TY - JOUR
KW - Cooperative Behavior
KW - Family Practice
KW - Humans
KW - Mental Disorders/diagnosis/therapy
KW - Patient Care Team
KW - Primary Health Care
KW - Psychiatry
KW - Referral and Consultation
KW - Somatoform Disorders/diagnosis/therapy
KW - Treatment Outcome
AU - S. Kisely
AU - L. A. Campbell
A1 - 
AB - Up to 50% of patients seen in primary care have mental health problems, the severity and duration of their problems often being similar to those of individuals seen in the specialized sector. This article describes the reasons, advantages, and challenges of collaborative or shared care between primary and mental health teams, which are similar to those of consultation-liaison psychiatry. In both settings, clinicians deal with the complex interrelationships between medical and psychiatric disorders. Although initial models emphasized collaboration between family physicians, psychiatrists, and nurses, collaborative care has expanded to involve patients, psychologists, social workers, occupational therapists, pharmacists, and other providers. Several factors are associated with favorable patient outcomes. These include delivery of interventions in primary care settings by providers who have met face-to-face and/or have pre-existing clinical relationships. In the case of depression, good outcomes are particularly associated with approaches that combined collaborative care with treatment guidelines and systematic follow-up, especially for those with more severe illness. Family physicians with access to collaborative care also report greater knowledge, skills, and comfort in managing psychiatric disorders, even after controlling for possible confounders such as demographics and interest in psychiatry. Perceived medico-legal barriers to collaborative care can be addressed by adequate personal professional liability protection on the part of each practitioner, and ensuring that other health care professionals with whom they work collaboratively are similarly covered.
BT - International journal of psychiatry in medicine
C5 - Medically Unexplained Symptoms
CP - 4
CY - United States
IS - 4
JF - International journal of psychiatry in medicine
N2 - Up to 50% of patients seen in primary care have mental health problems, the severity and duration of their problems often being similar to those of individuals seen in the specialized sector. This article describes the reasons, advantages, and challenges of collaborative or shared care between primary and mental health teams, which are similar to those of consultation-liaison psychiatry. In both settings, clinicians deal with the complex interrelationships between medical and psychiatric disorders. Although initial models emphasized collaboration between family physicians, psychiatrists, and nurses, collaborative care has expanded to involve patients, psychologists, social workers, occupational therapists, pharmacists, and other providers. Several factors are associated with favorable patient outcomes. These include delivery of interventions in primary care settings by providers who have met face-to-face and/or have pre-existing clinical relationships. In the case of depression, good outcomes are particularly associated with approaches that combined collaborative care with treatment guidelines and systematic follow-up, especially for those with more severe illness. Family physicians with access to collaborative care also report greater knowledge, skills, and comfort in managing psychiatric disorders, even after controlling for possible confounders such as demographics and interest in psychiatry. Perceived medico-legal barriers to collaborative care can be addressed by adequate personal professional liability protection on the part of each practitioner, and ensuring that other health care professionals with whom they work collaboratively are similarly covered.
PP - United States
PY - 2007
SN - 0091-2174; 0091-2174
SP - 383
EP - 391
EP - 
T1 - Taking consultation-liaison psychiatry into primary care
T2 - International journal of psychiatry in medicine
TI - Taking consultation-liaison psychiatry into primary care
U1 - Medically Unexplained Symptoms
U2 - 18441627
VL - 37
VO - 0091-2174; 0091-2174
Y1 - 2007
ER -