Jump to content

  • Set Your Location
  • Sign in or Enroll
Set Your LocationSutter Maternity & Surgery Center of Santa Cruz
  • Sign in or Enroll
    • Open I want to choose my medical group or hospital
    • Clear my location
Change Location
Sutter Health
  • Book Appointment
  • Find Doctors
  • Find Locations
  • Treatments & Services
    • Book Appointment
    • Find Doctors
    • Find Locations
    • Treatments & Services
    • COVID-19 Resources
    • Pay a Bill
    • Symptom Checker
    • Get Care Today
    • Health & Wellness
    • Classes & Events
    • Research & Clinical Trials
    • For Patients
    • About Sutter Health
    • Giving
    • Volunteering
    • Careers
    • News
    • For Medical Professionals
    • Other Business Services
Close Search
  • Home
  • Sutter Maternity & Surgery Center
  • Research
  • Mental Health
Content

A case study of early experience with implementation of collaborative care in the Veterans Health Administration.

Description

Tai-Seale M, Kunik ME, Shepherd A, Kirchner J, Gottumukkala A., Popul Health Manag. 13(6):331-7. doi: 10.1089/pop.2009.0082. Epub 2010 Nov 19., 2010 Dec 01

Abstract

Primary care remains critically important for those who suffer from mental disorders. Although collaborative care, which integrates mental health services into primary care, has been shown to be more effective than usual care, its implementation has been slow and the experience of providers and patients with collaborative care is less well known.

The objective of this case study was to examine the effects of collaborative care on patient and primary care provider (PCP) experiences and communication during clinical encounters. Participating physicians completed a self-administered visit reconstruction questionnaire in which they logged details of patient visits and described their perceptions of the visits and the influence of collaborative care. Audio recordings of visits were analyzed to assess the extent of discussion about colocated mental health services and visit time devoted to mental health topics.

The main outcome measures were the extent of discussion and recommendation for collaborative care during clinical visits and providers' experiences based on their responses to the visit reconstruction questionnaire. Providers surveyed expressed enthusiasm about collaborative care and cited the time constraint of office visits and lack of specialty support as the main reasons for limiting their discussion of mental health topics with patients.

Despite the availability of mental health providers at the same clinic, PCPs missed many opportunities to address mental health issues with their patients. Ongoing education for PCPs regarding how to conduct a "warm handoff" to colocated providers will need to be an integral part of the implementation of collaborative care.

Pubmed Abstract

Pubmed AbstractOpens New Window

Associated Topics

  • Health Services
  • Mental Health

Related Publications

Adult obesity and office-based quality of care in the United States.

Ma J, Xiao L, Stafford RS.
Obesity. 17(5):1077–1085.
2009 May 01

Obesity and depression in US women: results from the 2005–2006 National Health and Nutritional Examination Survey.

Ma J, Xiao L.
Obesity. 18(2):347–353.
2010 Feb 01

John & Marcia Goldman Foundation Donates $100K to Improve Behavioral Health in Teens

Palo Alto Medical Foundation Marketing & Communications, Jan. 15, 2015
Palo Alto Medical Foundation Newsroom Blog
2015 Jan 15

Symptom assessment in early psychosis: The use of well-established rating scales in clinical high-risk and recent-onset populations.

Fulford D, Pearson R, Stuart BK, Fisher M, Mathalon DH, Vinogradov S, Loewy RL.
Psychiatry Res. 220(3):1077-83. doi: 10.1016/j.psychres.2014.07.047. Epub 2014 Aug 1.
2014 Dec 30

Association of mandated language access programming and quality of care provided by mental health agencies.

McClellan SR, Snowden L.
Psychiatr Serv. 2014 Sep 15. doi: 10.1176/appi.ps.201300522. [Epub ahead of print]
2014 Sep 15
The Sutter Health Network of Care
Expertise to fit your needs
Primary Care

Check-ups, screenings and sick visits for adults and children.

Specialty Care

Expertise and advanced technologies in all areas of medicine.

Emergency Care

For serious accidents, injuries and conditions that require immediate medical care.

Urgent Care

After-hours, weekend and holiday services.

Walk-In Care

Convenient walk-in care clinics for your non-urgent health needs.

  • Contact Us
  • Find Doctors
  • Find Locations
  • Book Appointment
  • Request Medical Records
  • Donate Now
Sign in to My Health Online

Billing and Insurance

  • Pay a Bill
  • Accepted Health Plans
  • Estimate Costs
  • Medicare Advantage

About Sutter

  • About Our Network
  • Community Benefit
  • Annual Report
  • News and Media

Our Team

  • For Employees
  • For Medical Professionals
  • For Vendors
  • For Volunteers

Careers

  • Jobs at Sutter
  • Physician Jobs
  • Graduate Medical Education

Copyright © 2023 Sutter Health. All rights reserved. Sutter Health is a registered trademark of Sutter Health ®, Reg. U.S. Patent & Trademark office.

  • ADA Accessibility
  • Privacy
  • Do Not Sell My Personal Information
  • LinkedIn Opens new window
  • YouTube Opens new window
  • Facebook Opens new window
  • Twitter Opens new window
  • Instagram Opens new window
  • Glassdoor Opens new window

Cookie Policy

We use cookies to give you the best possible user experience. By continuing to use the site, you agree to the use of cookies. Privacy Policy Cookie Preferences

Privacy Policy Cookie Preferences