Journal
CURRENT PSYCHIATRY REPORTS
Volume 15, Issue 8, Pages -Publisher
SPRINGER
DOI: 10.1007/s11920-013-0383-2
Keywords
Mental health; Co-occurring conditions; Primary care; PCP; Integrated care; Collaborative care; Chronic care model; CCM; Accountable care organization; ACO; Patient-centered medical home; Screening; Diagnosis; Treatment; Access; Mental health services; Psychiatry; Bipolar disorder; Mood disorder; Substance abuse disorder; Anxiety disorder; Serious mental illness
Categories
Funding
- Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development [HSRD IIR 10-340]
- VA Health Services Research and Development Center for Organization, Leadership, and Management Research (COLMR)
- National Institute of Mental Health [RO1 MH 79994, R34 MH 74509]
- University of Michigan Comprehensive Depression Center
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Collaborative care models (CCMs) provide a pragmatic strategy to deliver integrated mental health and medical care for persons with mental health conditions served in primary care settings. CCMs are team-based intervention to enact system-level redesign by improving patient care through organizational leadership support, provider decision support, and clinical information systems, as well as engaging patients in their care through self-management support and linkages to community resources. The model is also a cost-efficient strategy for primary care practices to improve outcomes for a range of mental health conditions across populations and settings. CCMs can help achieve integrated care aims underhealth care reform yet organizational and financial issues may affect adoption into routine primary care. Notably, successful implementation of CCMs in routine care will require alignment of financial incentives to support systems redesign investments, reimbursements for mental health providers, and adaptation across different practice settings and infrastructure to offer all CCM components.
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