Top

Published in:

01-08-2013 | Psychiatry in Primary Care (BN Gaynes, Section Editor)

Mental Health Collaborative Care and its Role in Primary Care Settings

Authors: David E. Goodrich, Amy M. Kilbourne, Kristina M. Nord, Mark S. Bauer

Published in: Current Psychiatry Reports | Issue 8/2013

Abstract

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.

World Health Organization (WHO). The global burden of disease: 2004 update. Geneva: WHO; 2008.

Kessler RC, Wang PS. The descriptive epidemiology of commonly occurring mental disorders in the United States. Annu Rev Public Health. 2008;29:115–29.PubMedCrossRef

Wang PS, Aguilar-Gaxiola S, Alonso J, Angermeyer MC, Borges G, Bromet EJ, et al. Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys. Lancet. 2007;370:841–50.PubMedCrossRef

Kessler RC, Demler O, Frank RG, Olfson M, Pincus HA, Walters EE, et al. Prevalence and treatment of mental disorders, 1990 to 2003. N Engl J Med. 2005;352:2515–23.PubMedCrossRef

Baumeister H, Hutter N. Collaborative care for depression in medically ill patients. Curr Opin Psychiatry. 2012;25:405–14.PubMedCrossRef

Auxier A, Runyan C, Mullin D, Menderhall T, Young J, Kessler R. Behavioral health referrals and treatment initiation rates in integrated primary care: a Collaborative Care Research Network study. Transl Behav Med. 2012;2:337–44.CrossRef

Unutzer J, Park M. Strategies to improve the management of depression in primary care. Prim Care. 2012;39:415–31.PubMedCrossRef

Pence BW, O'Donnell JK, Gaynes BN. The depression treatment cascade in primary care: a public health perspective. Curr Psychiatry Rep. 2012;14:328–35.PubMedCrossRef

Reilly S, Planner C, Hann M, Reeves D, Nazareth I, Lester H. The role of primary care in service provision for people with severe mental illness in the United kingdom. PLoS One. 2012;7:e36468.PubMedCrossRef

10.

Glozier N, Davenport T, Hickie IB. Identification and management of depression in Australian primary care and access to specialist mental health care. Psychiatr Serv. 2012;63:1247–51.PubMedCrossRef

11.

Cunningham PJ. Beyond parity: primary care physicians' perspectives on access to mental health care. Health Aff (Millwood). 2009;28:w490–501.CrossRef

12.

Thielke S, Vannoy S, Unutzer J. Integrating mental health and primary care. Primary Care; Clin Off Pract. 2007;34:571–92.CrossRef

13.

Jacob V, Chattopadhyay SK, Sipe TA, Thota AB, Byard GJ, Chapman DP, et al. Economics of collaborative care for management of depressive disorders: a community guide systematic review. Am J Prev Med. 2012;42:539–49.PubMedCrossRef

14.

•• Woltmann E, Grogan-Kaylor A, Perron B, Georges H, Kilbourne AM, Bauer MS. Comparative effectiveness of collaborative chronic care models for mental health conditions across primary, specialty, and behavioral health care settings: systematic review and meta-analysis. Am J Psychiatry. 2012;169:790–804. A systematic, meta-analytical review that compared CCM for treatment of mental disorders over usual care based on review of 57 trials that revealed the model to be effective for improving mental outcomes in a cost-efficient manner across treatment settings and mental health and medical diagnoses.PubMedCrossRef

15.

•• O'Donnell AN, Williams M, Kilbourne AM. Overcoming roadblocks: current and emerging reimbursement strategies for integrated mental health services in primary care. J Gen Intern Med. 2013 Jun 4 [Epub ahead of print]. Provider and practice reimbursement will be a practical challenge to implementing the collaborative care for mental health in primary care settings. This article provides a critical analysis of challenges and opportunities to reimbursing CCM compenents under the current fee-for-service reimbursement ystem and presents the argument that employers, health plans, and health care organizations will need to work together to establish a bundled payment model to support the implementation of CCMs in the near future.

16.

Brown-Levey SM, Miller BF, deGruy FV. Behavioral health integration: an essential element of population-based healthcare redesign. Transl Behav Med. 2012;2:364–71.CrossRef

17.

Shim R, Rust G. Primary Care, behavioral health, and public health: partners in reducing mental health stigma. Am J Public Health. 2013;103:774–6.PubMedCrossRef

18.

McConnell KJ, Gast SH, McFarland BH. The effect of comprehensive behavioral health parity on choice of provider. Med Care. 2012;50:527–33.PubMedCrossRef

19.

Calonge N. Clinical and community prevention and treatment service for depression: a whole greater than the sum of its parts. Am J Prev Med. 2012;42:556–7.PubMedCrossRef

20.

Garfield RL, Druss BG. Health reform, health insurance, and mental health care. Am J Psychiatry. 2012;169:675–7.PubMedCrossRef

21.

Shim RS, Koplan C, Langheim FJ, Manseau M, Oleskey C, Powers RA, et al. Health care reform and integrated care: a golden opportunity for preventive psychiatry. Psychiatr Serv. 2012;63:1231–3.PubMedCrossRef

22.

• O'Donnell AN, Williams BC, Eisenberg D, Kilbourne AM. Mental health in ACOs: missed opportunities and low hanging fruit. Am J Manag Care. 2013;19:180–4. This article examines the rationale and need for better integrating mental health into accountable care organizations using the CCM. Mental health care is not well defined under the Medicare Shared Saving Program, and the article succintly summarizes the necessary financial and organizational incentives that must be defined in order for health care organizations to successfully implement integrated mental health care in primary care.PubMed

23.

Simon GE, Ludman EJ. Should mental health interventions be locally grown or factory-farmed? Am J Psychiatry. 2013;170:362–5.PubMedCrossRef

24.

Massa I, Miller BF, Kessler R. Collaboration between NCQA patient-centered medical homes and specialty behavioral health and medical services. Transl Behav Med. 2012;2:332–6.CrossRef

25.

Bao Y, Casalino LP, Ettner SL, Bruce ML, Solberg LI, Unutzer J. Designing payment for Collaborative Care for Depression in primary care. Health Serv Res. 2011;46:1436–51.PubMedCrossRef

26.

Unutzer J, Chan YF, Hafer E, Knaster J, Shields A, Powers D, et al. Quality improvement with pay-for-performance incentives in integrated behavioral health care. Am J Public Health. 2012;102:e41–5.PubMedCrossRef

27.

McConnell KJ, Gast SH, Ridgely MS, Wallace N, Jacuzzi N, Rieckmann T, et al. Behavioral health insurance parity: does Oregon's experience presage the national experience with the Mental Health Parity and Addiction Equity Act? Am J Psychiatry. 2012;169:31–8.PubMedCrossRef

28.

Gourevitch MN, Cannell T, Boufford JI, Summers C. The challenge of attribution: responsibility for population health in the context of accountable care. Am J Prev Med. 2012;42(6 Suppl 2):S180–3.PubMedCrossRef

29.

Barry CL, Weiner JP, Lemke K, Busch SH. Risk adjustment in health insurance exchanges for individuals with mental illness. Am J Psychiatry. 2012;169:704–9.PubMedCrossRef

30.

Katon W, Russo J, Lin EH, Schmittdiel J, Ciechanowski P, Ludman E, et al. Cost-effectiveness of a multicondition collaborative care intervention: a randomized controlled trial. Arch Gen Psychiatry. 2012;69:506–14.PubMedCrossRef

31.

Berwick DM, Nolan TW, Whittington J. The triple aim: care, health, and cost. Health Aff (Millwood). 2008;27:759–69.CrossRef

32.

Community Preventive Services Task F. Recommendation from the community preventive services task force for use of collaborative care for the management of depressive disorders. Am J Prev Med. 2012;42:521–4.CrossRef

33.

Bauer MS, Leader D, Un H, Lai Z, Kilbourne AM. Primary care and behavioral health practice size: the challenge for health care reform. Med Care. 2012;50:843–8.PubMedCrossRef

34.

Archer J, Bower P, Gilbody S, Lovell K, Richards D, Gask L, et al. Collaborative care for depression and anxiety problems. Cochrane Database Syst Rev. 2012;10:CD006525.PubMed

35.

Katon W. Collaborative depression care models: from development to dissemination. Am J Prev Med. 2012;42:550–2.PubMedCrossRef

36.

Compton MT. Systemic organizational change for the collaborative care approach to managing depressive disorders. Am J Prev Med. 2012;42:553–5.PubMedCrossRef

37.

•• Thota AB, Sipe TA, Byard GJ, Zometa CS, Hahn RA, McKnight-Eily LR, et al. Collaborative care to improve the management of depressive disorders: a community guide systematic review and meta-analysis. Am J Prev Med. 2012;42:525–38. A large systematic review of 69 randomized controlled trials testing the effectiveness of CCM versus usual care to improve depression outcomes among 24,000 adults treated for depression in primary care. Findings from the meta-analytical review found CCMs are significantly more effective in improving depressive symptoms, adherence to treatment, remission and recovery from symptoms, quality of life and functional status, and satisfaction of care than usual treatment across a range of populations, settings, and organizations.PubMedCrossRef

38.

Cerimele JM, Katon WJ, Sharma V, Sederer LI. Delivering psychiatric services in primary-care setting. Mt Sinai J Med. 2012;79:481–9.PubMedCrossRef

39.

Kilbourne AM, Goodrich DE, O'Donnell AN, Miller CJ. Integrating bipolar disorder management in primary care. Curr Psychiatry Rep. 2012;14:687–95.PubMedCrossRef

40.

Kilbourne AM, Goodrich DE, Lai Z, Clogston J, Waxmonsky J, Bauer MS. Life Goals Collaborative Care for patients with bipolar disorder and cardiovascular disease risk. Psychiatr Serv. 2012;63:1234–8.PubMedCrossRef

41.

• Kilbourne AM, Goodrich DE, Lai Z, Post EP, Schumacher K, Nord KM, et al. Randomized controlled trial to reduce cardiovascular disease risk for patients with bipolar disorders: the Self-management Adressing Heart Risk Trial (SMAHRT). J Clin Psychiatry. 2013 (in press). A small randomized controlled trial that demonstrates the feasibility of implementing a cross-diagnosis CCM in a staff model-integrated system with the aim of managing cardiometabolic and psychiatric risk factors among veterans diagnosed with bipolar disorder. Results showed that manic symptoms and blood pressure were reduced at 2 years in the intervention arm. However, results need to be replicated in a larger multi-practice trial that includes greater minority participation and a cost-effectiveness analysis.

42.

• Kilbourne AM, Goodrich DE, O'Donnell AN, Miller CJ. Integrating bipolar disorder management in primary care. Curr Psychiatry Rep. 2012;14:687–95. A succinct overview that summarizes the challenges of diagnosing and treating bipolar disorder in primary care settings, a mental health condition that is frequently misdiagnosed, which increases treatment costs and undermines long-term patient outcomes. Emphasis is placed on explaining how this treatment could be delivered using the CCM, as well as research issues that need to be addressed to help PCPs provider guideline concordant care.PubMedCrossRef

43.

Kilbourne AM, Greenwald DE, Bauer MS, Charns MP, Yano EM. Mental health provider perspectives regarding integrated medical care for patients with serious mental illness. Adm Policy Ment Health. 2012;39:448–57.PubMedCrossRef

44.

Kilbourne AM, Li D, Lai Z, Waxmonsky J, Ketter T. Pilot randomized trial of a cross-diagnosis collaborative care program for patients with mood disorders. Depress Anxiety. 2013;30:116–22.PubMedCrossRef

45.

Miller BF, Druss B. The role of family physicians in mental health care delivery in the United States: implications for health reform. J Am Board Fam Med. 2013;26:111–3.PubMedCrossRef

46.

Kurian BT, Grannemann B, Trivedi MH. Feasible evidence-based strategies to manage depression in primary care. Curr Psychiatry Rep. 2012;14:370–5.PubMedCrossRef

47.

Whitebird RR, Solberg LI, Margolis KL, Asche SE, Trangle MA, Wineman AP. Barriers to improving primary care of depression: perspectives of medical group leaders. Qual Health Res. 2013;23:805–14.PubMedCrossRef

48.

•• Lauren Crain A, Solberg LI, Unutzer J, Ohnsorg KA, Maciosek MV, Whitebird RR, et al. Designing and implementing research on a statewide quality improvement initiative: The DIAMOND study and initiative. Med Care. 2012 Feb 8 [Epub ahead of print]. This article providers an overview of the Depression Improvement Across Minnesota, Offering a New Direction (DIAMOND) Initiative, which aims to test the implementation of an evidence-based, collaborative care model for depression management in primary care using a partnership with employers, health plans, providers, patients, and researchers to develop a financially feasible strategy to implement and sustain CCMs in real-world conditions.

49.

Hay JW, Katon WJ, Ell K, Lee PJ, Guterman JJ. Cost-effectiveness analysis of collaborative care management of major depression among low-income, predominantly Hispanics with diabetes. Value Health. 2012;15:249–54.PubMedCrossRef

50.

Xierali IM, Tong ST, Petterson SM, Puffer JC, Phillips Jr RL, Bazemore AW. Family physicians are essential for mental health care delivery. J Am Board Fam Med. 2013;26:114–5.PubMedCrossRef

51.

Young J, Gilwee J, Holman M, Messier R, Kelly M, Kessler R. Mental health, substance abuse, and health behavior intervention as part of the patient-centered medical home: a case study. Transl Behav Med. 2012;2:345–54.CrossRef

52.

Culpepper L. Does screening for depression in primary care improve outcome? Curr Psychiatry Rep. 2012;14:345–52.PubMedCrossRef

53.

Kessler R. Mental health care treatment initiation when mental health services are incorporated into primary care practice. J Am Board Fam Med. 2012;25:255–9.PubMedCrossRef

54.

•• Fortney JC, Pyne JM, Mouden SB, Mittal D, Hudson TJ, Schroeder GW, et al. Practice-based versus telemedicine-based collaborative care for depression in rural federally qualified health centers: a pragmatic randomized comparative effectiveness trial. Am J Psychiatry. 2013;170:414–25. This pragrmatic, multi-site randomized trial demonstrated that a collaborative care program for mental health treatment could be more effectively implemented by a centralized mental health team than locally-trained PCPs. This study provides preliminary evidence that new communication technologies may allow for integrated care to be effectively delivered by offsite mental health teams rather than being delivered by practice personnel who may be less likely to implement the CCM components with fidelity. Findings are particularly salient to networks of small primary care practices and solo practitioners, as well as FQHQs serving rural populations where trained mental health staff may unavaible to support CCM delivery.PubMedCrossRef

55.

Taylor EF, Machta RM, Meyers DS, Genevro J, Peikes DN. Enhancing the primary care team to provide redesigned care: the roles of practice facilitators and care managers. Ann Fam Med. 2013;11:80–3.PubMedCrossRef

56.

Hunt JB, Curran G, Kramer T, Mouden S, Ward-Jones S, Owen R, et al. Partnership for implementation of evidence-based mental health practices in rural federally qualified health centers: theory and methods. Prog Community Health Partnersh. 2012;6:389–98.PubMedCrossRef

57.

Cummings JR, Wen H, Druss BG. Improving access to mental health services for youth in the United States. JAMA. 2013;309:553–4.PubMedCrossRef

58.

Johnson-Lawrence VD, Szymanski BR, Zivin K, McCarthy JF, Valenstein M, Pfeiffer PN. Primary care-mental health integration programs in the veterans affairs health system serve a different patient population than specialty mental health clinics. Prim Care Companion CNS Disord. 2012;14(3). doi:10.4088/PCC.11m01286.

59.

Bocker E, Glasser M, Nielsen K, Weidenbacher-Hoper V. Rural older adults' mental health: status and challenges in care delivery. Rural Remote Heal. 2012;12:2199.

60.

Jonas DE, Mansfield AJ, Curtis P, Gilmore JH, Watson LC, Brode S, et al. Identifying priorities for patient-centered outcomes research for serious mental illness. Psychiatr Serv. 2012;63:1125–30.PubMedCrossRef

61.

Loeb DF, Bayliss EA, Binswanger IA, Candrian C, deGruy FV. Primary care physician perceptions on caring for complex patients with medical and mental illness. J Gen Intern Med. 2012;27:945–52.PubMedCrossRef

62.

Kaufman EA, McDonell MG, Cristofalo MA, Ries RK. Exploring barriers to primary care for patients with severe mental illness: frontline patient and provider accounts. Issues Ment Health Nurs. 2012;33:172–80.PubMedCrossRef

63.

Scott D, Happell B. Utilization and perceptions of primary health care services in Australian adults with mental illness. Popul Health Manag. 2013;16:18.CrossRef

64.

Verhaak PF, van Dijk CE, Nuijen J, Verheij RA, Schellevis FG. Mental health care as delivered by Dutch general practitioners between 2004 and 2008. Scand J Prim Health Care. 2012;30:156–62.PubMedCrossRef

65.

Currid TJ, Turner A, Bellefontaine N, Spada MM. Mental health issues in primary care: implementing policies in practice. Br J Community Nurs. 2012;17:21–4.PubMed

66.

Hardy S, Gray R. Is the use of an invitation letter effective in prompting patients with severe mental illness to attend a primary care physical health check? Prim Health Care Res Dev. 2012;13:347–52.PubMedCrossRef

67.

Hardy S, Thomas B. Mental and physical health comordibity: political imperatives and practice implications. Int J Ment Health Nurs. 2012;21:289–98.PubMedCrossRef

68.

Rodrigo A, Foo L, Majoor J. Have Primary Mental Health Teams lived up to their expectations? Australas Psychiatry. 2013;21:127–30.PubMedCrossRef

69.

• Morgan MA, Coates MJ, Dunbar JA, Reddy P, Schlicht K, Fuller J. The TrueBlue model of collaborative care using practice nurses as case managers for depression alongside diabetes or heart disease: a randomised trial. BMJ Open. 2013;3:e002171. An exemplary cross-diagnosis trial conducted outside the US health care system that tests the CCM for mental health among Australian patients diagnosed with depression and comorbid health conditions. The study demonstrates the feasibility of using nurses to promote treatment intensification for more than one health condition and delivery of wellness self-management for health behavior change to reduce mental and physical risk factors.PubMedCrossRef

70.

Schlicht K, Morgan MA, Fuller J, Coates MJ, Dunbar JA. Safety and acceptability of practice-nurse-managed care of depression in patients with diabetes or heart disease in the Australian TrueBlue study. BMJ Open. 2013;3:e002195.PubMedCrossRef

71.

Hunter CL, Goodie JL. Behavioral health in the Department of Defense patient-centered medical home: history, fianance, policy, work force development, and evaluation. Transl Behav Med. 2012;2:355–63.CrossRef

72.

Huijbregts KM, de Jong FJ, van Marwijk HW, Beekman AT, Ader HJ, Hakkaart-van Roijen L, et al. A target-driven collaborative care model for Major Depressive Disorder is effective in primary care in the Netherlands. A randomized clinical trial from the depression initiative. J Affect Disord. 2013;146:328–37.PubMedCrossRef

73.

Vlasveld MC, van der Feltz-Cornelis CM, Ader HJ, Anema JR, Hoedeman R, van Mechelen W, et al. Collaborative care for sick-listed workers with major depressive disorder: a randomised controlled trial from the Netherlands Depression Initiative aimed at return to work and depressive symptoms. Occup Environ Med. 2013;70:223–30.PubMedCrossRef

74.

Berghofer A, Hartwich A, Bauer M, Unutzer J, Willich SN, Pfennig A. Efficacy of a systematic depression management program in high utilizers of primary care: a randomized trial. BMC Health Serv Res. 2012;12:298.PubMedCrossRef

75.

Cooper LA, Ghods Dinoso BK, Ford DE, Roter DL, Primm AB, Larson SM, et al. Comparative effectiveness of standard versus patient-centered collaborative care interventions for depression among African Americans in primary care settings: the BRIDGE Study. Health Serv Res. 2013;48:150–74.PubMedCrossRef

76.

Bray JW, Zarkin GA, Hinde JM, Mills MJ. Costs of alcohol screening and brief intervention in medical settings: a review of the literature. J Stud Alcohol Drugs. 2012;73:911–9.PubMed

77.

Pating DR, Miller MM, Goplerud E, Martin J, Ziedonis DM. New systems of care for substance use disorders: treatment, finance, and technology under health care reform. Psychiatr Clin North Am. 2012;35:327–56.PubMedCrossRef

78.

Field CA, Klimas J, Barry J, Bury G, Keenan E, Lyons S, et al. Alcohol screening and brief intervention among drug users in primary care: a discussion paper. Ir J Med Sci. 2012;181:165–70.PubMedCrossRef

79.

Gill JM, Chen YX, Grimes A, Diamond JJ, Lieberman MI, Klinkman MS. Electronic clinical decision support for management of depression in primary care: a prospective cohort study. Prim Care Companion CNS Disord. 2012;14. doi:10.4088/PCC.11m01191.

80.

Gill JM, Chen YX, Grimes A, Klinkman MS. Using electronic health record-based tools to screen for bipolar disorder in primary care patients with depression. J Am Board Fam Med. 2012;25:283–90.PubMedCrossRef

81.

McIntyre RS, Rosenbluth M, Ramasubbu R, Bond DJ, Taylor VH, Beaulieu S, et al. Managing medical and psychiatric comorbidity in individuals with major depressive disorder and bipolar disorder. Ann Clin Psychiatry. 2012;24:163–9.PubMed

82.

McIntyre RS, Alsuwaidan M, Goldstein BI, Taylor VH, Schaffer A, Beaulieu S, et al. The Canadian Network for Mood and Anxiety Treatments (CANMAT) task force recommendations for the management of patients with mood disorders and comorbid metabolic disorders. Ann Clin Psychiatry. 2012;24:69–81.PubMed

83.

Malhi GS, Bargh DM, Cashman E, Frye MA, Gitlin M. The clinical management of bipolar disorder complexity using a stratified model. Bipolar Disord. 2012;14 Suppl 2:66–89.PubMedCrossRef

84.

Collins C, Hewson DL, Munger R, Wade T. Evolving models of behavioral health integration in primary care. New York: Milbank Memorial Fund; 2010.CrossRef

85.

Wagner EH, Austin BT, Von Korff M. Organizing care for patients with chronic illness. Milbank Q. 1996;74:511–44.PubMedCrossRef

86.

Nutting PA, Crabtree BF, McDaniel RR. Small primary care practices face four hurdles—including a physician-centric mind-set—in becoming medical homes. Health Aff (Millwood). 2012;31:2417–22.CrossRef

87.

Ekers D, Murphy R, Archer J, Ebenezer C, Kemp D, Gilbody S. Nurse-delivered collaborative care for depression and long-term physical conditions: a systematic review and meta-analysis. J Affect Disord. 2013;149:14–22.PubMedCrossRef

88.

Watson L, Amick HR, Gaynes BN, Brownley KA, Thaker S, Viswanathan M, et al. Practice-based interventions addressing concomitant depression and chronic medical conditions in the primary care setting. Comparative Effectiveness Review No. 75. (Prepared by RTI International, University of North Carolina Evidence-based Practice Center under Contract No. 290-2007-10056-I.) Report No.: AHRQ Publication No. 12-EHC106-EF. Agency for Healthcare Research and Quality: Rockville, MD; 2012.

89.

Alford DP, LaBelle CT, Kretsch N, Bergeron A, Winter M, Botticelli M, et al. Collaborative care of opioid-addicted patients in primary care using buprenorphine: five-year experience. Arch Intern Med. 2011;171:425–31.PubMedCrossRef

90.

Bogner HR, Morales KH, de Vries HF, Cappola AR. Integrated management of type 2 diabetes mellitus and depression treatment to improve medication adherence: a randomized controlled trial. Ann Fam Med. 2012;10:15–22.PubMedCrossRef

91.

Katon WJ, Lin EH, Von Korff M, Ciechanowski P, Ludman EJ, Young B, et al. Collaborative care for patients with depression and chronic illnesses. N Engl J Med. 2010;363:2611–20.PubMedCrossRef

92.

Lin EH, Von Korff M, Ciechanowski P, Peterson D, Ludman EJ, Rutter CM, et al. Treatment adjustment and medication adherence for complex patients with diabetes, heart disease, and depression: a randomized controlled trial. Ann Fam Med. 2012;10:6–14.PubMedCrossRef

93.

Barry CL, Huskamp HA. Moving beyond parity—mental health and addiction care under the ACA. N Engl J Med. 2011;365:973–5.PubMedCrossRef

94.

Rittenhouse DR, Shortell SM. The patient-centered medical home: will it stand the test of health reform? JAMA. 2009;301:2038–40.PubMedCrossRef

95.

Amiel JM, Pincus HA. The medical home model: new opportunities for psychiatric services in the United States. Curr Opin Psychiatry. 2011;24:562–8.PubMed

96.

Mann C. Re: health homes for enrollees with chronic conditions (section 2703 of the Affordable Care Act). In: Centers for Medicare & Medicaid Services. Department of Health & Human Services: Baltimore, MD; 2010.

97.

Lewis VA, Larson BK, McClurg AB, Boswell RG, Fisher ES. The promise and peril of accountable care for vulnerable populations: a framework for overcoming obstacles. Health Aff (Millwood). 2012;31:1777–85.CrossRef

98.

Williams Jr JW. Integrative care: what the research shows. N C Med J. 2012;73:205–6.PubMed

99.

Kathol RG, Butler M, McAlpine DD, Kane RL. Barriers to physical and mental condition integrated service delivery. Psychosom Med. 2010;72:511–8.PubMedCrossRef

100.

Scott D, Happell B. Utilization and perceptions of primary health care services in australian adults with mental illness. Popul Health Manag. 2013;16:208–13.PubMedCrossRef

Title: Mental Health Collaborative Care and its Role in Primary Care Settings
Authors: David E. Goodrich
Amy M. Kilbourne
Kristina M. Nord
Mark S. Bauer
Publication date: 01-08-2013
Publisher: Springer US
Published in: Current Psychiatry Reports / Issue 8/2013
Print ISSN: 1523-3812
Electronic ISSN: 1535-1645
DOI: https://doi.org/10.1007/s11920-013-0383-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Mental Health Collaborative Care and its Role in Primary Care Settings

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 8/2013

Pediatric Depression: An Evidence-Based Update on Treatment Interventions

Problems with Paraphilias in the DSM-5

Activated Depression: Mixed Bipolar Disorder or Agitated Unipolar Depression?

Knowledge and Attitudes about Attention-Deficit/Hyperactivity Disorder (ADHD) and its Treatment: The Views of Children, Adolescents, Parents, Teachers and Healthcare Professionals

Capacity, Confidentiality and Consequences: Balancing Responsible Medical Care With Mental Health Law

Pharmacoepidemiology of Antipsychotic Use in Youth with ADHD: Trends and Clinical Implications