TY - JOUR
AU - P. J. Hahn
AU - D . Y. Johnson
AU - J. Wang
AU - C. Lusk
AU - S. Allen
AU - F. S. Araújo
AU - D. Yohanna
AU - E. M. Staab
AU - N. Laiteerapong
A1 - 
AB - RATIONALE: Over 30% of adults in the United States have symptoms of depressive or anxiety disorders. The majority of these patients are treated only in primary care and have suboptimal outcomes. The Collaborative Care Model (CoCM) is designed to address this problem. AIMS AND OBJECTIVES: This study evaluated the implementation and effectiveness of CoCM at an urban academic medical center primary care clinic. METHODS: Retrospective chart review and analysis informed by the RE-AIM framework. RESULTS: Across 148 patients, mean PHQ-9 scores decreased by 4.8 (SD, 5.8, p < 0.001) and GAD-7 scores decreased by 5.6 (SD, 5.7, p < 0.001). Overall adoption rate was 36% and differed between attending physicians/APNs (50%) and residents (32%). Implementation showed fidelity to measurement-based care, but only 40% of cases were reviewed with the psychiatrist. CONCLUSION: A real-world CoCM can improve symptoms of depression and anxiety for adults; however, trainee adoption and adherence to psychiatric case reviews may merit special attention.
AD - Pritzker School of Medicine, University of Chicago, Chicago, Illinois, USA.; Section of General Internal Medicine, Department of Medicine, University of Chicago, Chicago, Illinois, USA.; University of Chicago Medical Center, Chicago, Illinois, USA.; Department of Psychiatry and Behavioral Neuroscience, University of Chicago, Chicago, Illinois, USA.
AN - 41327920
BT - J Eval Clin Pract
C5 - Education & Workforce
CP - 8
DA - Dec
DO - 10.1111/jep.70332
DP - NLM
IS - 8
JF - J Eval Clin Pract
LA - eng
N2 - RATIONALE: Over 30% of adults in the United States have symptoms of depressive or anxiety disorders. The majority of these patients are treated only in primary care and have suboptimal outcomes. The Collaborative Care Model (CoCM) is designed to address this problem. AIMS AND OBJECTIVES: This study evaluated the implementation and effectiveness of CoCM at an urban academic medical center primary care clinic. METHODS: Retrospective chart review and analysis informed by the RE-AIM framework. RESULTS: Across 148 patients, mean PHQ-9 scores decreased by 4.8 (SD, 5.8, p < 0.001) and GAD-7 scores decreased by 5.6 (SD, 5.7, p < 0.001). Overall adoption rate was 36% and differed between attending physicians/APNs (50%) and residents (32%). Implementation showed fidelity to measurement-based care, but only 40% of cases were reviewed with the psychiatrist. CONCLUSION: A real-world CoCM can improve symptoms of depression and anxiety for adults; however, trainee adoption and adherence to psychiatric case reviews may merit special attention.
PY - 2025
SN - 1356-1294 (Print); 1356-1294
SP - e70332
ST - Evaluating the Real-World Implementation and Effectiveness of a Collaborative Care Model for Adults with Depression and Anxiety at an Urban, Academic Hospital
T1 - Evaluating the Real-World Implementation and Effectiveness of a Collaborative Care Model for Adults with Depression and Anxiety at an Urban, Academic Hospital
T2 - J Eval Clin Pract
TI - Evaluating the Real-World Implementation and Effectiveness of a Collaborative Care Model for Adults with Depression and Anxiety at an Urban, Academic Hospital
U1 - Education & Workforce
U3 - 10.1111/jep.70332
VL - 31
VO - 1356-1294 (Print); 1356-1294
Y1 - 2025
ER -