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Published on: January 20, 2019
Implementing the Collaborative Care Model as Part of a Countywide Initiative
Marcia Valenstein1, Gregory W Dalack1, Teague Simoncic1
1Dr. Valenstein, Dr. Dalack, Ms. Simoncic, Ms. Metzger, Dr. Deneke, Dr. Miller, Ms. Cuson, Ms. McLaughlin, and Dr. LePlatte-Ogini are with the Department of Psychiatry, Dr. Richardson and Dr. Rion are with the Department of Family Medicine, and Dr. Williams is with the Department of Internal Medicine, all at the University of Michigan, Ann Arbor (e-mail: marciav@umich.edu ). Dr. Valenstein is also with the Center for Clinical Management Research, Department of Veterans Affairs, Ann Arbor. Dr. Rion is also with the Packard Health Center, Ann Arbor. Dr. Hopper is with the Department of Internal Medicine, Saint Joseph Mercy Hospital, Ypsilanti, Michigan. Dr. Ryan and Ms. Spangler are with Integrated Health Associates, Ann Arbor. Dr. Baum, Ms. Rheingans, and Ms. Udow-Phillips are with the Center for Healthcare Research and Transformation, Ann Arbor. Lisa B. Dixon, M.D., M.P.H., and Brian Hepburn, M.D., are editors of this column.
Abstract:
This column describes the planning and implementation of an integrated behavioral health project which was facilitated and endorsed by a developing accountable health community, the Washtenaw Health Initiative (WHI). The WHI is a voluntary countywide coalition of academic, community, health system, and county government agencies dedicated to improving access to high-quality health care for low-income, uninsured, and Medicaid populations. When lack of access to mental health services was identified as a pressing concern, the WHI endorsed pilot testing of collaborative care, an evidence-based treatment model, in county safety-net clinics. Challenges, outcomes, and relevance of this initiative to other counties or regional entities are discussed.
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