TY - JOUR
KW - Adult
KW - Bipolar Disorder/diagnosis/economics/therapy
KW - Case Management/economics
KW - Chronic Disease
KW - Cohort Studies
KW - Community Mental Health Services/economics
KW - Continuity of Patient Care/economics
KW - Cooperative Behavior
KW - Cost-Benefit Analysis/economics
KW - Delivery of Health Care, Integrated/economics
KW - Female
KW - Health Plan Implementation/economics
KW - Health Services Accessibility/economics
KW - Hospitals, Veterans/economics
KW - Humans
KW - Male
KW - Middle Aged
KW - Patient Care Team/economics
KW - Patient Education as Topic/economics
KW - Patient Readmission/economics
KW - Practice Guidelines as Topic
KW - Self Care/economics
KW - Treatment Outcome
KW - United States
KW - Veterans/psychology
AU - M. S. Bauer
AU - L. McBride
AU - W. O. Williford
AU - H. Glick
AU - B. Kinosian
AU - L. Altshuler
AU - T. Beresford
AU - A. M. Kilbourne
AU - M. Sajatovic
AU - Cooperative Studies Program 430 Study Team
A1 - 
AB - Outcome for bipolar disorder remains suboptimal despite the availability of efficacious treatments. To improve treatment effectiveness in clinical practice, a Veterans Affairs study team created a care model conceptually similar to the lithium clinics of the 1970s but augmented by principles of more recent collaborative care models for chronic medical illnesses. This intervention consists of improving patients' self-management skills through psychoeducation; supporting providers' decision making through simplified practice guidelines; and enhancing access to care, continuity of care, and information flow through the use of a nurse care coordinator. In this article, which is part I of a two-part report, the authors summarize the conceptual background and development of the intervention, describe the design of a three-year, 11-site randomized effectiveness trial, and report data describing its successful implementation. Trial design emphasized aspects of effectiveness to support generalizability of the findings and eventual dissemination of the intervention. Part II (see companion article, this issue) reports clinical, functional, and overall cost outcomes of the trial.
BT - Psychiatric services (Washington, D.C.)
C5 - Financing & Sustainability
CP - 7
CY - United States
DO - 10.1176/appi.ps.57.7.927
IS - 7
JF - Psychiatric services (Washington, D.C.)
N2 - Outcome for bipolar disorder remains suboptimal despite the availability of efficacious treatments. To improve treatment effectiveness in clinical practice, a Veterans Affairs study team created a care model conceptually similar to the lithium clinics of the 1970s but augmented by principles of more recent collaborative care models for chronic medical illnesses. This intervention consists of improving patients' self-management skills through psychoeducation; supporting providers' decision making through simplified practice guidelines; and enhancing access to care, continuity of care, and information flow through the use of a nurse care coordinator. In this article, which is part I of a two-part report, the authors summarize the conceptual background and development of the intervention, describe the design of a three-year, 11-site randomized effectiveness trial, and report data describing its successful implementation. Trial design emphasized aspects of effectiveness to support generalizability of the findings and eventual dissemination of the intervention. Part II (see companion article, this issue) reports clinical, functional, and overall cost outcomes of the trial.
PP - United States
PY - 2006
SN - 1075-2730; 1075-2730
SP - 927
EP - 936
EP - 
T1 - Collaborative care for bipolar disorder: Part I. Intervention and implementation in a randomized effectiveness trial
T2 - Psychiatric services (Washington, D.C.)
TI - Collaborative care for bipolar disorder: Part I. Intervention and implementation in a randomized effectiveness trial
U1 - Financing & Sustainability
U2 - 16816276
U3 - 10.1176/appi.ps.57.7.927
VL - 57
VO - 1075-2730; 1075-2730
Y1 - 2006
ER -