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Longitudinal Remote Coaching for Implementation of Perinatal Collaborative Care: A Mixed-Methods Analysis

Amritha Bhat1, Ian M Bennett1, Amy M Bauer1

  • 1Department of Psychiatry and Behavioral Sciences (Bhat, Bennett, Bauer, Unützer) and Department of Family Medicine (Bennett), University of Washington, Seattle; Department of Psychiatry (Beidas), Department of Medical Ethics and Health Policy (Beidas), and Department of Family Medicine and Community Health (Eriksen, Barg), Perelman School of Medicine, University of Pennsylvania, Philadelphia; Penn Implementation Science Center, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia (Beidas); Kaiser Permanente Northwest Center for Health Research, Portland, Oregon (Gold). Benjamin G. Druss, M.D., M.P.H., and Gail Daumit, M.D., M.H.S., are editors of this column.

Psychiatric Services (Washington, D.C.)
|January 31, 2020
PubMed

The collaborative care model (CoCM) is a multicomponent, team-based integrated behavioral health framework. Its effectiveness in the treatment of perinatal depression is established, but implementation has been limited. The authors used longitudinal remote coaching (LRC) as a novel implementation strategy to support systematic case review in a multistate cluster-randomized trial of CoCM for perinatal depression. They describe LRC for perinatal CoCM in three clinics and use of a mixed-methods analysis of data from LRC feedback forms and interviews with participants. LRC is a scalable implementation strategy with potential to support complex models of integrated behavioral health, such as perinatal CoCM.

Keywords:
implementationperinatal collaborative careperinatal depression

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