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The collaborative practice model for bipolar disorder: design and implementation in a multi-site randomized

M S Bauer1

  • 1Veterans Affairs Medical Center, Brown University, Providence, Rhode Island 02908-4799, USA. Mark_Bauer@brown.edu

Bipolar Disorders
|March 21, 2002
PubMed
Summary
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A collaborative practice model improves illness management skills and joint decision-making for bipolar disorder patients. This approach helps bridge the gap between medication efficacy and real-world effectiveness in clinical practice.

Area of Science:

  • Psychiatry
  • Health Services Research
  • Chronic Disease Management

Background:

  • Bipolar disorder presents significant morbidity and cost, with a gap between medication efficacy and effectiveness.
  • The collaborative practice model aims to improve care by enhancing patient skills and provider support.
  • This model draws on historical practices like lithium clinics and modern chronic disease management principles.

Purpose of the Study:

  • To describe a collaborative practice model for bipolar disorder.
  • To detail the structure and implementation of the Bipolar Disorders Program (BDP).
  • To evaluate the effectiveness of collaborative care in general clinical practice.

Main Methods:

  • The article outlines the theoretical underpinnings of collaborative practice.

Related Experiment Videos

  • It describes the Bipolar Disorders Program (BDP) intervention within the Veterans Affairs system.
  • Implementation challenges and results from a multi-site randomized controlled trial (VA CSP #430) are discussed.
  • Main Results:

    • Preliminary data suggest collaborative practice interventions improve process and intermediate outcomes for bipolar disorder.
    • The BDP model is manualized for broad adoption and implementation.
    • Ongoing trials are assessing its effectiveness across multiple sites.

    Conclusions:

    • Collaborative practice models offer a promising strategy to enhance bipolar disorder management.
    • The BDP provides a feasible and adaptable framework for improving patient outcomes.
    • System-level organization of care is key to addressing the efficacy-effectiveness gap.