Collaborative/Integrated Care

                                                                                                                                                                                                                                                                    Scroll down to find links to a variety of resources.

Integrated care refers to programs in which mental health care is delivered in primary care settings. Collaborative Care is a specific type of integrated care involving a multidisciplinary team, led by a primary care provider, providing scientifically proven treatments and focusing on patient outcomes. Significant research over the past three decades has proven the Collaborative Care Model to be effective.

In the Collaborative Care Model, in addition to the primary care provider, the multidisciplinary team includes care managers, psychiatrists, and frequently other mental health professionals. The team shares roles and tasks, and together the team is responsible for their patient’s health outcomes. One essential element of Collaborative Care is having a psychiatrist provide consultation to a care manager who coordinates with patients and a primary care doctor.

Psychiatrists have a particularly broad-based skill set spanning in-depth pharmacological and behavioral management of mental health disorders, including substance use disorders. Because of their experience and perspective, they are well poised to greatly advance the evidence-base of the care provided by the interdisciplinary team, provide depth for treating complex populations, and consultation and referral linkages for emergency situations that arise in the course of treatment. Psychiatric consultation can be useful across the spectrum of severity in presentation, and a helpful educational tool for Primary Care Physicians (PCPs) and Behavioral Health Care Managers (BHCM) alike. Evidence from large-scale Collaborative Care interventions have demonstrated improvement in outcomes tied, in part, to frequency of psychiatric consultation and caseload review (Whitebird et al., 2014).

OPPA's Integrated Care Committee meets on a regular basis to discuss issues related to development and implementation of Integrated/Collaborative Care models (for both public mental health and private psychiatric practice), as well as practical matters including skills training, reimbursement and quality assurance. The primary purpose of the committee is to help improve access to psychiatric care by sharing resources that will facilitate and expand integrated care models in Ohio.

ARTICLES

American Medical Association

• Accelerating and Enhancing Behavioral Health Integration Through Digitally Enabled Care: Opportunities and Challenges (March 2022)

Bipartisan Policy Center

• Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration - Task Force Recommendations (March 2021)

Cincinnati Children's

• Integrated Behavioral Health Prevention in Pediatric Primary Care

Health Management Associates

• Cracking the Codes: State Medicaid Approaches to Reimbursing Psychiatric Collaborative Care, Lori Raney, MD (September 2020)

SHATTERPROOF

• Reducing Disparities within Substance Use Disorder and Mental Health Treatment: The Collaborative Care Model

FACT SHEETS/INFOGRAPHICS AND WHITE PAPERS

American Psychiatric Association

• Increasing Access to Integrated Behavioral Healthcare: Adopting the Collaborative Care Model for Substance Use Disorder (SUD)
• Best Practices for Reimbursing the Collaborative Care Model in Medicaid (September 2020)
• The Collaborative Care Model - Expanding Access to Psychiatric Care

California Health Care Foundation

• Psychiatric Collaborative Care Management Benefit in Medi-Cal (May 2021)

The College for Behavioral Health Leadership

• Response to America’s Behavioral Health Crisis: Recommendations for Addressing Workforce Shortage and Advancing Integrated Care (Nov. 2022)

POWER POINT PRESENTATIONS

Ohio Department of Mental Health and Addiction Services

• A Profile of Substance Use in Ohio: 2020 Update (August 2020)
• Mental Health Among Ohio's Adults and Children: Findings from the Ohio Medicaid Assessment 2019 and Ohio COVID-19 Survey Series (November 2020)