The collaborative care practice model in the long-term care of individuals with bipolar disorder: a case study.
Effective therapies for the long-term care of individuals with bipolar disorder feature medication management and an interactional component between patients and care providers. In this paper, we discuss the effectiveness of applying a collaborative practice model to the long-term care of individuals with bipolar disorder who receive outpatient treatment. The model emphasizes that patients are co-managers of their illness and successful outcomes are enhanced within a supportive social environment. Key elements include joint patient-provider treatment planning and decision making. Several controlled trials have demonstrated that when the model is adopted, significant improvements in clinical and functional outcomes can be achieved. The paper concludes with a case study, which illustrates that the model can be successfully implemented in a clinical setting. Given that the clinical and research evidence demonstrates the effectiveness of the model, we suggest that advanced practice psychiatric nurses apply key elements of the collaborative practice model in their work with clients with bipolar disorder.
Davies
M A
MA
University of Pittsburgh School of Nursing, Pittsburgh, PA 15261, USA. daviesm@pitt.edu
McBride
L
L
Sajatovic
M
M
D001714:Bipolar Disorder / Q000523:psychology / Q000628:therapy; D003155:Community Mental Health Centers; D003299:Cooperative Behavior; D005500:Follow-Up Studies; D006801:Humans; D008134:Long-Term Care / Q000379:methods / Q000523:psychology; D008297:Male; D055118:Medication Adherence / Q000523:psychology; D008875:Middle Aged; D016294:Models, Nursing; D008960:Models, Psychological; D009720:Nurse Clinicians / Q000458:organization & administration; D009723:Nurse-Patient Relations; D015403:Nursing Evaluation Research; D010348:Patient Care Team / Q000458:organization & administration; D010353:Patient Education as Topic; D010358:Patient Participation / Q000379:methods / Q000523:psychology; D011568:Psychiatric Nursing / Q000458:organization & administration*; D016032:Randomized Controlled Trials as Topic; D012720:Severity of Illness Index; D016896:Treatment Outcome