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Health Care Delivery Models

Harnessing Collaborative Care to Meet Mental Health Demands in the Era of COVID-19

Educational Objective
To identify the key insights or developments described in this article

1 Credit CME

JAMA Psychiatry

Published Online: October 21, 2020

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Article Information and Disclosures

Andrew D. Carlo, MD, MPH¹;

Brian S. Barnett, MD²;

Jürgen Unützer, MD, MPH¹

Author Affiliations

¹Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle
²Neurological Institute, Center for Behavioral Health, Cleveland Clinic, Cleveland, Ohio

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The coronavirus disease 2019 (COVID-19) pandemic increasingly weighs on the US psyche as it exposes structural inequities, intensifies long-standing mental health access challenges, and vastly increases the number of individuals in need of treatment. Neuropsychiatric sequelae¹ have developed in some survivors after COVID-19 infection, whereas others have been traumatized in their roles as frontline health care workers and first responders. Still others have been stricken with new anxiety or depressive disorders, while those with preexisting mental health problems have seen their conditions worsen amid social distancing directives. As demands on our already strained and specialty-focused mental health care system increase, one of the most promising solutions for the pandemic’s unique needs is expediting the integration of mental and physical health care in the primary care setting, with the collaborative care model (CoCM) being an extensively evidence-based strategy.

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Article Information

Corresponding Author: Andrew D. Carlo, MD, MPH, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 1959 NE Pacific St, PO Box 356560, Room BB1644, Seattle, WA 98191 (andrewdcarlo@gmail.com).

Published Online: October 21, 2020. doi:10.1001/jamapsychiatry.2020.3216

Conflict of Interest Disclosures: Dr Carlo reported being enrolled in a postdoctoral fellowship funded by the National Institutes of Health. No other disclosures were reported.

References

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Angstman KB , Phelan S , Myszkowski MR , et al. Minority primary care patients with depression: outcome disparities improve with collaborative care management. Med Care. 2015;53(1):32-37. doi:10.1097/MLR.0000000000000280 PubMed Google Scholar Crossref

Fortney JC , Pyne JM , Kimbrell TA , et al. Telemedicine-based collaborative care for posttraumatic stress disorder: a randomized clinical trial. JAMA Psychiatry. 2015;72(1):58-67. doi:10.1001/jamapsychiatry.2014.1575 PubMed Google Scholar Crossref

Katon W , Russo J , Von Korff M , et al. Long-term effects of a collaborative care intervention in persistently depressed primary care patients. J Gen Intern Med. 2002;17(10):741-748. doi:10.1046/j.1525-1497.2002.11051.x PubMed Google Scholar Crossref

Sanchez K . Collaborative care in real-world settings: barriers and opportunities for sustainability. Patient Prefer Adherence. 2017;11:71-74. doi:10.2147/PPA.S120070 PubMed Google Scholar Crossref

AMA CME Accreditation Information

Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00  AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:

1.00 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program;;
1.00 Self-Assessment points in the American Board of Otolaryngology – Head and Neck Surgery’s (ABOHNS) Continuing Certification program;
1.00 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program;
1.00 Lifelong Learning points in the American Board of Pathology’s (ABPath) Continuing Certification program; and
1.00 credit toward the CME [and Self-Assessment requirements] of the American Board of Surgery’s Continuous Certification program

It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.