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Integrated Health Care • Links & Resources
The Hogg Foundation for Mental Health compiles links and various resources to assist organizations in their implementation of the collaborative care model.
In these pages, you will find links to other collaborative care programs and a variety of information and tools for implementing the model, including:
• Patient Registry
• Patient Education Materials
• Other Implementation Resources
• Glossary
This list will be updated periodically. Please email laurie.alexander@austin.utexas.edu
with suggestions for additions.
Other Implementation Resources
Collaborative care is a new way of working for most primary care settings. However, organizations interested in adopting the model can learn a great deal from the experiences of other organizations that have successfully implemented it.
This page contains various resources for organizations implementing the collaborative care model. The resources include:
• Collaborative Care Tool Kits: Training curricula and tool kits for implementing collaborative care
• Special Topics on Mental Health Care in Primary Care Settings: Readings and tools to assist physicians and care managers working with patients with identified mental health needs in primary care settings
Organizations interested in implementing collaborative care should also check out the Foundation’s postings on the Patient Registry and Patient Education Materials.
Collaborative Care Tool Kits
IMPACT:
Improving Mood Promoting Access to Collaborative Treatment for
Late-Life Depression
Sponsored by the John A. Hartford Foundation, Dr. Jürgen Unützer
and colleagues implemented this large multi-site trial of collaborative
care for depression in older adults. The program's success led to
Dr. Unützer's group being funded to train organizations around the
country in the model. The program's website contains a host of valuable
resources including a free online
training curriculum. Free registration is required to access
some of the materials.
Intermountain Healthcare: Mental Health Integration
This nonprofit healthcare system in Salt Lake City, UT, has implemented the collaborative care model for adults and children with a range of mental health problems. The website provides an overview of their model, as well as resources for physicians, patients, and families.
MacArthur
Initiative on Depression and Primary Care
The MacArthur Foundation funded this multi-site trial of collaborative
care for depression. The website contains a care manager training
manual and video presentation, tool kit for primary care physicians,
and other free resources. Background information on the project
is also available on the MacArthur
Foundation's website.
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Special Topics on Mental Health Care in Primary Care Settings
Following Up with Hard-to-Reach Patients
A key challenge for care managers is tracking down patients for follow-up appointments. Especially in “safety net” clinics, patients’ phone numbers and addresses can change frequently. A list of helpful strategies (PDF) for following up with patients is provided to help care managers increase their follow-up rates.
Pain Management
University of Washington psychiatrist Wayne Katon has provided a PowerPoint presentation on managing pain in primary care settings. His UW colleague Richard Veith has developed a PowerPoint that addresses the link between depression and pain. A pain contract template (PDF) is also provided. Physicians and care managers will find the materials useful in working with patients with or without depression who are experiencing chronic pain and requesting addictive pain medications.
Addressing Suicide
Handling patients’ talk of suicide is often a major concern for primary care staff. Staff education and a comprehensive crisis protocol are critical in assuaging staff’s concerns and managing these situations safely and effectively. The Joint Commission on Accreditation of Healthcare Organizations has produced a useful resource guide on suicide assessment. (PDF) In its online library, the Suicide Prevention Resource Center offers suicide prevention guidelines for social workers, nurses, and primary care physicians among other valuable resources. Bonner and colleagues review effective approaches to developing an institutional response to suicide risk in this useful article.
Treating Depression in Children and Adolescents
University of Washington child psychiatrist Laura Richardson has made available her recent review article (PDF) on treating depression in children and adolescents in the primary care setting. The article covers best practices in assessing and treating child and adolescent depression.
Psychiatric Consultations
In collaborative care, the consulting psychiatrist’s role is largely limited to providing “curbside” consultations, in which the psychiatrist offers treatment recommendations to the primary care physician on the basis of information provided about the patient, not via direct interaction with the patient. Psychiatrists new to this role often question their liability in these exchanges. In this article, (PDF) Olick and colleagues review judicial decisions related to “curbside” consultations.
Supporting Antidepressant Management
In their role, care managers must become familiar with frequently prescribed antidepressants, including their dosages and side effects. Care managers use this information to educate patients about their treatment, support their adherence to treatment, and to help assess when the patient is not responding to treatment. This PowerPoint from the University of Washington consultants provides an excellent overview of these topics.
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