Implementation of a Collaborative Care Initiative for PTSD and Depression in the Army Primary Care System

Social Work in Mental Health

Volumn 12, Issue , 2014, Pages 500-522

  Belsher, Bradley E ^a,b   Curry, Justin ^a   McCutchan, Phoebe ^a   Oxman, Thomas ^c   Corso, Kent A ^d,e,f   Williams, Kelly ^a   Engel, Charles C ^g  

^a Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury   (United States)

^b UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES   (United States)

^c DARTMOUTH MEDICAL SCHOOL   (United States)

^d National Capital Consortium   (United States)

^e Uniformed Services University of the Health Sciences and the Walter Reed National Military Medical Center   (United States)

^f Windpath Healing Works LLC   (United States)

^g RAND CORPORATION   (United States)

Author keywords

collaborative care; integrated care; mental health screening; military; primary care; service members; veterans

Indexed keywords

EID: 84908416077     PISSN: 15332985     EISSN: 15332993     Source Type: Journal    
DOI: 10.1080/15332985.2014.897673     Document Type: Article

References (78)

1. Agency for Healthcare Policy and Research. (1993). Depression in Primary Care: Clinical Practice Guideline. Rockville, MD: Agency for Healthcare Policy and Research Depression Guidelines Panel, US Department of Health and Human Services.
2. American Psychiatric Association. (2000). Practice guideline for the treatment of patients with major depressive disorder (revision). (0002-953X (Print) 0002-953X (Linking)).
3. Andrews, C.M., Darnell, J.S., McBride, T.D., & Gehlert, S. (2013). Social work and implementation of the Affordable Care Act, editorial. Health & Social Work, 38(2), 67–71.
4. Arean, P.A., Ayalon, L., Hunkeler, E., Lin, E.H., Tang, L., Harpole, L., … Unutzer, J. (2005).Improving depression care for older, minority patients in primary care. Medical Care, 43(4), 381–390.
5. Blanchard, E.B., Jones-Alexander, J., Buckley, T.C., & Forneris, C.A. (1996). Psychometric properties of the PTSD Checklist (PCL). Behavior Research and Therapy, 34(8), 669–673.
6. Bodenheimer, T., Chen, E., & Bennett, H.D. (2009). Confronting the growing burden of chronic disease: Can the U.S. health care workforce do the job? Health Affairs (Millwood), 28(1), 64–74.
7. Collins, S. (June 2013). Strategies for strengthening health care social work in the health reform era. Practice Perspectives (Summer Issue), 1–5.
8. Community Preventive Services Task Force. (2012). Recommendation from the community preventive services task force for use of collaborative care for the management of depressive disorders. American Journal of Preventative Medicine, 42(5), 521–524.
9. Crain, L.A., Solberg, L.I., Unutzer, J., Ohnsorg, K.A., Maciosek, M.V., Whitebird, R. R., … Molitor, B. A. (2013). Designing and implementing research on a statewide quality improvement initiative: The DIAMOND study and initiative. Medical Care, 51(9), e58–66.
10. Creamer, M., Carboon, I., Forbes, A.B., McKenzie, D.P., McFarlane, A.C., Kelsall, H.L., & Sim, M.R. (2006). Psychiatric disorder and separation from military service: A 10-year retrospective study. American Journal of Psychiatry, 163(4), 733–734.
11. Davidson, J.R., Stein, D.J., Shalev, A.Y., & Yehuda, R. (2004). Posttraumatic stress disorder: Acquisition, recognition, course, and treatment. Journal of Neuropsychiatry and Clinical Neuroscience, 16(2), 135–147.
12. Dietrich, A.J. (2000). The telephone as a new weapon in the battle against depression. Effective Clinical Practice, 3(4), 191–193.
13. Dietrich, A.J., Oxman, T.E., Williams, J.W., Jr., Schulberg, H.C., Bruce, M.L., Lee, P.W., … Nutting, P.A. (2004). Re-engineering systems for the treatment of depression in primary care: Cluster randomised controlled trial. British Medical Journal, 329(7466), 602.
14. Dorr, D.A., Jones, S.S., & Wilcox, A. (2007). A framework for information system usage in collaborative care. Journal of Biomedical Informatics, 40(3), 282–287.
15. Ell, K., Xie, B., Quon, B., Quinn, D.I., Dwight-Johnson, M., & Lee, P.J. (2008). Randomized controlled trial of collaborative care management of depression among low-income patients with cancer. Journal of Clinical Oncology, 26(27), 4488–4496.
16. Engel, C.C. (2005). Improving primary care for military personnel and veterans with posttraumatic stress disorder—The road ahead. General Hospital Psychiatry, 27(3), 158–160.
17. Engel, C.C., Oxman, T., Yamamoto, C., Gould, D., Barry, S., Stewart, P., … Dietrich, A.J. (2008). RESPECT-Mil: Feasibility of a systems-level collaborative care approach to depression and post-traumatic stress disorder in military primary care. Military Medicine, 173(10), 935–940.
18. Engel, G.L. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196(4286), 129–136.
19. Fixsen, D.L., Blase, K.A., Naoom, S.F., & Wallace, F. (2009). Core implementation components. Research on Social Work Practice, 19(5), 531–540.
20. Garg, A.X., Adhikari, N.K., McDonald, H., Rosas-Arellano, M.P., Devereaux, P.J., Beyene, J., … Haynes, R.B. (2005). Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: A systematic review. JAMA: The Journal of The American Medical Association, 293(10), 1223–1238.
21. Greenberg, P.E., Kessler, R.C., Birnbaum, H.G., Leong, S.A., Lowe, S.W., Berglund, P.A., & Corey-Lisle, P.K. (2003). The economic burden of depression in the United States: How did it change between 1990 and 2000? Journal of Clinical Psychiatry, 64(12), 1465–1475.
22. Hoge, C.W., Auchterlonie, J.L., & Milliken, C.S. (2006). Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan. JAMA: The Journal of The American Medical Association, 295(9), 1023–1032.
23. Hoge, C.W., Castro, C.A., Messer, S.C., McGurk, D., Cotting, D.I., & Koffman, R.L. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. New England Journal of Medicine, 351(1), 13–22.
24. Huffman, J.C., Mastromauro, C.A., Sowden, G.L., Wittmann, C., Rodman, R., & Januzzi, J.L. (2011). A collaborative care depression management program for cardiac inpatients: depression characteristics and in-hospital outcomes. Psychosomatics, 52(1), 26–33.
25. Hunter, C.L., & Goodie, J.L. (2012). Behavioral health in the Department of Defense Patient-Centered Medical Home: History, finance, policy, work force development, and evaluation. Translational Behavioral Medicine, 2(3), 355–363.
26. Institute of Medicine. (2012). Treatment for posttraumatic stress disorder in military and veteran populations: Initial assessment. Washington, DC: The National Academies Press.
27. Jacob, V., Chattopadhyay, S.K., Sipe, T.A., Thota, A.B., Byard, G.J., & Chapman, D.P. (2012). Economics of collaborative care for management of depressive disorders: A community guide systematic review. American Journal of Preventative Medicine, 42(5), 539–549.
28. Katon, W., Lin, E.H., Von Korff, M., Ciechanowski, P., Ludman, E.J., Young, B., … McCulloch, D. (2010). Collaborative care for patients with depression and chronic illnesses. New England Journal of Medicine, 363(27), 2611–2620.
29. Katon, W., Robinson, P., Von Korff, M., Lin, E., Bush, T., Ludman, E., … Walker, E. (1996). A multifaceted intervention to improve treatment of depression in primary care. Archives of General Psychiatry, 53(10), 924–932.
30. Katon, W., Russo, J., Lin, E.H., Schmittdiel, J., Ciechanowski, P., Ludman, E., … Von Korff, M. (2012). Cost-effectiveness of a multicondition collaborative care intervention: A randomized controlled trial. Archives of General Psychiatry, 69(5), 506–514.
31. Katon, W., Unutzer, J., Wells, K., & Jones, L. (2010). Collaborative depression care: History, evolution and ways to enhance dissemination and sustainability. General Hospital Psychiatry, 32(5), 456–464.
32. Katon, W., von Korff, M., Lin, E., Simon, G., Walker, E., Unutzer, J., … Ludman, E. (1999). Stepped collaborative care for primary care patients with persistent symptoms of depression: a randomized trial. Archives of General Psychiatry, 56(12), 1109–1115.
33. Katon, W., Von Korff, M., Lin, E., Walker, E., Simon, G.E., Bush, T., … Russo, J. (1995). Collaborative management to achieve treatment guidelines. Impact on depression in primary care. JAMA: The Journal of The American Medical Association, 273(13), 1026–1031.
34. Katon, W., von Korff, M., Lin, E.H., Simon, G., Ludman, E., Russo, J., … Bush, T. (2004). The Pathways Study: Arandomized trial of collaborative care in patients with diabetes and depression. Archives of General Psychiatry, 61(10), 1042–1049.
35. Kessler, R., & Stafford, D. (2008). Primary care is the de facto mental health system. In R. Kessler & D. Stafford (Eds.), Collaborative medicine case studies: Evidence in practice. (pp. 9–21). New York, NY: Springer Science + Business Media.
36. Kessler, R.C., Chiu, W.T., Demler, O., Merikangas, K.R., & Walters, E.E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 617–627.
37. Kharicha, K., Iliffe, S., Levin, E., Davey, B., & Fleming, C. (2005). Tearing down the Berlin wall: Social workers’ perspectives on joint working with general practice. Family Practice, 22(4), 399–405.
38. Kilbourne, A.M., McGinnis, G.F., Belnap, B.H., Klinkman, M., & Thomas, M. (2006). The role of clinical information technology in depression care management. Administration and Policy in Mental Health, 33(1), 54–64.
39. King, K., Christo, J., Fletcher, J., Machlin, A., Nicholas, A., & Pirkis, J. (2013). The sustainability of an Australian initiative designed to improve interdisciplinary collaboration in mental health care. International Journal of Mental Health Systems, 7(1), 10.
40. Klein, D.B., Laugesen, M.J., & Liu, N. (2013). The patient-centered medical home: A future standard for American health care? Public Administration Review, 73, S82–S92.
41. Kroenke, K., Spitzer, R.L., & Williams, J.B. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine, 16(9), 606–613.
42. Kroenke, K., Spitzer, R.L., & Williams, J.B. (2003). The Patient Health Questionnaire-2: Validity of a two-item depression screener. Medical Care, 41(11), 1284–1292.
43. Lee, P.W., Dietrich, A.J., Oxman, T.E., Williams, J.W., Jr., & Barry, S.L. (2007). Sustainable impact of a primary care depression intervention. Journal of the American Board of Family Medicine, 20(5), 427–433.
44. Mark, T.L., Levit, K.R., & Buck, J.A. (2009). Psychotropic drug prescriptions by medical specialty. Psychiatric Services, 60(9).
45. MHAT. (2011). Joint mental health advisory team 7 (J-MHAT 7) Operation Iraqi Freedom 2010. Washington, DC: Office of the Surgeon General: United States Army Medical Command, Office of the Command Surgeon HQ, USCENTCOM.
46. Narrow, W.E., Regier, D.A., Rae, D.S., Manderscheid, R.W., & Locke, B.Z. (1993). Use of services by persons with mental and addictive disorders. Findings from the National Institute of Mental Health Epidemiologic Catchment Area Program. Archives of General Psychiatry, 50(2), 95–107.
47. National Association of Deans and Directors of Schools of Social Work, & Council on Social Work Education. (2013). Social Work and Integrated Behavioral Healthcare Project Retrieved from http://www.cswe.org/CentersInitiatives/DataStatistics/58020.aspx
48. National Association of Social Workers. (2010). NASW Standards for clinical social work in social work practice. Washington, DC: Author.
49. National Center for Health Statistics. (2011). Health, United States, 2010: With Special Feature on Death and Dying. Hyattsville, MD: Author.
50. Ormel, J., Petukhova, M., Chatterji, S., Aguilar-Gaxiola, S., Alonso, J., Angermeyer, M. C., … Kessler, R. C. (2008). Disability and treatment of specific mental and physical disorders across the world. British Journal of Psychiatry, 192(5), 368–375.
51. Oss, M.E., & Biggins, S. (2002). Mom, apple pie & behavioral health integration. Behavioral Health Management, 22(3), 14–18.
52. Oxman, T.E., Dietrich, A.J., Williams, J.W., Jr., & Kroenke, K. (2002). A three-component model for reengineering systems for the treatment of depression in primary care. Psychosomatics, 43(6), 441–450.
53. Pomerantz, A.S., Corson, J.A., & Detzer, M.J. (2009). The challenge of integrated care for mental health: Leaving the 50 minute hour and other sacred things. Journal of Clinical Psychology in Medical Settings, 16(1), 40–46.
54. Prins, A., Ouimette, P., Kimerling, R., Cameron, R.P., Hugelshofer, D.S., Shaw-Hegwer, J., … Sheikh, J.I. (2003). The primary care PTSD screen (PC-PTSD): Development and operating characteristics. Primary Care Psychiatry, 9, 9–14.
55. Regier, D.A., Goldberg, I.D., & Taube, C.A. (1978). The de facto US mental health services system: a public health perspective. Archives of General Psychiatry, 35(6), 685–693.
56. Richards, D.A., Hill, J.J., Gask, L., Lovell, K., Chew-Graham, C., Bower, P., … Barkham, M. (2013). Clinical effectiveness of collaborative care for depression in UK primary care (CADET): Cluster randomised controlled trial. British Medical Journal, 347, f4913. doi:10.1136/bmj.f4913
57. Rost, K., Smith, J.L., & Dickinson, M. (2004). The effect of improving primary care depression management on employee absenteeism and productivity. A randomized trial. Medical Care, 42(12), 1202–1210.
58. Roy-Byrne, P., Craske, M.G., Sullivan, G., Rose, R.D., Edlund, M.J., Lang, A.J., … Stein, M.B. (2010). Delivery of evidence-based treatment for multiple anxiety disorders in primary care: a randomized controlled trial. JAMA: The Journal of The American Medical Association, 303(19), 1921–1928.
59. Roy-Byrne, P., Katon, W., Cowley, D.S., & Russo, J. (2001). A randomized effectiveness trial of collaborative care for patients with panic disorder in primary care. Archives of General Psychiatry, 58(9), 869–876.
60. Schonfeld, W.H., Verboncoeur, C.J., Fifer, S.K., Lipschutz, R.C., Lubeck, D.P., & Buesching, D.P. (1997). The functioning and well-being of patients with unrecognized anxiety disorders and major depressive disorder. Journal of Affective Disorders, 43(2), 105–119.
61. Smit, F., Cuijpers, P., Oostenbrink, J., Batelaan, N., de Graaf, R., & Beekman, A. (2006). Costs of nine common mental disorders: Implications for curative and preventive psychiatry. Journal of Mental Health Policy and Economics, 9(4), 193–200.
62. Solberg, L.I., Korsen, N., Oxman, T.E., Fischer, L.R., & Bartels, S. (1999). The need for a system in the care of depression. Journal of Family Practice, 48(12), 973–979.
63. Spitzer, R.L., Kroenke, K., & Williams, J.B. (1999). Validation and utility of a self-report version of PRIME-MD: The PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. JAMA: The Journal of The American Medical Association, 282(18), 1737–1744.
64. Tanielien, T., & Jaycox, L.H. (Eds.). (2008). Invisible wounds of war: Psychological and cognitive injuries, their consequences, and services to assist recovery. Santa Monica, CA: RAND Center for Military Health Policy Research.
65. Thota, A.B., Sipe, T.A., Byard, G.J., Zometa, C.S., Hahn, R.A., McKnight-Eily, L.R., … Williams, S.P. (2012). Collaborative care to improve the management of depressive disorders: A community guide systematic review and meta-analysis. American Journal of Preventative Medicine, 42(5), 525–538.
66. Trude, S., & Stoddard, J.J. (2003). Referral gridlock: Primary care physicians and mental health services. Journal of General Internal Medicine, 18(6), 442–449.
67. Under Secretary of Defense. (2013). DoD Instruction 6490.15, Integration of Behavioral Health Personnel (BHP) Services into Patient-Centered Medical Home (PCMH) Primary Care and Other Primary Care Service Settings: Department of Defense.
68. Unutzer, J., Choi, Y., Cook, I.A., & Oishi, S. (2002). A web-based data management system to improve care for depression in a multicenter clinical trial. Psychiatric Services, 53(6), 671–673, 678.
69. Unutzer, J., Katon, W., Callahan, C.M., Williams, J.W., Jr., Hunkeler, E., Harpole, L., … Langston, C. (2002). Collaborative care management of late-life depression in the primary care setting: a randomized controlled trial. JAMA: The Journal of The American Medical Association, 288(22), 2836–2845.
70. Unützer, J., Schoenbaum, M., Druss, B.G., & Katon, W.J. (2006). Transforming mental health care at the interface with general medicine: Report for the presidents commission. Psychiatric Services, 57(1), 37–47.
71. VHA Health Services Research and Development Service. (2008). Collaborative Care for Depression in the Primary Care Setting. A Primer on VA’s Translating Initiatives for Depression into Effective Solutions (TIDES) Project. Boston, MA: Center for Information Dissemination and Education Resources.
72. Wagner, E.H., Austin, B.T., & Von Korff, M. (1996). Organizing care for patients with chronic illness. Milbank Quarterly, 74(4), 511–544.
73. Wang, P.S., Demler, O., Olfson, M., Pincus, H.A., Wells, K.B., & Kessler, R.C. (2006). Changing profiles of service sectors used for mental health care in the United States. American Journal of Psychiatry, 163(7), 1187–1198.
74. Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (1993, October). The PTSD Checklist (PCL): Reliability, Validity, and Diagnostic Utility. Paper presented at the Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies, San Antonio, TX.
75. Weinick, R.M., Beckjord, E.B., Farmer, C.M., Martin, L.T., Gillen, E.M., Acosta, J., & Scharf, D.M. (2011). Programs addressing psychological health and traumatic brain injury among U.S. military servicemembers and their families. Santa Monica, CA: RAND Corporation.
76. Williams, J.W., Jr., Noel, P.H., Cordes, J.A., Ramirez, G., & Pignone, M. (2002). Is this patient clinically depressed? JAMA: The Journal of The American Medical Association, 287(9), 1160–1170.
77. Woltmann, E., Grogan-Kaylor, A., Perron, B., Georges, H., Kilbourne, A.M., & Bauer, M.S. (2012). Comparative effectiveness of collaborative chronic care models for mental health conditions across primary, specialty, and behavioral health care settings: systematic review and meta-analysis. American Journal of Psychiatry, 169(8), 790–804.
78. Zatzick, D., Roy-Byrne, P., Russo, J., Rivara, F., Droesch, R., Wagner, A., … Katon, W. (2004). A randomized effectiveness trial of stepped collaborative care for acutely injured trauma survivors. Archives of General Psychiatry, 61(5), 498–506.