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Mental Health Collaborative Care and its Role in Primary Care Settings

  • Psychiatry in Primary Care (BN Gaynes, Section Editor)
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Abstract

Collaborative care models (CCMs) provide a pragmatic strategy to deliver integrated mental health and medical care for persons with mental health conditions served in primary care settings. CCMs are team-based intervention to enact system-level redesign by improving patient care through organizational leadership support, provider decision support, and clinical information systems, as well as engaging patients in their care through self-management support and linkages to community resources. The model is also a cost-efficient strategy for primary care practices to improve outcomes for a range of mental health conditions across populations and settings. CCMs can help achieve integrated care aims underhealth care reform yet organizational and financial issues may affect adoption into routine primary care. Notably, successful implementation of CCMs in routine care will require alignment of financial incentives to support systems redesign investments, reimbursements for mental health providers, and adaptation across different practice settings and infrastructure to offer all CCM components.

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Acknowledgments

This work was supported by the Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development [HSRD IIR 10–340], the VA Health Services Research and Development Center for Organization, Leadership, and Management Research (COLMR), the National Institute of Mental Health [RO1 MH 79994 and R34 MH 74509], and the University of Michigan Comprehensive Depression Center (Director’s Innovation Fund). The views expressed in this article are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs.

Compliance with Ethics Guidelines

ᅟ

Conflict of Interest

David E. Goodrich declares that he has no conflict of interest.

Amy M. Kilbourne has received consulting fees from Kaiser Permanente, research funding from Agency for Healthcare Research and Quality and National Institute of Mental Health, and royalties from New Harbinger.

Kristina M. Nord declares that she has no conflict of interest.

Mark S. Bauer has received royalties from Springer Publishing Company and New Harbinger.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Author information

Authors and Affiliations

  1. VA Ann Arbor Center for Clinical Management Research, North Campus Research Complex, 2800 Plymouth Road, Bldg 16, Ann Arbor, MI, 48109-2800, USA

    David E. Goodrich, Amy M. Kilbourne & Kristina M. Nord

  2. Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA

    David E. Goodrich, Amy M. Kilbourne & Kristina M. Nord

  3. Center for Organization, Leadership, & Management Research, VA Boston Healthcare System, Boston, MA, USA

    Mark S. Bauer

  4. Department of Psychiatry, Harvard Medical School, Boston, MA, USA

    Mark S. Bauer

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  1. David E. Goodrich
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  2. Amy M. Kilbourne
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  4. Mark S. Bauer
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Corresponding author

Correspondence to Amy M. Kilbourne.

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This article is part of the Topical Collection on Psychiatry in Primary Care

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Goodrich, D.E., Kilbourne, A.M., Nord, K.M. et al. Mental Health Collaborative Care and its Role in Primary Care Settings. Curr Psychiatry Rep 15, 383 (2013). https://doi.org/10.1007/s11920-013-0383-2

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