Collaborative care for depression and anxiety problems

Cost savings associated with an alternative payment model for integrating behavioral health in primary care

“…A heightened ability to identify and treat behavioral health conditions among practices receiving the SHAPE payment may have ultimately led to better management of medical conditions and a reduction in medical expenditures. This hypothesis is consistent with literature that has demonstrated that provision of behavioral health services is associated with downstream medical cost savings [15,16]. Understanding practice-level changes and activities made possible by flexible, non-fee-for-service payments is critical; future research is needed to understand the practice-level mechanisms responsible for these cost savings to replicate and scale the cost savings.…”

Cost savings associated with an alternative payment model for integrating behavioral health in primary care

“…A heightened ability to identify and treat behavioral health conditions among practices receiving the SHAPE payment may have ultimately led to better management of medical conditions and a reduction in medical expenditures. This hypothesis is consistent with literature that has demonstrated that provision of behavioral health services is associated with downstream medical cost savings [15,16]. Understanding practice-level changes and activities made possible by flexible, non-fee-for-service payments is critical; future research is needed to understand the practice-level mechanisms responsible for these cost savings to replicate and scale the cost savings.…”

Clinical effectiveness of care managers in collaborative primary health care for patients with depression: 12- and 24-month follow-up of a pragmatic cluster randomized controlled trial

“…Our findings about depressive symptoms in the patients assigned a care manager are broadly consistent with the results of previous meta-analyses [5,28]. Those analyses found that collaborative care models are more effective than usual care in treating depression for follow-up periods of up to 24 months [5,28]. As in our study, one of the previous systematic reviews found that collaborative care can lead to better quality of life than usual care [5].…”

“…Numerous previous studies and systematic reviews have evaluated the long-term effects of collaborative care for primary care patients with depression, but to the best of our knowledge, there have been no such studies in Swedish primary care. Our findings about depressive symptoms in the patients assigned a care manager are broadly consistent with the results of previous meta-analyses [5,28]. Those analyses found that collaborative care models are more effective than usual care in treating depression for follow-up periods of up to 24 months [5,28].…”

Panic Disorder in Primary Care: The Effects of a Team-Based Intervention

“…In an earlier study where general practitioners had been trained in anxiety treatment, no effects on the clinical endpoints was noted (2). The treatment effects observed in our study are comparable with those in studies on stepped care or collaborative care models for anxiety disorders in a primary care setting, all of which involved a psychologist/psychotherapist and/or other healthcare professionals to perform or monitor the intervention (13,32,33,37). Our study shows the practice team-supported interventions are feasible.…”

Cost savings associated with an alternative payment model for integrating behavioral health in primary care

“…A heightened ability to identify and treat behavioral health conditions among practices receiving the SHAPE payment may have ultimately led to better management of medical conditions and a reduction in medical expenditures. This hypothesis is consistent with literature that has demonstrated that provision of behavioral health services is associated with downstream medical cost savings [15,16]. Understanding practice-level changes and activities made possible by flexible, non-fee-for-service payments is critical; future research is needed to understand the practice-level mechanisms responsible for these cost savings to replicate and scale the cost savings.…”

Clinical effectiveness of care managers in collaborative primary health care for patients with depression: 12- and 24-month follow-up of a pragmatic cluster randomized controlled trial

“…Our findings about depressive symptoms in the patients assigned a care manager are broadly consistent with the results of previous meta-analyses [5,28]. Those analyses found that collaborative care models are more effective than usual care in treating depression for follow-up periods of up to 24 months [5,28]. As in our study, one of the previous systematic reviews found that collaborative care can lead to better quality of life than usual care [5].…”

“…Numerous previous studies and systematic reviews have evaluated the long-term effects of collaborative care for primary care patients with depression, but to the best of our knowledge, there have been no such studies in Swedish primary care. Our findings about depressive symptoms in the patients assigned a care manager are broadly consistent with the results of previous meta-analyses [5,28]. Those analyses found that collaborative care models are more effective than usual care in treating depression for follow-up periods of up to 24 months [5,28].…”

Panic Disorder in Primary Care: The Effects of a Team-Based Intervention

“…In an earlier study where general practitioners had been trained in anxiety treatment, no effects on the clinical endpoints was noted (2). The treatment effects observed in our study are comparable with those in studies on stepped care or collaborative care models for anxiety disorders in a primary care setting, all of which involved a psychologist/psychotherapist and/or other healthcare professionals to perform or monitor the intervention (13,32,33,37). Our study shows the practice team-supported interventions are feasible.…”

Cost savings associated with an alternative payment model for integrating behavioral health in primary care

“…A heightened ability to identify and treat behavioral health conditions among practices receiving the SHAPE payment may have ultimately led to better management of medical conditions and a reduction in medical expenditures. This hypothesis is consistent with literature that has demonstrated that provision of behavioral health services is associated with downstream medical cost savings [15,16]. Understanding practice-level changes and activities made possible by flexible, non-fee-for-service payments is critical; future research is needed to understand the practice-level mechanisms responsible for these cost savings to replicate and scale the cost savings.…”

Clinical effectiveness of care managers in collaborative primary health care for patients with depression: 12- and 24-month follow-up of a pragmatic cluster randomized controlled trial

“…Our findings about depressive symptoms in the patients assigned a care manager are broadly consistent with the results of previous meta-analyses [5,28]. Those analyses found that collaborative care models are more effective than usual care in treating depression for follow-up periods of up to 24 months [5,28]. As in our study, one of the previous systematic reviews found that collaborative care can lead to better quality of life than usual care [5].…”

“…Numerous previous studies and systematic reviews have evaluated the long-term effects of collaborative care for primary care patients with depression, but to the best of our knowledge, there have been no such studies in Swedish primary care. Our findings about depressive symptoms in the patients assigned a care manager are broadly consistent with the results of previous meta-analyses [5,28]. Those analyses found that collaborative care models are more effective than usual care in treating depression for follow-up periods of up to 24 months [5,28].…”

Panic Disorder in Primary Care: The Effects of a Team-Based Intervention

“…In an earlier study where general practitioners had been trained in anxiety treatment, no effects on the clinical endpoints was noted (2). The treatment effects observed in our study are comparable with those in studies on stepped care or collaborative care models for anxiety disorders in a primary care setting, all of which involved a psychologist/psychotherapist and/or other healthcare professionals to perform or monitor the intervention (13,32,33,37). Our study shows the practice team-supported interventions are feasible.…”