Name
Collaborative Care: Redefining Expansion in Primary Care at an Academic Medical Center
Description

Depression and anxiety are among the most underdiagnosed and undertreated mental health conditions encountered by patients in primary care settings and are frequently linked with other chronic conditions. Integrated models of behavioral health care such as Collaborative Care (CoCM) greatly improve access to care, reduce total costs of care, increase primary care provider satisfaction and productivity, improve clinical outcomes, and reduce health disparities and stigma by providing behavioral health treatment in the primary care setting. This presentation will describe an innovative multi-year program implementing embedded behavioral health providers (LCSWs) and consulting psychiatrists at a major academic medical health system. This will provide a brief overview of the program that began in 2018, along with its phases of expansion over the years to ensure that as many primary care patients as possible have access to CoCM services. The discussion will also cover plans for future growth and the lessons learned along the way.

Speakers
Janet Meda DNP, FNP-C, PMHNP-BC, PHN, RN, Health Sciences Clinical Professor, University of California at Davis Medical Center,
Dominic Le MD, Assistant clinical professor, , psychiatric consultant CoCM, University of California at Davis Medical Center,
Lorin Scher MD, Vice Chair; Director, Integrated Behavioral Health, UC Davis, Sacramento, California
Content Level
All Audience
Tags
Collaborative Care Model of Integrated Care, Outcomes, Primary Care Behavioral Health Model
Session Type
Concurrent
SIG or Committee
Collaborative Care Model (CoCM), Primary Care Behavioral Health (PCBH)
Objective 1
Identify strategies in developing and maintaining a collaborative care model of behavioral health services in primary care
Objective 2
Understand how psychiatric consultation (including e-consults) can increase access to behavioral health services in primary care
Objective 3
List the steps involved in expanding collaborative care services within primary care in order to reach the most patients possible
Content Reference 1

Reist C, Petiwala I, Latimer J, Raffaelli S, Chiang M, Eisenberg D, Campbell S. Collaborative Mental Health Care: A Narrative Review. Medicine (Baltimore), Dec 2022, 101(52), PMCID: PMC9803502 PMID: 36595989 https://pmc.ncbi.nlm.nih.gov/articles/PMC9803502/

Content Reference 2

Goldman M, Smali E, Richkin T, Pincus H, Chung H. A Novel Continuum-Based Framework for Translating Behavioral Health Integration to Primary Care Settings, Translational Behavioral Medicine, Volume 10, Issue 3, June 2020, Pages 580-589, https://doi.org/10.1093/tbm/ibz142

Content Reference 3

Hockenberry J, Wen H, Druss B, Loux T, and Johnston K. No Improvement in Mental Health Treatment or Patient-Reported Outcomes at Medicare ACOs for Depression and Anxiety Disorders. Health Affairs, Volume 42, No 11, Nov.2023. https://www.healthaffairs.org/doi/10.1377/hlthaff.2023.00345

Content Reference 4

Collaborative Care Implementation Guide, AIMS Center, University of Washington, 2024, https://aims.uw.edu/wordpress/wp-content/uploads/2023/12/Implementation-Guide.pdf

Content Reference 5

Integrating Behavioral Health Care into Primary Care Settings: The Collaborative Care Model, Path Forward Coalition, July 2024, https://pathforwardcoalition.org/resource/briefing-integrating-behavioral-health-care-into-primary-care-settings-the-collaborative-care-model/