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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
Summary
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.
- 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.