Journal Article

Tele-Behavioral Health, Collaborative Care, and Integrated Care: Learning to Leverage Scarce Psychiatric Resources over Distance, Populations, and Time

Sunderji, Nadiya, Ratzliff, Anna

2018

Overview

With significant unmet population health needs for mental health care and a continued shortage of psychiatric providers, future psychiatrists will increasingly need education in new care delivery approaches that address these problems, especially for individual patient care delivery such as tele-behavioral health and integrated care. Other innovative approaches to care delivery involve using the psychiatrist to support a team to deliver integrated mental health services in primary medical settings, such as the collaborative care model (CoCM) in which psychiatrists work with primary care providers and behavioral health care managers to deliver mental health care in a primary care setting. Learning objectives for practicing as a collaborative care psychiatrist may include describing the evidence-base for CoCM for common mental health disorders, listing the principles of CoCM, understanding the roles for each team member of a CoCM, developing skills in indirect assessment during case review with a behavioral health care manager, applying measurement-based treatment to target approach, and using a clinical registry as part of a psychiatric practice. Learning about CoCM can also introduce the concept of the quadruple aim [16] of health care system optimization since studies have demonstrated that this model improves patient satisfaction [17], improves patient outcomes [18–20], provides cost effective of care [21], and improves provider experience [22, 23].

• Publisher: Springer International Publishing,Springer Nature B.V
• Subject: Behavioral Objectives / Collaboration / Column: "Down to Earth" Academic Skills / Delivery of Health Care, Integrated - standards / Education, Medical - methods / Education, Medical - standards / Educational Needs / Educational objectives / Educational Strategies / Humans / Integrated delivery systems / Interviews / Medical Education / Medicine / Medicine & Public Health / Mental disorders / Mental Health - education / Mental Health - standards / Mental health care / Patient satisfaction / Primary care / Professional relationships / Psychiatrists / Psychiatry / Psychiatry - education / Psychiatry - standards / Telemedicine - standards / Video equipment