Collaborative care for depression

Author/s
Carolyn Chew-Graham
Citation
Issue 5 Winter 2018
CEPiP.2018.1.105-109
Abstract

Depression can be a chronic and relapsing condition. Most people with depression are managed in primary care, based around a model of ‘stepped care’, which recommends interventions depending on severity of symptoms. Collaborative care (CC) is a model of care originating from the United States, which has an increasing evidence-base for effectiveness and acceptability in the UK. CC includes a multi-professional approach to patient care delivered by a GP and at least one other health professional. A structured patient management plan that facilitates delivery of evidence-based interventions, scheduled and pro-active patient follow-ups, either face-to-face or by remote communication and enhanced interprofessional communication between team members who share responsibility for the care of the patient.

Cite as: Cutting Edge Psychiatry in Practice 2018, 5(1):105-109; https://doi.org/10.65031/lgwp7081

References

  1. Murray CJ, Lopez AD. Alternative projections of mortality and disability by cause 1990–2020: Global Burden of Disease Study. The Lancet. 1997 May 24;349(9064):1498-504. https://doi.org/10.1016/s0140-6736(96)07492-2
  2. Meltzer H, Gill B, Petticrew M, Hinds K. OPCS Surveys of Psychiatric Morbidity in Great Britain, Report 2: Physical complaints, service use and treatment of adults with psychiatric disorders. London: Office for National Statistics. 1995.          
  3. National Collaborating Centre for Mental Health. National Institute for Health and Clinical Excellence: Guidance. Depression: The Treatment and Management of Depression in Adults (Updated Edition). National Clinical Practice Guideline 90. Leicester (UK): British Psychological Society. British Psychological Society and Royal College of Psychiatrists, Leicester and London. https://doi.org/10.1097/nmd.0b013e3182a6e929
  4. Simon GE, Ludman EJ, Tutty S, Operskalski B, Von Korff M. Telephone psychotherapy and telephone care management for primary care patients starting antidepressant treatment: a randomized controlled trial. JAMA. 2004 Aug 25;292(8):935-42. https://doi.org/10.1001/jama.292.8.935
  5. Gask L. Overt and covert barriers to the integration of primary and specialist mental health care. Social Science & Medicine. 2005 Oct 1;61(8):1785-94. https://doi.org/10.1016/j.socscimed.2005.03.038
  6. Gunn J, Diggens J, Hegarty K, Blashki G. A systematic review of complex system interventions designed to increase recovery from depression in primary care. BMC Health Services Research. 2006 Dec;6(1):88. https://doi.org/10.1186/1472-6963-6-88
  7. Richards DA, Bower P, Chew-Graham C, Gask L, Lovell K, Cape J, Pilling S, Araya R, Kessler D, Barkham M, Bland JM. Clinical effectiveness and cost-effectiveness of collaborative care for depression in UK primary care (CADET): a cluster randomised controlled trial. Health Technology Assessment. 2016;20(14). https://doi.org/10.1136/bmj.f4913
  8. Therapy deficit: Studies to enhance psychological treatments are scandalously under-funded [editorial]. Nature. 2012;489:473.          
  9. Improving Access to Psychological Therapies (IAPT) three-year report: The first million patients [Internet]. IAPT; 2012 [cited 21 December 2018]. Available from: http://www.mhinnovation.net/sites/default/files/downloads/ innovation/reports/Three-year-report.pdf https://doi.org/10.1186/isrctn17064995
  10. Coventry P, Lovell K, Dickens C, Bower P, Chew-Graham C, McElvenny D, Hann M, Cherrington A, Garrett C, Gibbons CJ, Baguley C. Integrated primary care for patients with mental and physical multimorbidity: cluster randomised controlled trial of collaborative care for patients with depression comorbid with diabetes or cardiovascular disease. BMJ. 2015 Feb 16;350:h638. https://doi.org/10.1136/bmj.h638
  11. Knowles SE, Chew-Graham C, Adeyemi I, Coupe N, Coventry PA. Managing depression in people with multimorbidity: a qualitative evaluation of an integrated collaborative care model. BMC Family Practice. 2015 Dec;16(1):32. https://doi.org/10.1186/s12875-015-0246-5
  12. Coventry PA, Lovell K, Dickens C, Bower P, Chew-Graham C, Cherrington A, Garrett C, Gibbons CJ, Baguley C, Roughley K, Adeyemi I. Collaborative Interventions for Circulation and Depression (COINCIDE): study protocol for a cluster randomized controlled trial of collaborative care for depression in people with diabetes and/or coronary heart disease. Trials. 2012 Dec;13(1):139. https://doi.org/10.1186/1745-6215-13-139