Literature Collection

2181

Collaboration is key: Implications for successful rural opioid misuse prevention programming

Type: Journal Article

Authors: Meagan Scott Hoffman, Kristine Ramsay-Seaner, Amber Letcher, Charlotte Heckmann

Year: 2021

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2182

Collaboration Leading to Addiction Treatment and Recovery from Other Stresses (CLARO): process of adapting collaborative care for co-occurring opioid use and mental disorders

Type: Journal Article

Authors: K. C. Osilla, A. R. Dopp, K. E. Watkins, V. Ceballos, B. Hurley, L. S. Meredith, I. Leamon, V. Jacobsohn, M. Komaromy

Year: 2022

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2183

Collaboration with medical professionals in clinical practice: Pediatric abdominal pain as a case example

Type: Journal Article

Authors: C. C. Cushing, C. A. Friesen, J. V. Schurman

Year: 2012

Publication Place: United States

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2184

Collaboration with medical professionals in the primary care setting

Type: Book Chapter

Authors: Dorothy A. Borresen, Nancy B. Ruddy

Year: 2010

Publication Place: New York, NY, US

Topic(s):

,

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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2185

Collaboration With People With Lived Experience of Mental Illness to Reduce Stigma and Improve Primary Care Services: A Pilot Cluster Randomized Clinical Trial

Type: Journal Article

Authors: Brandon A. Kohrt, Mark J. D. Jordans, Elizabeth L. Turner, Sauharda Rai, Dristy Gurung, Manoj Dhakal, Anvita Bhardwaj, Jagannath Lamichhane, Daisy R. Singla, Crick Lund, Vikram Patel, Nagendra P. Luitel, Kathleen J. Sikkema

Year: 2021

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2186

Collaboration with Primary Care: Developing Clinical Skills and Overcoming System Challenges

Type: Journal Article

Authors: Barry Sarvet, Read Sulik

Year: 2016

Publication Place: Baltimore

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2187

Collaborative and Integrated Care for Adolescent Depression

Type: Journal Article

Authors: I. Kodish, L. Richardson, A. Schlesinger

Year: 2019

Publication Place: United States

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2188

Collaborative Care

Type: Web Resource

Authors: AIMS Center

Year: 2021

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2189

CollAborative care and active surveillance for Screen-Positive EldeRs with subthreshold depression (CASPER): a multicentred randomised controlled trial of clinical effectiveness and cost-effectiveness

Type: Journal Article

Authors: H. Lewis, J. Adamson, K. Atherton, D. Bailey, J. Birtwistle, K. Bosanquet, E. Clare, J. Delgadillo, D. Ekers, D. Foster, R. Gabe, S. Gascoyne, L. Haley, R. Hargate, C. Hewitt, J. Holmes, A. Keding, A. Lilley-Kelly, J. Maya, D. McMillan, S. Meer, J. Meredith, N. Mitchell, S. Nutbrown, K. Overend, M. Pasterfield, D. Richards, K. Spilsbury, D. Torgerson, G. Traviss-Turner, D. Trepel, R. Woodhouse, F. Ziegler, S. Gilbody

Year: 2017

Publication Place: England

Abstract: BACKGROUND: Efforts to reduce the burden of illness and personal suffering associated with depression in older adults have focused on those with more severe depressive syndromes. Less attention has been paid to those with mild disorders/subthreshold depression, but these patients also suffer significant impairments in their quality of life and level of functioning. There is currently no clear evidence-based guidance regarding treatment for this patient group. OBJECTIVES: To establish the clinical effectiveness and cost-effectiveness of a low-intensity intervention of collaborative care for primary care older adults who screened positive for subthreshold depression. DESIGN: A pragmatic, multicentred, two-arm, parallel, individually randomised controlled trial with a qualitative study embedded within the pilot. Randomisation occurred after informed consent and baseline measures were collected. SETTING: Thirty-two general practitioner (GP) practices in the north of England. PARTICIPANTS: A total of 705 participants aged >/= 75 years during the pilot phase and >/= 65 years during the main trial with subthreshold depression. INTERVENTIONS: Participants in the intervention group received a low-intensity intervention of collaborative care, which included behavioural activation delivered by a case manager for an average of six sessions over 7-8 weeks, alongside usual GP care. Control-arm participants received only usual GP care. MAIN OUTCOME MEASURES: The primary outcome measure was a self-reported measure of depression severity, the Patient Health Questionnaire-9 items PHQ-9 score at 4 months post randomisation. Secondary outcome measures included the European Quality of Life-5 Dimensions, Short Form questionnaire-12 items, Patient Health Questionnaire-15 items, Generalised Anxiety Disorder seven-item scale, Connor-Davidson Resilience Scale two-item version, a medication questionnaire and objective data. Participants were followed up for 12 months. RESULTS: In total, 705 participants were randomised (collaborative care n = 344, usual care n = 361), with 586 participants (83%; collaborative care 76%, usual care 90%) followed up at 4 months and 519 participants (74%; collaborative care 68%, usual care 79%) followed up at 12 months. Attrition was markedly greater in the collaborative care arm. Model estimates at the primary end point of 4 months revealed a statistically significant effect in favour of collaborative care compared with usual care [mean difference 1.31 score points, 95% confidence interval (CI) 0.67 to 1.95 score points; p < 0.001]. The difference equates to a standard effect size of 0.30, for which the trial was powered. Treatment differences measured by the PHQ-9 were maintained at 12 months' follow-up (mean difference 1.33 score points, 95% CI 0.55 to 2.10 score points; p = 0.001). Base-case cost-effectiveness analysis found that the incremental cost-effectiveness ratio was pound9633 per quality-adjusted life-year (QALY). On average, participants allocated to collaborative care displayed significantly higher QALYs than those allocated to the control group (annual difference in adjusted QALYs of 0.044, 95% bias-corrected CI 0.015 to 0.072; p = 0.003). CONCLUSIONS: Collaborative care has been shown to be clinically effective and cost-effective for older adults with subthreshold depression and to reduce the proportion of people who go on to develop case-level depression at 12 months. This intervention could feasibly be delivered in the NHS at an acceptable cost-benefit ratio. Important future work would include investigating the longer-term effect of collaborative care on the CASPER population, which could be conducted by introducing an extension to follow-up, and investigating the impact of collaborative care on managing multimorbidities in people with subthreshold depression. TRIAL REGISTRATION: Current Controlled Trials ISRCTN02202951. FUNDING: This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 21, No. 8. See the NIHR Journals Library website for further project information.

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2190

Collaborative care and integration: Changing roles and changing identity of the child and adolescent psychiatrist?

Type: Journal Article

Authors: Sandra L. Fritsch, Abigail Schlesinger, Amy D. Habeger, Barry Sarvet, Joyce N. Harrison

Year: 2016

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2191

Collaborative care at the crossroads.

Type: Journal Article

Authors: Peter Roy-Byrne

Year: 2013

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2192

Collaborative care clinician perceptions of computerized cognitive behavioral therapy for depression in primary care

Type: Journal Article

Authors: L. B. Leung, K. E. Dyer, E. M. Yano, A. S. Young, L. V. Rubenstein, A. B. Hamilton

Year: 2020

Publication Place: England

Abstract:

In Veterans Health Administration's (VA) Primary Care-Mental Health Integration (PC-MHI) models, primary care providers, care managers, and mental health clinicians collaboratively provide depression care. Primary care patients, however, still lack timely, sufficient access to psychotherapy treatment. Adapting PC-MHI collaborative care to improve uptake of evidence-based computerized cognitive behavioral therapy (cCBT) may be a potential solution. Understanding primary care-based mental health clinician perspectives is crucial for facilitating adoption of cCBT as part of collaborative depression care. We examined PC-MHI mental health clinicians' perspectives on adapting collaborative care models to support cCBT for VA primary care patients. We conducted 16 semi-structured interviews with PC-MHI nurse care managers, licensed social workers, psychologists, and psychiatrists in one VA health-care system. Interviews were audio-recorded, transcribed, coded using the constant comparative method, and analyzed for overarching themes. Although cCBT awareness and knowledge were not widespread, participants were highly accepting of enhancing PC-MHI models with cCBT for depression treatment. Participants supported cCBT delivery by a PC-MHI care manager or clinician and saw it as an additional tool to engage patients, particularly younger Veterans, in mental health treatment. They commented that current VA PC-MHI models did not facilitate, and had barriers to, use of online and mobile treatments. If effectively implemented, however, respondents thought it had potential to increase the number of patients they could treat. There is widespread interest in modernizing health systems. VA PC-MHI mental health clinicians appear open to adapting collaborative care to increase uptake of cCBT to improve psychotherapy access.

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2193

Collaborative Care Could Help Reduce Disparities in Mental Health Treatment

Type: Report

Authors: National Institute of Mental Health

Year: 2024

Publication Place: Bethesda, MD

Topic(s):

, ,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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2194

Collaborative care for a patient with bipolar disorder in primary care: a case example

Type: Journal Article

Authors: Joseph M. Cerimele, Anna Ratzliff, Jennifer M. Sexton

Year: 2015

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2195

Collaborative care for adolescent depression: A pilot study

Type: Journal Article

Authors: Laura Richardson, Elizabeth McCauley, Wayne Katon

Year: 2009

Publication Place: Netherlands: Elsevier Science

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2196

Collaborative care for behavioral health problems.

Type: Journal Article

Authors: Katherine E. Murray

Year: 2014

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2197

Collaborative care for bipolar disorder: Part I. Intervention and implementation in a randomized effectiveness trial

Type: Journal Article

Authors: M. S. Bauer, L. McBride, W. O. Williford, H. Glick, B. Kinosian, L. Altshuler, T. Beresford, A. M. Kilbourne, M. Sajatovic, Cooperative Studies Program 430 Study Team

Year: 2006

Publication Place: United States

Abstract: 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.

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2198

Collaborative care for children with ADHD symptoms: A randomized comparative effectiveness trial

Type: Journal Article

Authors: M. Silverstein, L. K. Hironaka, H. J. Walter, E. Feinberg, J. Sandler, M. Pellicer, N. Chen, H. Cabral

Year: 2015

Publication Place: United States

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2199

Collaborative care for comorbid depression and diabetes: a systematic review and meta-analysis

Type: Journal Article

Authors: E. Atlantis, P. Fahey, J. Foster

Year: 2014

Publication Place: England

Abstract: OBJECTIVE: The collaborative care model is recommended for depression in adults with a chronic physical health problem like diabetes. We sought to systematically assess the effect of collaborative care on depression and glycaemia in adults with comorbid depression and diabetes to inform guidelines and practice. DESIGN: Systematic review and meta-analysis. DATA SOURCES: We searched PubMed, Scopus, Cochrane Library, CINAHL, Health Source Nursing, MEDLINE, PsychINFO and reference lists of retrieved articles published before August 2013. INCLUSION CRITERIA: Randomised controlled trials (RCTs) on collaborative care (ie, coordinated multidisciplinary model of care) for depression that reported the effects on depression and glycaemic outcomes in adults with comorbid clinically relevant depression and diabetes were eligible. DATA EXTRACTION AND ANALYSIS: Data on the mean difference in depression and glycaemic outcomes were extracted and pooled using random effects meta-analysis. RESULTS: Seven RCTs included for review reported effects on depression outcomes in 1895 participants, and glycated haemoglobin (HbA1c) level in 1556 participants. Collaborative care significantly improved the depression score (standardised mean difference was -0.32 (95% CI -0.53 to -0.11); I(2)=79%) and HbA1c level (weighted mean difference was -0.33% (95% CI -0.66% to -0.00%); I(2)=72.9%) compared with control conditions. Depression remission did not predict better glycaemic control across studies. CONCLUSIONS: Limited evidence from short-to-medium term RCTs predominantly conducted in the USA suggests that collaborative care for depression significantly improves both depression and glycaemia outcomes, independently, in people with comorbid depression and diabetes.

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2200

Collaborative care for depressed patients with chronic medical conditions: a randomized trial in Puerto Rico

Type: Journal Article

Authors: M. Vera, C. Perez-Pedrogo, S. E. Huertas, M. L. Reyes-Rabanillo, D. Juarbe, A. Huertas, M. L. Reyes-Rodriguez, W. Chaplin

Year: 2010

Publication Place: United States

Abstract: OBJECTIVE: This study examined whether a collaborative care model for depression would improve clinical and functional outcomes for depressed patients with chronic general medical conditions in primary care practices in Puerto Rico. METHODS: A total of 179 primary care patients with major depression and chronic general medical conditions were randomly assigned to receive collaborative care or usual care. The collaborative care intervention involved enhanced collaboration among physicians, mental health specialists, and care managers paired with depression-specific treatment guidelines, patient education, and follow-up. In usual care, study personnel informed the patient and provider of the diagnosis and encouraged patients to discuss treatment options with their provider. Depression severity was assessed with the Hopkins Symptom Checklist; social functioning was assessed with the 36-item Short Form. RESULTS: Compared with usual care, collaborative care significantly reduced depressive symptoms and improved social functioning in the six months after randomization. Integration of collaborative care in primary care practices considerably increased depressed patients' use of mental health services. CONCLUSIONS: Collaborative care significantly improved clinical symptoms and functional status of depressed patients with coexisting chronic general medical conditions receiving treatment for depression in primary care practices in Puerto Rico. These findings highlight the promise of the collaborative care model for strengthening the relationship between mental health and primary care services in Puerto Rico.

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