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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

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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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

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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Troyer  EA , Kohn  JN , Hong  S .  Are we facing a crashing wave of neuropsychiatric sequelae of COVID-19? neuropsychiatric symptoms and potential immunologic mechanisms.   Brain Behav Immun. 2020;87:34-39. doi:10.1016/j.bbi.2020.04.027 PubMedGoogle ScholarCrossref
2.
Archer  J , Bower  P , Gilbody  S ,  et al.  Collaborative care for depression and anxiety problems.   Cochrane Database Syst Rev. 2012;10:CD006525. doi:10.1002/14651858.CD006525.pub2PubMedGoogle Scholar
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Carlo  AD , Corage Baden  A , McCarty  RL , Ratzliff  ADH .  Early health system experiences with collaborative care (CoCM) billing codes: a qualitative study of leadership and support staff.   J Gen Intern Med. 2019;34(10):2150-2158. doi:10.1007/s11606-019-05195-0PubMedGoogle ScholarCrossref
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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 PubMedGoogle ScholarCrossref
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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 PubMedGoogle ScholarCrossref
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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 PubMedGoogle ScholarCrossref
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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 PubMedGoogle ScholarCrossref
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.

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