TY - JOUR
KW - collaborative care
KW - integrated care
KW - perinatal mental health
KW - perinatal psychiatry
AU - E. S. Miller
AU - R. Jensen
AU - M. C. Hoffman
AU - L. M. Osborne
AU - K. McEvoy
AU - N. Grote
AU - E. L. Moses-Kolko
A1 - 
AB - AIM: Our objective was to integrate lessons learned from perinatal collaborative care programs across the United States, recognizing the diversity of practice settings and patient populations, to provide guidance on successful implementation. BACKGROUND: Collaborative care is a health services delivery system that integrates behavioral health care into primary care. While efficacious, effectiveness requires rigorous attention to implementation to ensure adherence to the core evidence base. METHODS: Implementation strategies are divided into three pragmatic stages: preparation, program launch, and program growth and sustainment; however, these steps are non-linear and dynamic. FINDINGS: The discussion that follows is not meant to be prescriptive; rather, all implementation tasks should be thoughtfully tailored to the unique needs and setting of the obstetric community and patient population. In particular, we are aware that implementation on the level described here assumes commitment of both effort and money on the part of clinicians, administrators, and the health system, and that such financial resources are not always available. We conclude with synthesis of a survey of existing collaborative care programs to identify implementation practices of existing programs.
AD - Department of Obstetrics and Gynecology, School of Medicine, Northwestern University Feinberg, Chicago, IL, USA.; Department of Obstetrics and Gynecology, School of Medicine, Northwestern University Feinberg, Chicago, IL, USA.; Department of Obstetrics and Gynecology, School of Medicine, University of Colorado, Boulder, CO, USA.; Department of Psychiatry and Behavioral Sciences, Women's Mood Disorders Center, School of Medicine, Johns Hopkins University, Baltimore, MD, USA.; Department of Obstetrics and Gynecology, Johns Hopkins University, Baltimore, MD, USA.; Department of Psychiatry and Behavioral Sciences, Women's Mood Disorders Center, School of Medicine, Johns Hopkins University, Baltimore, MD, USA.; School of Social Work, University of Washington, Seattle, WA, USA.; Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh, Pittsburgh, PA, USA.
BT - Primary health care research & development
C5 - Healthcare Disparities
DO - 10.1017/S1463423620000110
JF - Primary health care research & development
LA - eng
M1 - Journal Article
N2 - AIM: Our objective was to integrate lessons learned from perinatal collaborative care programs across the United States, recognizing the diversity of practice settings and patient populations, to provide guidance on successful implementation. BACKGROUND: Collaborative care is a health services delivery system that integrates behavioral health care into primary care. While efficacious, effectiveness requires rigorous attention to implementation to ensure adherence to the core evidence base. METHODS: Implementation strategies are divided into three pragmatic stages: preparation, program launch, and program growth and sustainment; however, these steps are non-linear and dynamic. FINDINGS: The discussion that follows is not meant to be prescriptive; rather, all implementation tasks should be thoughtfully tailored to the unique needs and setting of the obstetric community and patient population. In particular, we are aware that implementation on the level described here assumes commitment of both effort and money on the part of clinicians, administrators, and the health system, and that such financial resources are not always available. We conclude with synthesis of a survey of existing collaborative care programs to identify implementation practices of existing programs.
PY - 2020
SN - 1477-1128; 1463-4236; 1463-4236
T1 - Implementation of perinatal collaborative care: a health services approach to perinatal depression care
T2 - Primary health care research & development
TI - Implementation of perinatal collaborative care: a health services approach to perinatal depression care
U1 - Healthcare Disparities
U2 - 32907689
U3 - 10.1017/S1463423620000110
VL - 21
VO - 1477-1128; 1463-4236; 1463-4236
Y1 - 2020
Y2 - Sep 10
ER -