OBJECTIVE: Collaborative care is a systematic, team-based approach to the management of depression and other psychiatric disorders in medical settings. Collaborative care has been found to be effective and cost-effective, but there is little information to guide its implementation in clinical care. The objective of this article is to provide a practical guide to the implementation of collaborative care programs in real-world settings. METHODS: Based on our experience delivering collaborative care programs, we provide (a) specific, stepwise recommendations for the successful implementation of collaborative care in outpatient settings and (b) an examination of the additional benefits and challenges of collaborative care programs that begin during hospitalization. RESULTS: The implementation of collaborative care requires senior buy-in, an effective team, clear treatment components, engaged clinicians, procedures to ensure quality and adequate infrastructure. Beginning these programs with hospitalized patients may offer additional advantages but also requires additional flexibility to adapt to the inpatient setting. CONCLUSION: A systematic approach to the development and implementation of collaborative care programs may allow clinicians to effectively and efficiently treat psychiatric illness in medical populations in both inpatient and outpatient settings.

Original publication

DOI

10.1016/j.genhosppsych.2015.06.015

Type

Journal article

Journal

Gen Hosp Psychiatry

Publication Date

11/2015

Volume

37

Pages

522 - 527

Keywords

Collaborative care, Depression, Integrated care, Population health, Psychosomatic medicine, Cooperative Behavior, Guidelines as Topic, Health Facilities, Humans, Mental Disorders, Program Development, Psychosomatic Medicine