title: The collaborative model of mental health care for older Iowans.
abstract: Collaborative models of mental health care, such as Improving Mood-Promoting Access to Collaborative Treatment (IMPACT) and Primary Care Research in Substance Abuse and Mental Health for the Elderly (PRISM-E), have become a standard, evidence-based approach in providing care to older adults with depression. This article describes the development, evaluation, and sustainability plans for a new model, the Collaborative Model of Mental Health Care for Older Iowans (the Iowa Model). The Iowa Model reflects a state-of-the-art approach relative to existing collaborative models targeting older adults. This model allows for a greater range of mental health problems to be identified and treated, facilitates flexibility in staffing and other site-specific operations, requires formal diagnostic assessments, and supports a treatment plan that goes well beyond symptom-specific, time-limited approaches. Importantly, the Iowa Model features an implementation strategy that focuses on the administrative and financing operations needed to ensure successful development.
authors.affiliation: The University of Iowa College of Public Health, Department of Health Management and Policy, Iowa City, Iowa 52242, USA. brian-kaskie@uiowa.edu
authors.forename: Brian P
authors.initials: BP
authors.lastname: Kaskie
authors.forename: Kathleen C
authors.initials: KC
authors.lastname: Buckwalter
mesh_terms: D000368:Aged; D003299:Cooperative Behavior; D003863:Depression / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D015577:Geriatric Assessment; D006801:Humans; D007484:Iowa / Q000453:epidemiology; D008403:Mass Screening; D008960:Models, Psychological; D010865:Pilot Projects; D016730:Program Development; D015397:Program Evaluation; D011569:Psychiatric Status Rating Scales; D011581:Psychological Tests; D011787:Quality of Health Care; D012017:Referral and Consultation