While up to 80% of all primary care visits include a behavioral health component, primary care providers (PCPs) may feel overwhelmed and ill-equipped to meet their patients’ behavioral health needs. Collaborative care can help.
What is collaborative care?
Collaborative care is a specific type of integrated care that uses a team-based, patient-centered approach to address behavioral health in the primary care setting. Collaborative care links a patient’s PCP with a behavioral health care manager and psychiatric consultant to help meet their mental health goals. This approach has been studied in over 90 different randomized control trials and has shown to be highly effective in delivering a better patient experience, as well as improving patient outcomes and providing cost reduction.
Collaborative care gives PCPs the tools and support they need to manage ongoing mental healthcare and helps improve the quality of care provided.
- A patient registry allows PCPs to track patients and ensure that no one falls through the cracks. Patients who do not show improvement are outreached, and behavioral health specialists offer caseload-focused consultation.
- Screening tools, such as the Patient Health Questionnaire (PHQ)-9 for depression and the Generalized Anxiety Disorder (GAD)-7 for anxiety, help identify and direct patients to the appropriate levels of care for mental health conditions.
- A behavioral health care manager supports the PCP in myriad ways, including:
- Ensuring effective communication among the team
- Coordinating the team and mental health treatment
- Providing progress updates and treatment recommendations to the provider
- Alerting the PCP when the patient is not improving
- Supporting medication management
- Facilitating communication with the psychiatric consultant regarding treatment changes
- Conducting brief interventions, such as motivational interviews with patients to guide their progress
- A psychiatric consultant reviews cases alongside behavioral health care managers and assists the care team with treatment planning, and diagnostic and treatment recommendations.
Collaborative care allows patients to get mental healthcare where they regularly seek physical healthcare, rather than having to go elsewhere.
Throughout the U.S., individuals lack access to mental healthcare. In fact, over 26 million individuals experiencing a mental health condition are going untreated. Providing mental healthcare in the primary care setting allows patients to:
- Address mental health concerns with a provider they trust and see regularly for physical health concerns
- Receive mental health treatment at an earlier stage to help prevent more serious problems
- Have regular contact with a behavioral health care manager who can deliver brief interventions and individualized care planning
- Receive coordinated care for co-occurring mental and physical conditions
- Reduce the burden they carry in communicating treatment updates to multiple providers when they have comorbid physical and mental health concerns
- Feel comfortable that all of their health needs are being addressed
- Receive mental health treatment that is often less expensive
Magellan Healthcare’s collaborative care solution, powered by NeuroFlow
Collaborative care has been proven to double the effectiveness of depression care, as well as improve physical function and reduce healthcare costs. Magellan Healthcare’s evidence-based Collaborative Care Management solution for health plans and healthcare delivery systems provides care management and psychiatric consults for primary care patients and augments physical health providers’ staff with Magellan staff to facilitate integrated physical and behavioral healthcare. Learn more here.