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Collaborative care: enough of the why; what about the how?

  • Parashar Pravin Ramanuj (a1) and Harold Alan Pincus (a2)
Abstract

The clinical and cost-effectiveness of collaborative care for improving outcomes in people with mental and physical comorbidities is well established. However, translating these models into enduring change in routine care has proved difficult. In this editorial we outline how to shift the conversation on collaborative care from ‘what are we supposed to do?’ to ‘how we can do this’.

Declaration of interest

P.P.R. has received honoraria from Publicis LifeBrands and the Institute for Healthcare Improvement outside of the submitted work. H.A.P. reports personal fees from the BIND Health Plan outside of the submitted work; and is a Member of the Council on Quality of Care of the American Psychiatric Association.

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Corresponding author
Correspondence: Parashar Pravin Ramanuj, Integrated Care Lead, Imperial College Health Partners, 30 Euston Square, London NW1 2FB, UK. Email: p.ramanuj@doctors.org.uk
References
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1Camacho, EM, Davies, LM.Hann, M, Small, N, Bower, P, Chew-Graham, C, et al. Long-term clinical and cost-effectiveness of collaborative care (versus usual care) for people with mental-physical multimorbidity: cluster-randomised trial. Br J Psychiatry 2018; 213: 456–63.
2Wagner, EH, Austin, BT, Von Korff, M. Organizing care for patients with chronic illness. Milbank Q 1996; 74: 511–44.
3Katon, W, Von Korff, M, Lin, E, Walker, E, Simon, GE, Bush, T, et al. Collaborative management to achieve treatment guidelines. Impact on depression in primary care. JAMA 1995; 273: 10261031.
4Archer, J, Bower, P, Gilbody, S, et al. Collaborative care for depression and anxiety problems. Cochrane Database Syst Rev 2012; 10: CD006525.
5Overbeck, G, Davidsen, AS, Kousgaard, MB. Enablers and barriers to implementing collaborative care for anxiety and depression: a systematic qualitative review. Implement Sci 2016; 11: 165.
6Chung, H, Rostanski, N, Glassberg, H, Pincus, HA. Advancing Integration of Behavioural Health Into Primary Care: a Continuum-Based Framework. United Hospital Fund, 2016 (https://uhfnyc.org/publications/881131).
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Collaborative care: enough of the why; what about the how?

  • Parashar Pravin Ramanuj (a1) and Harold Alan Pincus (a2)
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