Staying Connected: Sustaining Collaborative Care Models with Limited Funding.
Providing psychiatric services in the primary care setting is challenging. The multidisciplinary, coordinated approach of collaborative care models (CCMs) addresses these challenges. The purpose of the current article is to discuss the implementation of a CCM at a free medical clinic (FMC) where volunteer staff provide the majority of services. Essential components of CCMs include (a) comprehensive screening and assessment, (b) shared development and communication of care plans among providers and the patient, and (c) care coordination and management. Challenges to implementing and sustaining a CCM at a FMC in Virginia attempting to meet the medical and psychiatric needs of the underserved are addressed. Although the CCM produced favorable outcomes, sustaining the model long-term presented many challenges. Strategies for addressing these challenges are discussed.
Brenda J
BJ
Johnston
Lora
L
Peppard
Marian
M
Newton
D000554:Ambulatory Care Facilities / Q000191:economics; D002908:Chronic Disease / Q000191:economics / Q000451:nursing; D003299:Cooperative Behavior; D017046:Cost Savings / Q000191:economics; D055318:Evidence-Based Nursing / Q000191:economics / Q000458:organization & administration; D005240:Feasibility Studies; D006284:Health Plan Implementation / Q000191:economics / Q000458:organization & administration; D006301:Health Services Needs and Demand / Q000191:economics / Q000458:organization & administration; D006801:Humans; D033183:Interdisciplinary Communication; D001523:Mental Disorders / Q000191:economics* / Q000451:nursing*; D016294:Models, Nursing; D011320:Primary Health Care / Q000191:economics* / Q000458:organization & administration*; D011568:Psychiatric Nursing / Q000191:economics* / Q000458:organization & administration*; D064876:Safety-net Providers / Q000191:economics* / Q000458:organization & administration*; D014768:Virginia