MIDUS Collaborative Care

This an introduction to the process of implementing the MIDUS model, from the crucial first step of understanding the collaborative care model to measuring outcomes to best practices for adapting collaborative care for medical specialties. Each step contains learning objectives along with materials to help you achieve success with the MIDUS model.

This site outlines the scope of work involved and provides you with the tools to get started.

MetroHealth’s team also offers in-depth coaching beyond the contents of this guide and we encourage you to contact us to learn more.

Section 1: Why Change?

MIDUS stands for Maximizing the Impact on Depression through Unifying Systems in HIV care.

The goal of the MIDUS model is to better identify depressive symptoms in patients who are living with HIV and utilize a collaborative care model to quickly provide them with mental health care and treatment.

Major depressive disorders are prevalent in people living with HIV, with over 50% of people living with HIV reporting depressive symptoms in the past week in some studies.1-3 Additionally, engaging depressed people living with HIV with mental health care has been difficult; one study indicated that 82% of people living with HIV and depression were not receiving any treatment. 4 In people living with HIV, depressive symptoms have been associated with reduced HIV self-management behaviors, such as medication adherence and engagement in care, which can lead to increased morbidity and mortality.