Collaborative Care in Primary Health Care Focus on Management of Depression

Authors

  • Yunatan Iko Wicaksono Department of Psychiatry, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia - Dr. Soetomo General Hospital Surabaya, Indonesia.
  • Nining Febriyana Division of Child and Adolescence, Department of Psychiatry, Faculty of Medicine, Universitas Airlangga, Surabaya, IndonesiaDr. Soetomo General Hospital Surabaya, Indonesia.

DOI:

https://doi.org/10.31584/jhsmr.2022866

Keywords:

collaboration, health services, medical care, mental disease, primary care

Abstract

Depression often goes undetected and undertreated in primary care settings. Collaborative management of mental disorders; such as depression, with the involvement of a multidisciplinary team in primary care, is an effective solution to improve depression treatment. This study aimed to understand collaborative care for depression management in primary health care. This was in order to evaluate contemporary conceptions of Collaborative Care (CC) for primary medical problems. This study examined numerous studies from the Pubmed Central International database; including, a textbook, a review paper, a commentary, and an editorial. The CC approach has five fundamental elements: patient-centered team care, population-based care, target measurement-based therapy, evidence-based care, and accountable care. The CC approach uses a "patient education manager," to involve patient care decision-makers, monitor results, conduct follow-ups, support the management of primary care physician antidepressant therapies, and coordinate services from numerous providers. The conclusion from this review is that CC is a holistic, multidisciplinary, and proactive treatment model to manage depression. Effective treatment of depression utilizing a CC model could therefore have major benefits; including, better clinical improvement, improved patient quality of life, and cost-effectiveness.

References

World Health Organization. Mental health in primary care: illusion or inclusion? [monograph on the Internet]. Geneva: WHO; 2018 [cited 2021 Apr 20]. Available from:https://apps.who.int/iris/handle/10665/326298

Yeung A, Feldman G, Fava M. Care management of depression: treatment of depression in primary care and the need for a multidisciplinary approach. In: Duggal SH, editor. Self management of depression: a manual for mental health and primary care professionals. Cambridge: Cambridge University Press; 2009;p.24–45.

Ferenchick EK, Ramanuj P, Pincus HA. Depression in primary care: part 1-screening and diagnosis BMJ 2019;365:l794.

Ivbijaro GO, Enum Y, Khan AA, Lam SSK, Gabzdyl A. Collaborative care: models for treatment of patients with complex medical-psychiatric conditions. Curr Psychiatry Rep 2014;16: 506.

Ramanuj PP, Pincus HA. Collaborative care: enough of the why; what about the how? Br J Psychiatry 2019;215:573–6.

Ee C, Lake J, Firth J, Hargraves F, de Manincor M, Meade T, et al. An integrative collaborative care model for people with mental illness and physical comorbidities. Int J Ment Health Syst 2020;14:83.

Wagenaar BH, Petersen I, Rao D, Chwastiak L. 7 - Collaborative care models: a global perspective. In: Stein DJ, Bass JK, Hofmann SGBT, editors. Global mental health and psycho therapy: adapting psychotherapy for low- and middle-income Countries. London: Academic Press; 2019;p.153–70.

Eghaneyan BH, Sanchez K, Mitschke DB. Implementation of a collaborative care model for the treatment of depression and anxiety in a community health center: results from a qualitative case study. J Multidiscip Healthc 2014;7:503–13.

Sowa NA, Jeng P, Bauer AM, Cerimele JM, Unützer J, Bao Y, et al. Psychiatric case review and treatment intensification in collaborative care management for depression in primary care. Psychiatr Serv 2018;69:549–54.

Unützer J, Harbin H, Schoenbaum M, Druss BG. The colla borative care model: an approach for integrating physical and mental health care in medicaid health homes. Heal Home Inf Resour Cent [serial on the Internet]. 2013 [cited 2021 Apr 20];1–13. Available from: https://www.chcs.org/media/HH_IRC_Collaborative_Care_Model__052113_2.pdf

Howick J. A qualified defence of the EBM stance on mechanistic reasoning. In: Howick J, editor. The philosophy of evidence-based medicine. Oxford: Wiley-Blackwell, Bmj; 2011;p.122–57.

Ratzliff A, Cerimele J, Katon W, Unützer J. Working as a team to provide collaborative care. In: Ratzliff A, Unutzer J, Katon W, Stephens KA, editors. Integrated care: creating effective mental and primary health care teams. Hoboken: John Wiley and Sons; 2016;p.1–24.

Kroenke K, Unutzer J. Closing the false divide: sustainable approaches to integrating mental health services into primary care. J Gen Intern Med 2017;32:404–10.

Dean J, Keshavan M. The neurobiology of depression: An integrated view. Asian J Psychiatr 2017;27:101–11.

Sadock BJ, Sadock VA, Ruiz P. Kaplan & Sadock’s synopsis of psychiatry: behavioral sciences/clinical psychiatry. 11th ed. Philadelphia: Wolters Kluwer Health; 2014.

World Health Organization. Primary health care [homepage on the Internet]. Geneva: WHO; 2019 [cited 2021 Apr 20]. Available from: https://www.who.int/health-topics/primary-health-care#tab=tab_1

Craven MA, Bland R. Depression in primary care: current and future challenges. Can J Psychiatry 2013;58:442–8.

Kementrian Kesehatan Republik Indonesia. Laporan Nasional RISKESDAS 2018. Badan Penelit dan Pengemb Kesehat [serial on the Internet]. 2019 [cited 2021 Apr 20]; p.223–5. Available from: http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf

Saldana L, Bennett I, Powers D, Vredevoogd M, Grover T, Schaper H, et al. Scaling implementation of collaborative care for depression: adaptation of the stages of implementation completion (SIC). Adm Policy Ment Heal Ment Heal Serv Res 2020;47:188–96.

Goodrich DE, Kilbourne AM, Nord KM, Bauer MS. Mental health collaborative care and its role in primary care settings. Curr Psychiatry Rep 2013;15:383.

Jatchavala C, Chan S. Thai adolescent depression: recurrence prevention in practice. J Health Sci Med Res 2018;36:147–55.

Siu AL, Bibbins-Domingo K, Grossman DC, Baumann LC, Davidson KW, Ebell M, et al. Screening for depression in adults: US preventive services task force recommendation statement. JAMA 2016;315:380–7.

Purborini N, Lee MB, Devi HM, Chang HJ. Associated factors of depression among young adults in Indonesia: a population based longitudinal study. J Formos Med Assoc 2021;120: 1434–43.

Ying Yong X, Fai Sui C, Yee Liew M, San Chong TW, Young Liew J. Psychological distress screening for depression, anxiety and stress among medical ward patients in hospital Tapah, Malaysia: a cross-sectional study using the Depression, Anxiety and Stress Scale (DASS-21). J Health Sci Med Res 2021. doi: 10.31584/jhsmr.2021841.

Ellison JM. Integrated care in psychiatry: redefining the role of mental health professionals in the medical Setting. J Clin Psychiatry 2016;77:e172.

Raney LE. Integrating primary care and behavioral health: The role of the psychiatrist in the collaborative care model. Am J Psychiatry 2015;172:721–8.

Härter M, Watzke B, Daubmann A, Wegscheider K, König HH, Brettschneider C, et al. Guideline-based stepped and collaborative care for patients with depression in a cluster-randomised trial. Sci Rep 2018;8:1–9.

Björkelund C, Svenningsson I, Hange D, Udo C, Petersson EL, Ariai N, et al. Clinical effectiveness of care managers in colla- borative care for patients with depression in Swedish primary health care: a pragmatic cluster randomized controlled trial. BMC Fam Pract 2018;19:28.

Atlantis E, Fahey P, Foster J. Collaborative care for comorbid depression and diabetes: a systematic review and meta analysis. BMJ Open 2014;4:e004706.

Katon W, Unützer J. Collaborative care models for depression: time to move from evidence to practice. Arch Intern Med 2006;166:2304–6.

Sanchez K. Collaborative care in real-world settings: barriers and opportunities for sustainability. Patient Prefer Adherence 2017; 11:71–4.

Eghaneyan BH, Sanchez K, Mitschke DB. Implementation of a collaborative care model for the treatment of depression and anxiety in a community health center: results from a qualitative case study. J Multidiscip Healthc 2014;7:503–13.

Overbeck G, Davidsen AS, Kousgaard MB. Enablers and barriers to implementing collaborative care for anxiety and depression: a systematic qualitative review. Implement Sci 2016;11:165.

Olfson M. Building the mental health workforce capacity needed to treat adults with serious mental illnesses. Health Aff 2016;35:983–90.

Rahvy A, Habsy A, Ridlo I. Actual challenges of mental health in Indonesia: urgency, UHS, humanity, and government commitment. Eur J Public Health 2020;30:2018–20.

Idaiani S, Riyadi EI. Sistem Kesehatan Jiwa di Indonesia: tantangan untuk memenuhi kebutuhan mental health system in Indonesia: a challenge to meet the needs. J Penelit dan Pengemb Pelayanan Kesehat 2018;2:70–80.

Mahendradhata Y, Trisnantoro L, Listyadewi S, Soewondo P, Marthias T, Harimurti P, et al. The Republic of Indonesia Health System Review, Health System in Transition [monograph on the Internet]. New Delhi: WHO Regional Office for South-East Asia; 2017 [cited 2021 Apr 20]. Available from: https://apps.who.int/iris/handle/10665/254716

Rugkåsa J, Tveit OG, Berteig J, Hussain A, Ruud T. Collaborative care for mental health: a qualitative study of the experiences of patients and health professionals. BMC Health Serv Res 2020;20:1–10.

Hoeft TJ, Fortney JC, Patel V, Unützer J. Task-sharing approaches to improve mental health care in rural and other low-resource settings: a systematic review. J Rural Health 2018;34:48–62.

Downloads

Published

2023-04-18

How to Cite

1.
Wicaksono YI, Febriyana N. Collaborative Care in Primary Health Care Focus on Management of Depression . J Health Sci Med Res [Internet]. 2023 Apr. 18 [cited 2024 Jul. 18];40(6):705-1. Available from: https://he01.tci-thaijo.org/index.php/jhsmr/article/view/262795

Issue

Section

Review Article