Steps for implementing collaborative care programs for depression.
ABSTRACT Numerous studies have demonstrated that collaborative care (care management) for depression improves outcomes, yet few clinics have implemented this evidence-based practice. To promote adoption of this best practice, our objective was to describe the steps needed to tailor collaborative care models for local needs, resources, and priorities while maintaining fidelity to the evidence base. Based on lessons learned from 2 multisite Veterans Affairs implementation studies conducted in 2 different clinical, organizational, and geographic contexts, we describe in detail the steps needed to adapt an evidence-based collaborative care program for depression for local context while maintaining highly fidelity to the research evidence. These steps represent a detailed checklist of decisions and action items that can be used as a tool to plan the implementation of a collaborative care model for depression. We also identify other tools (eg, decision support systems, suicide risk assessment) and resources (eg, training materials) that will support implementation efforts. These implementation tools should help clinicians and administrators develop informed strategies for rolling out collaborative care models for depression.
- SourceAvailable from: Louise E Parker[Show abstract] [Hide abstract]
ABSTRACT: Successfully spreading innovation across large health care systems is a complex process requiring participation of stakeholders from a broad spectrum of professional backgrounds, skill sets, and organizational levels. We describe a process for engaging and activating stakeholders across individual, team, organization, and system levels to implement primary care-mental health integrated care programs in one regional Veterans Affairs health care network. Key stakeholders and researchers collaborated to propose and implement the program. Preliminary findings indicate that the program may reduce referrals to specialty mental health care.Families Systems & Health 06/2010; 28(2):161-74. DOI:10.1037/a0020250 · 1.04 Impact Factor
Article: Double jeopardy.[Show abstract] [Hide abstract]
ABSTRACT: The human and economic costs of poverty and poor mental health need to be addressed in a concerted programme of action.Nursing standard: official newspaper of the Royal College of Nursing 01/1995; 22(7):22-3.
- Annales d Endocrinologie 10/2005; 66(5):475-475. DOI:10.1016/S0003-4266(05)82024-4 · 0.66 Impact Factor