-study-of-perceived-barriers-and-facilitators-in-swedish-health-care
#14
Elisabeth Björk Brämberg, Jarl Torgerson, Anna Norman Kjellström, Peder Welin, Marie Rusner
BACKGROUND: Persons with severe mental illness (e.g. schizophrenia, bipolar disorder) have a high prevalence of somatic conditions compared to the general population. Mortality data in the Nordic countries reveal that these persons die 15-20 years earlier than the general population. Some factors explaining this high prevalence may be related to the individuals in question; others arise from the health care system's difficulty in offering somatic health care to these patient groups. The aim of the present study was therefore to explore the experiences and views of patients, relatives and clinicians regarding individual and organizational factors which facilitate or hinder access to somatic health care for persons with severe mental illness...
January 9, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29283474/the-work-and-challenges-of-care-managers-in-the-implementation-of-collaborative-care-a-qualitative-study
#15
Gritt Overbeck, Marius Brostrøm Kousgaard, Annette Sofie Davidsen
INTRODUCTION: In collaborative care models for anxiety and depression the care manager (CM), often a mental health nurse, has a key role. However, the work and challenges related to this role remain poorly investigated. AIM: To explore CMs' experiences of their work and the challenges they face when implementing their role in a collaborative care intervention in the Capital Region of Denmark. METHODS: Interviews with eight CMs, a group-interview with five CMs, and a recording of one supervision session were analyzed by thematic analysis...
December 28, 2017: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/29279347/interactions-understanding-people-and-process-in-prescribing-in-primary-care
#16
Carol Sinnott
No abstract text is available yet for this article.
December 26, 2017: BMJ Quality & Safety
https://www.readbyqxmd.com/read/29095133/stepped-care-in-primary-care-guided-self-help-and-face-to-face-cognitive-behavioural-therapy-for-common-mental-disorders-a-randomized-controlled-trial
#17
Sigrid Salomonsson, Fredrik Santoft, Elin Lindsäter, Kersti Ejeby, Brjánn Ljótsson, Lars-Göran Öst, Martin Ingvar, Mats Lekander, Erik Hedman-Lagerlöf
BACKGROUND: Common mental disorders (CMD) cause large suffering and high societal costs. Cognitive behavioural therapy (CBT) can effectively treat CMD, but access to treatment is insufficient. Guided self-help (GSH) CBT, has shown effects comparable with face-to-face CBT. However, not all patients respond to GSH, and stepping up non-responders to face-to-face CBT, could yield larger response rates. The aim was to test a stepped care model for CMD in primary care by first evaluating the effects of GSH-CBT and secondly, for non-responders, evaluating the additional effect of face-to-face CBT...
November 2, 2017: Psychological Medicine
https://www.readbyqxmd.com/read/29116022/enhancing-mental-and-physical-health-of-women-through-engagement-and-retention-empower-a-protocol-for-a-program-of-research
#18
Alison B Hamilton, Melissa M Farmer, Tannaz Moin, Erin P Finley, Ariel J Lang, Sabine M Oishi, Alexis K Huynh, Jessica Zuchowski, Sally G Haskell, Bevanne Bean-Mayberry
BACKGROUND: The Enhancing Mental and Physical health of Women through Engagement and Retention or EMPOWER program represents a partnership with the US Department of Veterans Health Administration (VA) Health Service Research and Development investigators and the VA Office of Women's Health, National Center for Disease Prevention and Health Promotion, Primary Care-Mental Health Integration Program Office, Women's Mental Health Services, and the Office of Patient Centered Care and Cultural Transformation...
November 7, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/29117275/effectiveness-of-online-collaborative-care-for-treating-mood-and-anxiety-disorders-in-primary-care-a-randomized-clinical-trial
#19
Bruce L Rollman, Bea Herbeck Belnap, Kaleab Z Abebe, Michael B Spring, Armando J Rotondi, Scott D Rothenberger, Jordan F Karp
Importance: Collaborative care for depression and anxiety is superior to usual care from primary care physicians for these conditions; however, challenges limit its provision in routine practice and at scale. Advances in technology may overcome these barriers but have yet to be tested. Objective: To examine the effectiveness of combining an internet support group (ISG) with an online computerized cognitive behavioral therapy (CCBT) provided via a collaborative care program for treating depression and anxiety vs CCBT alone and whether providing CCBT in this manner is more effective than usual care...
November 8, 2017: JAMA Psychiatry
https://www.readbyqxmd.com/read/29078987/collaborative-care-and-related-interventions-in-patients-with-heart-disease-an-update-and-new-directions
#20
REVIEW
Jeff C Huffman, Caitlin N Adams, Christopher M Celano
BACKGROUND: Psychiatric disorders, such as depression, are very common in cardiac patients and are independently linked to adverse cardiac outcomes, including mortality. Collaborative care and other integrated care models have been used successfully to manage psychiatric conditions in patients with heart disease, with beneficial effects on function and other outcomes. Novel programs using remote delivery of mental health interventions and promotion of psychological well-being may play an increasingly large role in supporting cardiovascular health...
September 18, 2017: Psychosomatics
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