In the rural town of Yakima, WA, there will only be one private-practice psychiatrist by mid-July due to recent retirements. This article describes the solutions that can address the lack of psychiatrists. One solution is telepsychiatry. Telepsychiatry removes the access barrier to mental health care in rural areas and helps more people get the mental health care they need. The article also discusses Collaborative Care as another viable solution to the shortage of psychiatrists in Yakima.
In the News
Anna Ratzliff, MD, PhD discusses the reasons why it is valuable for psychiatrists, new and old, to learn about Collaborative Care. She names the most compelling reason for psychiatrists to learn about this model of care as the professional commitment to patients because Collaborative Care is a patient-centered, population-based approach that can reach a large number of people.
According to a panel of experts convened by The American Journal of Managed Care, including Wayne Katon, the Affordable Care Act has significantly increased attention to team-based approaches to mental health care and the costs associated with comorbid mental illness and chronic conditions, such as diabetes and hypertension.
Providing effective depression care in rural areas is extremely challenging given the lack of resources, high rates of poverty, prevalence of uninsured patients, and lack of mental health professionals. The Social Innovation Fund is helping primary care community clinics deliver better mental health care to approximately 8,000 adults by funding implementation of the Collaborative Care model in rural areas of the western United States.
US Medicine discusses a recent research publication in JAMA Psychiatry. John Fortney, Associate Director of Research at the UW AIMS Center, and colleagues examined a telemedicine-based Collaborative Care model for PTSD compared to usual care for rural veterans. As 41% of veterans live in rural areas, travel distance and stigma often reduce access and adherence to PTSD treatment.
Health IT Outcomes discusses the Children's ADHD Telemental Heath Treatment Study (CATTS), recently published in the Journal of American Academy of Child & Adolescent Psychiatry, that demonstrated the effectiveness of a telehealth service model to treat ADHD in communities with limited access to specialty mental health services. The AIMS Center developed and customized the software system (CMTS) used in the research study, which
In this new study, it was found that patients enrolled in Telemedicine-Based Collaborative Care reported fewer antidepressant side effects than those participating in Practice-Based Collaborative Care.
Jesse Fann, MD, MPH, reflects on his experience with collaborative psychosocial oncology care. Dr. Fann says that more implementation and dissemination research needs to be done but the application of integrated Collaborative Care principles to cancer care has worked well because it compliments the foundations of oncology care.
Wayne Katon, MD, passed away March 1, 2015 from lymphoma. Dr. Katon's original 1995 JAMA publication paved the way for the Collaborative Care model that is widely implemented in clinics today. The effectiveness of the model has since been tested in over 80 randomized controlled trials and has helped countless people receive better care.