TEAMcare was a randomized controlled trial designed to test Collaborative Care strategies in managing depression, diabetes, and coronary heart disease in primary care. Patients with depression and comorbid medical conditions have an increased risk of adverse outcomes and high medical costs.
The TEAMcare findings, published in the New England Journal of Medicine in 2010, include significantly improved outcomes for depression and coronary heart disease and/or diabetes at a lower cost over a treatment course of 12 months. This multi-condition Collaborative Care study was conducted by the University of Washington in collaboration with the Group Health Research Institute with funding from the National Institute of Mental Health (NIMH).
Subsequent Multi-Condition Collaborative Care Research
In addition to the TEAMcare research, there has been other research conducted on the effectiveness of multi-condition Collaborative Care. The Minnesota-based Institute for Clinical Systems Improvement (ICSI) and nine other organizations recently completed a three-year initiative--Care Of Mental, Physical And Substance-use Syndromes (COMPASS)--to further test and evaluate multi-condition Collaborative Care. COMPASS was designed to improve the care of patients with depression and diabetes and/or cardiovascular disease and the care management strategies were built upon the TEAMcare study model. ICSI’s COMPASS Intervention Guide provides the clinical workflow, supporting annotations, and appendices to aid primary care systems in implementing the COMPASS model.
The COMPASS Initiative, funded by the Center for Medicare & Medicaid Innovation, involved 18 medical groups and 171 clinics in eight states. These groups differed significantly in size, organizational structure, patient populations, and payment systems; in addition, most of the clinics had experience in behavioral health Collaborative Care models before expanding to include selected medical conditions. To date, six papers have been submitted to peer-reviewed journals for review.
TrainingXchange no longer hosts TEAMcare trainings in-person or online. If you are interested in pursuing training for multi-condition Collaborative Care, please read about implementation support and training through the AIMS Center.
- Rosenberg D, Lin EH, Peterson D et al: Integrated medical care management and behavioral risk factor reduction for multicondition patients: behavioral outcomes of the TEAMcare trial. Gen Hosp Psychiatry 2013, Nov 4.
- Von Korff M, Katon W, Lin EH et al: Functional outcomes of multi-condition collaborative care and successful aging: results of a randomized trial. BMJ 2011 Nov 10:343
- Katon W et al. Cost-effectiveness of a multicondition collaborative care intervention: a randomized controlled trial. Archives of General Psychiatry 2012; 69(5):506-14.