Improvement in Patient Outcomes
The collaborative care model has been shown to improve the process of delivering mental health care, depression outcomes, and physical health outcomes in primary care settings.
Key aspects of a collaborative care model:
- Routine screening with standardized scale
- Regular re-measurement to track treatment response
- Modification/Intensification of treatment based on response
- BHMs to assist with engagement in care and facilitation of treatment
- Regular consultation with psychiatrist for treatment recommendations
- Use of a registry to help monitor patients and track outcomes 14-16
In a review of the collaborative care model, researchers found the approach resulted in enhanced quality of care and improved depression-based outcomes, such as increased antidepressant medication adherence and a decrease in depressive symptoms.14
The collaborative care model also improves depressive outcomes in patients with chronic diseases, such as diabetes and coronary artery disease. As HIV has become a chronic, yet manageable disease, the use of the collaborative care model for treating depression in HIV primary care is promising and should be considered. The MIDUS approach summarizes best practices and lessons learned as we implemented the collaborative care model in our MHS HIV Clinic.