TY - JOUR KW - Aging/psychology KW - Community Mental Health Centers KW - Dementia/therapy KW - Depression KW - Humans KW - Models, Organizational KW - Patient-Centered Care/organization & administration KW - Primary Health Care KW - Program Development KW - Randomized Controlled Trials as Topic KW - United States AU - C. M. Callahan AU - M. A. Boustani AU - M. Weiner AU - R. A. Beck AU - L. R. Livin AU - J. J. Kellams AU - D. R. Willis AU - H. C. Hendrie A1 - AB - OBJECTIVES: The purpose of this article is to describe our experience in implementing a primary care-based dementia and depression care program focused on providing collaborative care for dementia and late-life depression. METHODS: Capitalizing on the substantial interest in the US on the patient-centered medical home concept, the Aging Brain Care Medical Home targets older adults with dementia and/or late-life depression in the primary care setting. We describe a structured set of activities that laid the foundation for a new partnership with the primary care practice and the lessons learned in implementing this new care model. We also provide a description of the core components of this innovative memory care program. RESULTS: Findings from three recent randomized clinical trials provided the rationale and basic components for implementing the new memory care program. We used the reflective adaptive process as a relationship building framework that recognizes primary care practices as complex adaptive systems. This framework allows for local adaptation of the protocols and procedures developed in the clinical trials. Tailored care for individual patients is facilitated through a care manager working in collaboration with a primary care physician and supported by specialists in a memory care clinic as well as by information technology resources. CONCLUSIONS: We have successfully overcome many system-level barriers in implementing a collaborative care program for dementia and depression in primary care. Spontaneous adoption of new models of care is unlikely without specific attention to the complexities and resource constraints of health care systems. BT - Aging & mental health C5 - Medical Home CP - 1 CY - England DO - 10.1080/13607861003801052 IS - 1 JF - Aging & mental health N2 - OBJECTIVES: The purpose of this article is to describe our experience in implementing a primary care-based dementia and depression care program focused on providing collaborative care for dementia and late-life depression. METHODS: Capitalizing on the substantial interest in the US on the patient-centered medical home concept, the Aging Brain Care Medical Home targets older adults with dementia and/or late-life depression in the primary care setting. We describe a structured set of activities that laid the foundation for a new partnership with the primary care practice and the lessons learned in implementing this new care model. We also provide a description of the core components of this innovative memory care program. RESULTS: Findings from three recent randomized clinical trials provided the rationale and basic components for implementing the new memory care program. We used the reflective adaptive process as a relationship building framework that recognizes primary care practices as complex adaptive systems. This framework allows for local adaptation of the protocols and procedures developed in the clinical trials. Tailored care for individual patients is facilitated through a care manager working in collaboration with a primary care physician and supported by specialists in a memory care clinic as well as by information technology resources. CONCLUSIONS: We have successfully overcome many system-level barriers in implementing a collaborative care program for dementia and depression in primary care. Spontaneous adoption of new models of care is unlikely without specific attention to the complexities and resource constraints of health care systems. PP - England PY - 2011 SN - 1364-6915; 1360-7863 SP - 5 EP - 12 EP - T1 - Implementing dementia care models in primary care settings: The Aging Brain Care Medical Home T2 - Aging & mental health TI - Implementing dementia care models in primary care settings: The Aging Brain Care Medical Home U1 - Medical Home U2 - 20945236 U3 - 10.1080/13607861003801052 VL - 15 VO - 1364-6915; 1360-7863 Y1 - 2011 ER -