Collaborative Care

Printer-friendly version

Collaborative Care (CoCM) is a specific type of integrated care developed at the University of Washington to treat common mental health conditions in medical settings like primary care. Behavioral health conditions such as depression, anxiety, PTSD, alcohol or substance use disorders are among the most common and disabling health conditions worldwide. Based on principles of effective chronic illness care, CoCM focuses on defined patient populations who are tracked in a registry to monitor treatment progression. The treatment plan focuses on measurement-based treatment to target, to ensure the patient's goals and clinical outcomes are met.

Collaborative Care Team

CoCM requires a team of providers, trained Primary Care Providers (PCP) work with embedded Behavioral Health Care Managers (BHCM) to provide evidence-based medication or psychosocial treatments. The PCP and BHCM are supported by a Psychiatric Consultant with regular case consultation and treatment adjustment for patients who are not improving as expected. Illustration of how contact works in the CoCM Model - PCP and BHCM in frequent contact with each other and Patient, Psychiatric Consultant in frequent contact with BHCM, but infrequent contact with the PCP and Patient.

Collaborative Care Outcomes

CoCM has now been tested in more than 90 randomized controlled trials in the US and abroad, and is widely agreed upon as the integrated care approach with the most robust evidence base. It leads to significantly better clinical outcomes, greater patient and provider satisfaction, improved functioning, and reduces health care costs. Collaborative Care necessitates a practice change on multiple levels and is nothing short of a new way to practice medicine, but it works. The bottom line is that providers have the resources they need to most effectively treat patients and the patients are twice as likely to get better in significantly less time (86 days vs. 614 days in usual care).

 

 

Resources

Use our Resource Library to find materials about Collaborative Care, have our Implementation Guide take you through the process of implementation, or browse the following pages to better understand the model.