Meaningful Engagement in Depression and Anxiety Collaborative Care: Associations with Systematic Case Review

Heather Huang; Brandon Huynh; Nichole Nidey; Hsiang Huang

doi:10.1016/j.jaclp.2024.01.006

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Meaningful Engagement in Depression and Anxiety Collaborative Care: Associations with Systematic Case Review

Journal article

Peer reviewed

Meaningful Engagement in Depression and Anxiety Collaborative Care: Associations with Systematic Case Review

Heather Huang, Brandon Huynh, Nichole Nidey and Hsiang Huang

Journal of the Academy of Consultation-Liaison Psychiatry, Vol.65(3), pp.254-260

02/01/2024

DOI: 10.1016/j.jaclp.2024.01.006

PMID: 38309684

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Abstract

Collaborative Care (CC) is an evidence-based model of care for treating behavioral health conditions in primary care settings. The Collaborative Care (CC) team consists of a primary care provider (PCP), behavioral health care manager (CM), and a consultant psychiatrist who collaborate to create treatment plans. To date, there is limited data on factors associated with meaningful engagement in CC programs. To identify the proportion of patients who were meaningfully engaged and to investigate the factors associated with meaningful engagement in a CC program. Data was collected from a CC program implemented across 27 adult primary care clinics in a Midwestern, U.S. academic medical system. Logistic regression (n=5218) was used to estimate the odds of receiving meaningful engagement. Data was collected from 6,437 individuals with 68% being female and a mean age of 45 years old (SD 17.6). Overall, 57% of patients were meaningfully engaged, however, this proportion differed based on demographic and clinical factors. Among modifiable clinical factors, systematic case reviews between the CM and psychiatrist (OR: 10.2, 95% CI: 8.6-12.1) and warm handoffs (OR: 1.3, 95% CI: 1.1-1.5) were associated with higher likelihood of receiving meaningful engagement. The presence of systematic case reviews between the behavioral health care manager and the consultant psychiatrist was highly associated with meaningful engagement. When implementing such programs, high fidelity to the core principles including regularly scheduled systematic case reviews should be pursued.

Psychiatry Consultation in Primary Care

Collaborative Care

Psychiatry and Primary Care

Primary Care Integration

Details

Title: Subtitle: Meaningful Engagement in Depression and Anxiety Collaborative Care: Associations with Systematic Case Review
Creators: Heather Huang - University of Wisconsin–Madison
Brandon Huynh - University of Wisconsin–Madison
Nichole Nidey - University of Iowa - College of Public Health, 145 Riverside Drive, Iowa City, IA 52242, U.S.A
Hsiang Huang - Cambridge Health Alliance
Resource Type: Journal article
Publication Details: Journal of the Academy of Consultation-Liaison Psychiatry, Vol.65(3), pp.254-260
DOI: 10.1016/j.jaclp.2024.01.006
PMID: 38309684
NLM abbreviation: J Acad Consult Liaison Psychiatry
ISSN: 2667-2960
eISSN: 2667-2960
Language: English
Electronic publication date: 02/01/2024
Academic Unit: Epidemiology; Addiction Medicine; Craniofacial Anomalies Research Center
Record Identifier: 9984557958902771

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