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Collaborative care for bipolar disorder: part I. Intervention and implementation in a randomized effectiveness trial.

Mark S Bauer1, Linda McBride, William O Williford

  • 1Providence Veterans Affairs Medical Center (VANC), Rhode Island 02908-4799, USA. mark.bauer@med.va.gov

Psychiatric Services (Washington, D.C.)
|July 4, 2006
PubMed
Summary

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This study introduces an improved care model for bipolar disorder, enhancing patient self-management and provider support. The successful implementation of this collaborative care approach aims to improve treatment outcomes for bipolar disorder patients.

Area of Science:

  • Psychiatry
  • Health Services Research
  • Bipolar Disorder Treatment

Background:

  • Bipolar disorder treatment outcomes remain suboptimal despite existing therapies.
  • A need exists for enhanced clinical practice interventions to improve bipolar disorder management.
  • Previous models like lithium clinics offer a foundation for modern collaborative care.

Purpose of the Study:

  • To develop and describe a novel collaborative care model for bipolar disorder.
  • To outline the design of a large-scale, multi-site randomized effectiveness trial.
  • To report on the successful implementation and generalizability of the intervention.

Main Methods:

  • A collaborative care model was developed, integrating psychoeducation, simplified guidelines, and nurse care coordination.

Related Experiment Videos

  • An 11-site, three-year randomized effectiveness trial was designed.
  • Trial design prioritized effectiveness and generalizability for intervention dissemination.

    • Main Results:

    • The intervention was successfully implemented across 11 diverse sites.
    • Data indicate successful integration of the collaborative care model into clinical practice.
    • The trial design supports the generalizability of potential findings.

    Conclusions:

    • The developed collaborative care model shows promise for improving bipolar disorder management.
    • Successful implementation is a critical step towards demonstrating clinical effectiveness.
    • This study lays the groundwork for reporting clinical and cost outcomes in Part II.