“…A multicenter Italian study that evaluated the introduction of "care manager" nurses into the primary health care system for patients with heart failure and diabetes, found this model to be feasible and highly effective in increasing patient health knowledge, selfmanagement skills, and readiness to make changes in health behaviors as well as in promoting confidence and enhancing the safety of chronic patient management at home [19]. In the treatment of psychiatric disorders in medical settings, the care manager carries out further evaluation of positive-screen patients, continues assessment over time using various psychiatric rating scales, coordinates pharmacotherapy recommendations to primary medical providers, and provides support, education, and evidence-based psychotherapy to patients if needed [18]. In a RCT, comparing collaborative mental health care with usual care in a primary care setting, the authors found that collaborative care for patients with common mental disorders seemed to be as effective as the usual practice of referral to mental health services in reducing psychopathology, but it was far more efficient than the usual practice in terms of referral delay, duration of treatment, number of appointments, and related treatment costs [20].…”