Diffusion of a collaborative care model in primary care: a longitudinal qualitative study

Abstract This individual symposium abstract will focus another evidence-based approach to mental health treatment and in older adults, the collaborative care model. Collaborative care is a consultation-based approach in primary care that has been described with multiple clinical trials, with significant benefit for access and treatment. The Prevention of Suicide in Primary Care Elderly: Collaborative Trial (PROSPECT) using the collaborative care model found that those older adults receiving the intervention had a higher utilization of mental health treatment (psychotherapy and/or antidepressant treatment) and had a 2.2 times greater decline in suicidal ideation over 24 months. The authors will describe the utility of using the collaborative care model on the identification of suicidal ideation and subsequent mental health treatment for older adults. The authors will also share about challenges and successes related to collaborative care implementation in healthcare settings for older adults, and relevant policy and financing components for the model.

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Multidisciplinary treatment of opioid use disorder in primary care using the collaborative care model

Substance Abuse ◽

10.1080/08897077.2021.1932698 ◽

2021 ◽

pp. 1-5

Author(s):

Charles D. Brackett ◽

Matthew Duncan ◽

Joanne Fadale Wagner ◽

Laura Fineberg ◽

Sally Kraft

Keyword(s):

Primary Care ◽

Collaborative Care ◽

Multidisciplinary Treatment ◽

Opioid Use Disorder ◽

Opioid Use ◽

Care Model ◽

Collaborative Care Model

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Baseline screening tools as indicators for symptom outcomes and health services utilization in a collaborative care model for depression in primary care: a practice-based observational study

General Hospital Psychiatry ◽

10.1016/j.genhosppsych.2014.06.014 ◽

2014 ◽

Vol 36 (6) ◽

pp. 563-569 ◽

Cited By ~ 3

Author(s):

Nathan D. Shippee ◽

Brooke H. Rosen ◽

Kurt B. Angstman ◽

Manuel E. Fuentes ◽

Ramona S. DeJesus ◽

...

Keyword(s):

Primary Care ◽

Health Services ◽

Observational Study ◽

Collaborative Care ◽

Health Services Utilization ◽

Screening Tools ◽

Care Model ◽

Collaborative Care Model ◽

Services Utilization ◽

Baseline Screening

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Evaluation of a collaborative care model for integrated primary care of common mental disorders comorbid with chronic conditions in South Africa

BMC Psychiatry ◽

10.1186/s12888-019-2081-z ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 8

Author(s):

Inge Petersen ◽

Arvin Bhana ◽

Lara R. Fairall ◽

One Selohilwe ◽

Tasneem Kathree ◽

...

Keyword(s):

South Africa ◽

Primary Care ◽

Mental Disorders ◽

Collaborative Care ◽

Chronic Conditions ◽

Common Mental Disorders ◽

Integrated Primary Care ◽

Care Model ◽

Collaborative Care Model

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Collaborative care model for diabetes in primary care settings in Qatar: a qualitative exploration among healthcare professionals and patients who experienced the service

BMC Health Services Research ◽

10.1186/s12913-021-06183-z ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Sara Abdulrhim ◽

Sowndramalingam Sankaralingam ◽

Mohamed Izham Mohamed Ibrahim ◽

Mohammed Issam Diab ◽

Mohamed Abdelazim Mohamed Hussain ◽

...

Keyword(s):

Diabetes Mellitus ◽

Primary Care ◽

Collaborative Care ◽

Healthcare Professionals ◽

Barriers And Facilitators ◽

Easy Access ◽

Care Model ◽

Structured Interviews ◽

Collaborative Care Model ◽

Patients With Diabetes

Abstract Background Diabetes mellitus is highly prevalent and associated with huge economic burden globally. The conventional care and management of diabetes mellitus is highly fragmented and complex, warranting the need for a comprehensive Collaborative Care Model (CCM). Little is known about the perception of patients with diabetes and their healthcare providers about CCM, its barriers and facilitators. This study aimed to explore the value of CCM in diabetes care at a primary healthcare (PHC) setting from the perspective of patients with diabetes and healthcare professionals (HCPs), in an effort to expand our current knowledge on collaborative care in diabetes at primary care level for the purpose of quality improvement and service expansion. Methods Using an exploratory case study approach, semi-structured interviews were conducted among patients and HCPs who encountered CCM in Qatar during 2019 and 2020. The semi-structured interviews were transcribed verbatim and the data were analysed and interpreted using a deductive-inductive thematic analysis approach. Results Twelve patients and 12 HCPs at a diabetes clinic participated in one-to-one interviews. The interviews resulted in five different themes: the process and components of collaborative care model (four subthemes), current organizational support and resources (three subthemes), impact of collaborative care model on diabetes outcomes (three subthemes), enablers of collaborative care model (three subthemes), and barriers to collaborative care model (three subthemes). The participants indicated easy access to and communication with competent and pleasant HCPs. The patients appreciated the extra time spent with HCPs, frequent follow-up visits, and health education, which empowered them to self-manage diabetes. HCPs believed that successful CCM provision relied on their interest and commitment to care for patients with diabetes. Generally, participants identified barriers and facilitators that are related to patients, HCPs, and healthcare system. Conclusions The providers and users of CCM had an overall positive perception and appreciation of this model in PHC settings. Barriers to CCM such as undesirable attributes of HCPs and patients, unsupportive hospital system, and high workload must be addressed before implementing the model in other PHC settings.

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