TY - JOUR
AU - D . Y. Johnson
AU - E. M. Staab
AU - P. Hahn
AU - C. Lusk
AU - E. K. Zahradnik
AU - N. Laiteerapong
A1 - 
AB - OBJECTIVE: The Collaborative Care Model, which integrates primary care, behavioral health, and structured care management, is a promising approach to improving outcomes for patients with cognitive impairment and neuropsychiatric symptoms. This study evaluated a pilot of Cognitive Impairment Collaborative Care (CICC) at a large urban academic medical center. METHOD: Retrospective chart review of adults enrolled in the first year of the program (November 1, 2021 to October 31, 2022). CICC included assessments, biweekly telehealth visits, care management, psychiatric consultation, and therapy. The primary outcome was clinical effectiveness, defined as the change in Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) scores. Secondary outcomes were adoption (number of clinicians referring), reach (patient enrollment), and implementation (number of encounters and psychiatric case reviews). RESULTS: Twenty-two patients enrolled in CICC; all had depression or anxiety. About 5% of primary care clinicians referred an average of 1.6 patients (SD 1.7) in the first year. On average, patients were enrolled for 144.9 days (SD 79.7), had 2.3 encounters per month (SD 1.0), were case reviewed 8.6 times (SD 5.3), and 50% graduated in the first year. Patients exhibited significant reductions in depression (PHQ-9: mean change -4.7, SD 5.0, p = 0.003) and anxiety scores (GAD-7: mean change -4.3, SD 5.5, p = 0.01). CONCLUSIONS: CICC achieved modest adoption and reach with demonstrated effectiveness in reducing depression and anxiety among patients with cognitive impairment. RELEVANCE TO CLINICAL PRACTICE: Amid a shortage of geriatricians and geriatric psychiatrists in the U.S., collaborative care is a possible therapeutic option for the growing geriatric population.
AD - Pritzker School of Medicine University of Chicago Chicago Illinois USA.; Department of Medicine University of Chicago Chicago Illinois USA.; Department of Psychiatry and Behavioral Neuroscience University of Chicago Chicago Illinois USA.
AN - 42500272
BT - Psychiatr Res Clin Pract
C5 - Healthcare Disparities; Education & Workforce; HIT & Telehealth
DA - 06/2026
DO - 10.1176/appi.prcp.20240109
DP - NLM
ET - 20260616
JF - Psychiatr Res Clin Pract
LA - eng
N2 - OBJECTIVE: The Collaborative Care Model, which integrates primary care, behavioral health, and structured care management, is a promising approach to improving outcomes for patients with cognitive impairment and neuropsychiatric symptoms. This study evaluated a pilot of Cognitive Impairment Collaborative Care (CICC) at a large urban academic medical center. METHOD: Retrospective chart review of adults enrolled in the first year of the program (November 1, 2021 to October 31, 2022). CICC included assessments, biweekly telehealth visits, care management, psychiatric consultation, and therapy. The primary outcome was clinical effectiveness, defined as the change in Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) scores. Secondary outcomes were adoption (number of clinicians referring), reach (patient enrollment), and implementation (number of encounters and psychiatric case reviews). RESULTS: Twenty-two patients enrolled in CICC; all had depression or anxiety. About 5% of primary care clinicians referred an average of 1.6 patients (SD 1.7) in the first year. On average, patients were enrolled for 144.9 days (SD 79.7), had 2.3 encounters per month (SD 1.0), were case reviewed 8.6 times (SD 5.3), and 50% graduated in the first year. Patients exhibited significant reductions in depression (PHQ-9: mean change -4.7, SD 5.0, p = 0.003) and anxiety scores (GAD-7: mean change -4.3, SD 5.5, p = 0.01). CONCLUSIONS: CICC achieved modest adoption and reach with demonstrated effectiveness in reducing depression and anxiety among patients with cognitive impairment. RELEVANCE TO CLINICAL PRACTICE: Amid a shortage of geriatricians and geriatric psychiatrists in the U.S., collaborative care is a possible therapeutic option for the growing geriatric population.
PY - 2026
SN - 2575-5609
ST - A Real-World Pilot of the Collaborative Care Model for Adults With Cognitive Impairment and Neuropsychiatric Symptoms in Primary Care
T1 - A Real-World Pilot of the Collaborative Care Model for Adults With Cognitive Impairment and Neuropsychiatric Symptoms in Primary Care
T2 - Psychiatr Res Clin Pract
TI - A Real-World Pilot of the Collaborative Care Model for Adults With Cognitive Impairment and Neuropsychiatric Symptoms in Primary Care
U1 - Healthcare Disparities; Education & Workforce; HIT & Telehealth
U3 - 10.1176/appi.prcp.20240109
VO - 2575-5609
Y1 - 2026
ER -