The U.S. Military has been using Collaborative Care within their health system since 2003 when they implemented the Three Component Model, similar to a Collaborative Care model. Recently, a grant was awarded to complete an effectiveness trial of an improved Three Component Model called STEPS-UP (Stepped Enhancement of PTSD Services Using Primary Care).
In the News
Access to trained behavioral health professionals can be difficult for veterans living in rural areas. John Fortney, PhD, lead author of a new JAMA Psychiatry study, found that using a telemedicine-based Collaborative Care model improved symptoms in veterans diagnosed with severe PTSD.
In a recent Rand Corp survey, it was found that the majority of civilian behavioral health care workers did not understand military culture or appropriate treatment for illnesses unique to service. This finding shows that behavioral health workers outside of the Defense Department or Veterns Affairs cannot appropriate administer the necessary treatment for improvement.
Telemedicine-Based Collaborative Care has been shown to clinically improve PTSD symptoms in rural military veterans. The year-long study examined 265 veterans with severe PTSD who either received outpatient psychotherapy or received counseling and psychotherapy through interactive video and phone calls.
John Fortney, PhD discusses his most recent study about bringing telemedicine-based Collaborative Care to military veterans living in rural locations. Care teams used telephones, interactive video and shared Electronic Medical Records to collaboratively care for patients. It was found that the patients had better clinical outcomes when using telemedicine for psychotherapy.
A new study, Telemedicine-based Collaborative Care for Post Traumatic Stress Disorder, shows that Collaborative Care can improve PTSD symptoms in military veterans. This study used the Telemedicine Outreach for PTSD (TOP) intervention model to treat US military veterans living in rural areas.
STEPS-UP (Stepped Enhancement of PTSD Services Using Primary Care) is the first randomized effectiveness trial of behavioral and mental health within the US Military Health System.
This article discusses the need to integrate mental health care into primary care and highlights the Behavioral Health Integration Program (BHIP) in the UW Medicine Neighborhood Clinics. The use of Collaborative Care in the Neighborhood Clinics has helped thousands of patients and has worked to close the gap between behavioral health care and primary care in Washington State.
Jürgen Unützer, MD, MPH discusses integrated care and compares two prominent models, the Collaborative Care model and the Behavioral Health Consultant model (BHC). BHC is a rapid access model in which patients are generally seen the same day and lasts about three sessions, whereas Collaborative Care addresses chronic mental health conditions like depression and anxiety that require longer-term treatment to ensure patients don't fall through the cracks or relapse. These two models originated from two different focus areas - Clinical and Research - and each has its own strengths.
Wayne Katon, MD, discusses his Depression Attention for Women Now (DAWN) study in The New York Times opinion pages. He explains why using Collaborative Care in OB/GYN settings is important for women facing depression before, during and after pregnancy. Dr. Katon also emphasizes the importance of allowing the patient to help choose the treatment option that's best for her.