title: Essential articles on collaborative care models for the treatment of psychiatric disorders in medical settings: a publication by the academy of psychosomatic medicine research and evidence-based practice committee.
abstract: BACKGROUND
  Collaborative care interventions for psychiatric disorders combine several components integrated into the medical setting: (1) systematic psychiatric assessment, (2) use of a nonphysician care manager to perform longitudinal symptom monitoring, treatment interventions, and care coordination, and (3) specialist-provided stepped-care recommendations. Collaborative care interventions have now been evaluated in a wide spectrum of care settings and offer great promise as a way of increasing quality of patient care, improving health of populations, and reducing health care costs.
  
  
  METHODS
  A systematic search of PubMed/MEDLINE databases was performed for publications between January 1970 and May 2013 to identify articles describing collaborative care and related interventions. Identified articles were then evaluated independently by multiple reviewers for quality and importance; additional articles were identified by searching reference lists and through recommendations of senior content-matter experts. The articles considered to be both of high quality and most important were then placed into categories and annotated reviews performed.
  
  
  RESULTS
  Over 600 articles were identified of which 67 were selected for annotated review. The results reported in these articles indicate that collaborative care interventions for psychiatric disorders have been consistently successful in improving key outcomes in both research and clinical intervention studies; cost analyses also suggest that this model is cost effective.
  
  
  CONCLUSIONS
  Collaborative care models for psychiatric disorders are likely to serve an increasingly large role in health care given their effect on patient and population outcomes and their focus on integration of care.
authors.affiliation: Department of Psychiatry, Harvard Medical School, Boston, MA; Department of Psychiatry, Massachusetts General Hospital, Boston, MA. Electronic address: jhuffman@partners.org.
authors.forename: Jeff C
authors.initials: JC
authors.lastname: Huffman
authors.affiliation: Department of Psychiatry, Mayo Clinic, Jacksonville, FL.
authors.forename: Shehzad K
authors.initials: SK
authors.lastname: Niazi
authors.affiliation: Tamber Health, Minneapolis, MN; Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, MD.
authors.forename: James R
authors.initials: JR
authors.lastname: Rundell
authors.affiliation: Department of Psychiatry, University of Oxford, Oxford, United Kingdom.
authors.forename: Michael
authors.initials: M
authors.lastname: Sharpe
authors.affiliation: Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA.
authors.forename: Wayne J
authors.initials: WJ
authors.lastname: Katon
mesh_terms: D000047:Academies and Institutes; D003299:Cooperative Behavior; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D010348:Patient Care Team; D011611:Psychosomatic Medicine / Q000379:methods*