Collaborative Care is a healthcare philosophy and movement focussed on a systematised way of managing care and treatment for people with chronic conditions. Related ideas include: Integrated care, Primary Care Behavioral Health, Integrated care systems, and shared care. There are many studies establishing the long-term clinical and cost-effectiveness of collaborative care for people with physical–mental comorbidity. Nearly half of all people with a diagnosable mental health problem also have a long-term physical condition.
The Agency for Healthcare Research and Quality (AHRQ) published an overview of many different models and the research that supports them in 2008.[1] The key features of Collaborative Care models are:
- Integration of mental health professionals in primary care medical settings
- Close collaboration between mental health and medical/nursing providers
- Focus on treating the person and family.
Four key components were identified by Ramanju and Pincus in 2019:
- a multiprofessional approach to patient care;
- a structured management plan tailored to the individual needs of the patient;
- proactive follow-up delivering evidence-based treatments;
- processes to enhance interprofessional communication such as routine and regular team meetings and/or shared records.[2]
According to Shivam Shah collaborative care is a form of systematic team-based care involving:
- A case manager responsible for the coordination of different components of care;
- A structured care management plan, shared with the patient;
- Systematic patient management based on protocols and the tracking of outcomes;
- Delivery of care by a multidisciplinary team which includes a psychiatrist;
- Collaboration between primary and secondary care.[3]
There are organisations in many countries promoting these ideas such as the American Collaborative Family Healthcare Association, a multi-guild member association based in Chapel Hill, North Carolina, which supports healthcare professionals in integrating physical and behavioral health.[4] The University of Washington has an Advancing Integrated Mental Health Solutions Center, founded by Jürgen Unützer, to promote primary care behavioral health.[5]
The Coalition for Collaborative Care was established in England in 2014. It focuses on re-framing the relationship between a person with long-term health conditions and the professionals supporting them.[6]
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#55: SPECIAL EPISODE - Collaborative Care Model
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References
- ^ Butler M, Kane RL, McAlpine D, Kathol, RG, Fu SS, Hagedorn H, Wilt TJ. Integration of Mental Health/Substance Abuse and Primary Care No. 173 (Prepared by the Minnesota Evidence-based Practice Center under Contract No. 290-02-0009.) AHRQ Publication No. 09-E003. Rockville, MD. Agency for Healthcare Research and Quality. October 2008.
- ^ Ramanju, Parashar; Pincus, Harold (26 April 2019). "Collaborative care: enough of the why; what about the how?". British Journal of Psychiatry. 215 (4): 573–576. doi:10.1192/bjp.2019.99. PMID 31025616. S2CID 133607267.
- ^ Shah, Shivam (22 January 2018). "An Exploration into Core Tenets, Fidelity, and Policy". Centre for Mental Health. Retrieved 12 November 2022.
- ^ "Workers Compensation Doctors". Compensation Doctors. Retrieved 30 May 2023.
- ^ "WHO WE ARE". University of Washington. 2022. Retrieved 12 November 2022.
- ^ "New alliance in social care and health launched". NHS England. 21 November 2014. Retrieved 12 November 2022.
This page was last edited on 18 March 2024, at 20:13