title: Collaborative care in real-world settings: barriers and opportunities for sustainability.
abstract: Patient-centered care and self-management of chronic disease are optimally characterized by distinct adjunct services such as education, and support for the behavioral and psychosocial elements of managing disease. The collaborative care model for the treatment of depression and anxiety in primary care includes the integration of a behavioral health specialist, in collaboration with the primary care provider, and psychiatric consultation to effectively screen and treat common mental health problems. Dissemination and sustainability of the model have encountered numerous barriers across systems of care. This article represents a discussion of the key barriers to collaborative care and offers a discussion of opportunities for dissemination and sustainability of the model.
authors.affiliation: School of Social Work, The University of Texas at Arlington, Arlington; Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, USA.
authors.forename: Katherine
authors.initials: K
authors.lastname: Sanchez
keywords: anxiety; barriers; collaborative care; depression; patient preferences