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Explore chapters and articles related to this topic
Non-drug interventions for common mental health problems
Published in Christopher Dowrick, Global Primary Mental Health Care, 2019
Over the past decade, the Collaborative Care Model as originally described by Katon and colleagues51 has been shown to improve patient outcomes, save money, and reduce stigma related to mental health. Collaborative Care operationalises the principles of Wagner’s Chronic Care Model52 to improve access to evidence-based mental health treatments for primary care patients. It helps to normalise and de-stigmatise treatments for behavioural health disorders and enhances service access for patients. In this integrated team-based, stepped care approach, patients are managed by a primary care clinician and a case manager. A specialist psychiatrist liaises usually via the case manager to provide advice on diagnosis and treatment when first line treatments are not effective. Training in collaborative/integrated care can help optimise the skill mix to enhance the outcomes for mental health problems in primary care.53 The American Psychiatric Association/Academy of Psychosomatic Medicine has produced a report summarising the evidence on how to implement Collaborative Care Model for mental health into primary care.54
Philosophical backgrounds
Published in Gerrit Glas, Person-Centered Care in Psychiatry, 2019
We have heard similar responses to the assault on professionalism. This assault should be counteracted by policies that aim at restoration of trustworthiness, and this was thought to be possible based on new forms of collaboration between varying combinations of stakeholders. Current (mental) healthcare is characterized by a plethora of new forms of collaboration among patients, clinicians, insurers, and representatives of healthcare organizations and the public administration. Collaborative care is even the name of one of these initiatives. Trust and civic partnership belong to the most cherished keywords in the negotiations about these new forms of collaboration.
Concluding remarks on collaborative primary care
Published in Sanjiv Ahluwalia, John Spicer, Karen Storey, Collaborative Practice in Primary and Community Care, 2019
Sanjiv Ahluwalia, Karen Storey, John Spicer
Fundamentally, the reason to engage with a discussion on best collaborative care is only important if it improves the lot of both patients and health and social care workers. To that end, and especially in the community, we accord the role of education as central. Both at the qualifying level (otherwise known as pre-certification or undergraduate or other synonyms) and at the continuing education (or professional development) phase, it is clear that those who learn together practice better together. Further, this is likely to hold for those staff who do not have a formal certification or regulated status. The value of such IPE is multiple – improving the care of patients, it also permits the evolution and legitimation of professional and clinical identity and acceptance of as such by members of a team. IPE provides the right environment to explore the boundaries, governance and limitations of professionals’ roles to develop an appreciation and understanding that is required in a system-based care setting. That there is still work to do is explored by Griffin and O’Keeffe in some detail in their chapter and remains an issue around the world (Wong, 2018).
Electronic Screening to Support Measurement Based Care: Examples from the Field
Published in Military Behavioral Health, 2022
James O. E. Pittman, Erin Almklov, Abigail Angkaw, Neal Doran, Laurie Lindamer, Sonya B. Norman, Kathleen Grubbs, William Wolfe, Niloofar Afari
Overall, eScreening is a promising tool to aide in the implementation of MBC and potentially increase rates of delivery as it can be used in diverse health settings to administer and score standardized patient reported outcome measures. It allows health providers to efficiently, accurately and consistently monitor patient progress, evaluate treatment outcomes and make informed decisions, all while promoting collaborative care. eScreening can overcome many of the barriers traditionally associated with the deployment of MBC such as time demand and paperwork burden due to features such as self-administration, automatic scoring, aggregate results, and EHR integration. Finally, eScreening can greatly facilitate MBC in telemedicine as patients can securely complete screening assessments remotely using personal electronic devices.
Exploration of how to make the collaborative planning process work - a grounded theory study
Published in Cogent Medicine, 2021
Ingela Jobe, Asa Engström, Birgitta Lindberg
To improve healthcare services for frail older adults in Sweden, a number of reforms have been enacted at the national and regional level, focusing on trying to reduce hospital stays through preventive measures, improved community services and collaborative care plans (Anell & Glenngård, 2014). According to the law (SFS (2017:612), :612), the region and municipality shall collaborate and establish a collaborative care plan for persons needing healthcare and social services. The collaborative care plan is a shared document that involves shared input from an interprofessional team of professionals working with the older adult. However, the collaborative care planning process is complex and despite legislation and directives, it is not functioning optimally. Research of person-centred collaborative care planning is limited. By exploring the collaborative care planning process and the participants’ experiences deeper knowledge will emerge and contribute to shed light on how to improve planning processes, and give health and social care professionals new strategies to use when implementing the collaborative care planning process, and integrating the older adult and their informal caregivers into the team.
Traumatic Brain Injury in Children: The Psychological Effects of Mild Traumatic Brain Injury
Published in Journal of Binocular Vision and Ocular Motility, 2020
Collaborative care is a health care model that incorporates both medical and behavioral care for those suffering from chronic disorders and has been found to be an effective approach in children and adolescents suffering from PCS.26,27 A multidisciplinary approach should include an evaluation from team members in ophthalmology, otolaryngology, physical therapy, psychology, neurology, and sports medicine and should also include a social worker.27 As symptoms of PCS persist, referral to a multidisciplinary center or clinic is recommended.44 The psychologist or psychiatrist as part of this team can observe for ongoing anxiety or depression, behavior problems, or family and school stressors. Particularly, it is important to observe for preexisting psychiatric conditions, any changes in personality and lifestyle since the concussion and any current traumatic symptoms, stressors, sleep patterns, social connections missed school, and/or academic performance.13 It is important to additionally consider the patient’s and their family’s beliefs around the etiology of their pain and coping mechanisms before developing any recommendations or treatment plans.