Development and Implementation of an Ambulatory Integrated Care Pathway for Major Depressive Disorder and Alcohol Dependence.
Integrated care pathways (ICPs) provide an approach for delivering evidence-based treatment in a hospital setting. This column describes the development and pilot implementation in a clinical setting of an ICP for patients with concurrent major depressive disorder and alcohol dependence at the Centre for Addiction and Mental Health (CAMH), an academic tertiary care hospital, in Toronto, Canada. The ICP methodology includes evidence reviews, knowledge translation, process reengineering, and change management. Pilot results indicate high patient satisfaction, evidence of symptom improvement, and excellent retention.
The authors are with the Centre for Addiction and Mental Health, Toronto, Canada (e-mail: saima.awan@camh.ca ). Marcela Horvitz-Lennon, M.D., M.P.H., is editor of this column.
Saima
S
Awan
The authors are with the Centre for Addiction and Mental Health, Toronto, Canada (e-mail: saima.awan@camh.ca ). Marcela Horvitz-Lennon, M.D., M.P.H., is editor of this column.
Andriy V
AV
Samokhvalov
The authors are with the Centre for Addiction and Mental Health, Toronto, Canada (e-mail: saima.awan@camh.ca ). Marcela Horvitz-Lennon, M.D., M.P.H., is editor of this column.
Nadia
N
Aleem
The authors are with the Centre for Addiction and Mental Health, Toronto, Canada (e-mail: saima.awan@camh.ca ). Marcela Horvitz-Lennon, M.D., M.P.H., is editor of this column.
Christian S
CS
Hendershot
The authors are with the Centre for Addiction and Mental Health, Toronto, Canada (e-mail: saima.awan@camh.ca ). Marcela Horvitz-Lennon, M.D., M.P.H., is editor of this column.
Julie Anne
JA
Irving
The authors are with the Centre for Addiction and Mental Health, Toronto, Canada (e-mail: saima.awan@camh.ca ). Marcela Horvitz-Lennon, M.D., M.P.H., is editor of this column.
Anne
A
Kalvik
The authors are with the Centre for Addiction and Mental Health, Toronto, Canada (e-mail: saima.awan@camh.ca ). Marcela Horvitz-Lennon, M.D., M.P.H., is editor of this column.
Lisa
L
Lefebvre
The authors are with the Centre for Addiction and Mental Health, Toronto, Canada (e-mail: saima.awan@camh.ca ). Marcela Horvitz-Lennon, M.D., M.P.H., is editor of this column.
Bernard
B
Le Foll
The authors are with the Centre for Addiction and Mental Health, Toronto, Canada (e-mail: saima.awan@camh.ca ). Marcela Horvitz-Lennon, M.D., M.P.H., is editor of this column.
Lena
L
Quilty
The authors are with the Centre for Addiction and Mental Health, Toronto, Canada (e-mail: saima.awan@camh.ca ). Marcela Horvitz-Lennon, M.D., M.P.H., is editor of this column.
Peter
P
Voore
D000437:Alcoholism / Q000150:complications / Q000628:therapy*; D000553:Ambulatory Care / Q000379:methods*; D002170:Canada; D003156:Community Mental Health Services; D019033:Delivery of Health Care, Integrated; D003865:Major Depressive Disorder / Q000150:complications / Q000628:therapy*; D006284:Health Plan Implementation; D006801:Humans; D010865:Pilot Projects; D015397:Program Evaluation; D016896:Treatment Outcome