Treating complexity: Collaborative care for multiple chronic conditions

International Review of Psychiatry

Volumn 26, Issue 6, 2014, Pages 638-647

  Chwastiak, Lydia ^a   Vanderlip, Erik ^a   Katon, Wayne ^a  

^a UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BIPOLAR DISORDER; CARDIOVASCULAR DISEASE; CHRONIC DISEASE; COMORBIDITY; DIETARY INTAKE; HEALTH BEHAVIOR; HEALTH CARE QUALITY; HEALTH HAZARD; HUMAN; LIFE EXPECTANCY; MAJOR DEPRESSION; MENTAL DISEASE; MENTAL PATIENT; PATIENT CARE; PREMATURE MORTALITY; SCHIZOPHRENIA; SEDENTARY LIFESTYLE; SMOKING; CARDIOVASCULAR DISEASES; COOPERATION; DIABETES MELLITUS; INTEGRATED HEALTH CARE SYSTEM; MENTAL DISORDERS; ORGANIZATION AND MANAGEMENT;

CARDIOVASCULAR DISEASES; CHRONIC DISEASE; COMORBIDITY; COOPERATIVE BEHAVIOR; DELIVERY OF HEALTH CARE, INTEGRATED; DIABETES MELLITUS; HUMANS; MENTAL DISORDERS;

EID: 84920483998     PISSN: 09540261     EISSN: 13691627     Source Type: Journal    
DOI: 10.3109/09540261.2014.969689     Document Type: Article

References (64)

1. Ali, M.K., Bullard, K.M., Saaddine, J.B., Cowie, C.C., Imperatore, G., & Gregg, E.W. (2013). Achievement of goals in US diabetes care, 1999-2010. New England Journal of Medicine, 368, 1613-1624.
2. APA (1994, 2000). Diagnostic and Statistical Manual of Mental Disorders 4th ed. Arlington VA: American Psychiatric Association.
3. Barnes, T.R., Paton, C., Cavanagh, M.R., Hancock, E., & Taylor, D.M. (2007). A UK audit of screening for the metabolic side effects of antipsychotics in community patients. Schizophrenia Bulletin, 33, 1397-1403.
4. Barnett, K., Mercer, S.W., Norbury, M., Watt, G., Wyke, S., & Guthrie, B. (2012). Epidemiology of multimorbidity and implications for health care, research, and medical education: A cross-sectional study. Lancet, 380 (9836), 37-43.
5. Bartels, S.J., Pratt, S.I., Mueser, K.T., Naslund, J.A., Wolfe, R.S., Santos, M.,⋯ Riera, E.G. (2014). Integrated IMR for psychiatric and general medical illness for adults aged 50 or older with serious mental illness. Psychiatric Services, 65, 330-337.
6. Becker, T., & Hux, J. (2011). Risk of acute complications of diabetes among people with schizophrenia in Ontario, Canada. Diabetes Care, 34, 398-402.
7. Bodenheimer, T., Wagner, E.H., & Grumbach, K. (2002). Improving primary care for patients with chronic illness: The chronic care model, part 1. Journal of the American Medical Association, 288, 1775-1779.
8. Bogner, H.R., Morales, K.H., de Vries, H.F., & Cappola, A.R. (2012). Integrated management of type 2 diabetes mellitus and depression treatment to improve medication adherence: A randomized controlled trial. Annals of Family Medicine, 10, 15-22.
9. Bradford, D.W., Kim, M.M., Braxton, L.E., Marx, C.E., Butterfield, M., Elbogen, E.B. (2008). Access to medical care among persons with psychotic and major affective disorders. Psychiatric Services, 59, 847-852.
10. Bradford, D.W., Cunningham, N.T., Slubicki, M.N., McDuffie, J.R., Kilbourne, A.M., Nagi, A., & Williams, J.W., Jr. (2013). An evidence synthesis of care models to improve general medical outcomes for individuals with serious mental illness: A systematic review. Journal of Clinical Psychiatry, 74, e754-764.
11. Callaghan, R.C., Veldhuizen, S., Jeysingh, T., Orlan, C., Graham, C., Kakouris, G.,⋯ Gatley, J. (2014). Patterns of tobacco-related mortality among individuals diagnosed with schizophrenia, bipolar disorder, or depression. Journal of Psychiatric Research, 48, 102-110.
12. Chwastiak, L.A., Davydow, D.S., McKibbin, C.L., Schur, E., Burley, M., McDonell, M.G.,⋯ Daratha, K.B. (2014). The effect of serious mental illness on the risk of rehospitalization among patients with diabetes. Psychosomatics, 55, 134-143.
13. Correll, C.U., Druss, B.G., Lombardo, I., O'Gorman, C., Harnett, J.P., Sanders, K.N.,⋯ Cuffel, B.J. (2010). Findings of a US national cardiometabolic screening program among 10,084 psychiatric outpatients. Psychiatric Services, 61, 892-898.
14. Critchley, J.A., & Capewell, S. (2003). Mortality risk reduction associated with smoking cessation in patients with coronary heart disease: A systematic review. Journal of the American Medical Association, 290, 86-97.
15. Crump, C., Sundquist, K., Winkleby, M.A., & Sundquist, J. (2013). Comorbidities and mortality in bipolar disorder: A Swedish national cohort study. JAMA Psychiatry, 70, 931-939.
16. Davydow, D.S., Russo, J.E., Ludman, E., Ciechanowski, P., Lin, E.H., Von Korff, M.,⋯ Katon, W.J. (2011). The association of comorbid depression with intensive care unit admission in patients with diabetes: A prospective cohort study. Psychosomatics, 52, 117-126.
17. Davydow, D.S., Katon, W.J., Lin, E.H., Ciechanowski, P., Ludman, E., Oliver, M., & Von Korff, M. (2013). Depression and risk of hospitalizations for ambulatory care-sensitive conditions in patients with diabetes. Journal of General Internal Medicine, 28, 921-929.
18. De Hert, M., Correll, C.U., Bobes, J., Cetkovich-Bakmas, M., Cohen, D., Asai, I., & Leucht, S. (2011). Physical illness in patients with severe mental disorders. I. Prevalence, impact of medications and disparities in health care. World Psychiatry, 10, 52-77.
19. Dickerson, F., Stallings, C.R., Origoni, A.E., Vaughan, C., Khushalani, S., Schroeder, J., & Yolken, R.H. (2013). Cigarette smoking among persons with schizophrenia or bipolar disorder in routine clinical settings, 1999-2011. Psychiatric Services, 64, 44-50.
20. Druss, B.G., Rohrbaugh, R.M., Levinson, C.M., & Rosenheck, R.A. (2001). Integrated medical care for patients with serious psychiatric illness: A randomized trial. Archives of General Psychiatry, 58, 861-868.
21. Druss, B.G., von Esenwein, S.A., Compton, M.T., Rask, K.J., Zhao, L., & Parker, R.M. (2009). A randomized trial of medical care management for community mental health settings: The Primary Care Access, Referral, and Evaluation (PCARE) Study. American Journal of Psychiatry, 167, 151-159.
22. Druss, B.G., & Mauer, B.J. (2010). Health care reform and care at the behavioral health - primary care interface. Psychiatric Services, 61, 1087-1092.
23. Druss, B.G., Zhao, L., Von Esenwein, S., Morrato, E.H., & Marcus, S.C. (2011). Understanding excess mortality in persons with mental illness: 17-year follow up of a nationally representative US survey. Medical Care, 49 (6), 599-604.
24. Druss, B.G., Zhao, L., Cummings, J.R., Shim, R.S., Rust, G.S., & Marcus, S.C. (2012). Mental comorbidity and quality of diabetes care under medicaid: A 50-state analysis. Medical Care, 50, 428-433.
25. Druss, B.G., Ji, X., Glick, G., & von Esenwein, S. (2014). Randomized trial of an electronic personal health record for patients with serious mental illnesses. American Journal of Psychiatry, 171, 360-368.
26. Freeman, E., McGuire, C.A., Thomas, J.W., & Thayer, D.A. (2014). Factors affecting costs in Medicaid populations with behavioral health disorders. Medical Care, 52 (Suppl.3), S60-66.
27. Gilbody, S., Bower, P., Fletcher, J., Richards, D., & Sutton, A.J. (2006). Collaborative care for depression: A cumulative metaanalysis and review of longer-term outcomes. Archives of Internal Medicine, 166, 2314-2321.
28. Hay, J.W., Katon, W.J., Ell, K., Lee, P.J., & Guterman, J.J. (2012). Cost-effectiveness analysis of collaborative care management of major depression among low-income, predominantly Hispanics with diabetes. Value Health, 15, 249-254.
29. Katon, W., Unutzer, J., Fan, M.Y., Williams, J.W. Jr, Schoenbaum, M., Lin, E.H., & Hunkeler, E.M. (2006). Cost-effectiveness and net benefit of enhanced treatment of depression for older adults with diabetes and depression. Diabetes Care, 29, 265-270.
30. 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, 2611-2620.
31. 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, 506-514.
32. Kilbourne, A.M., Pirraglia, P.A., Lai, Z., Bauer, M.S., Charns, M.P., Greenwald, D.,⋯ Yano, E.M. (2011a). Quality of general medical care among patients with serious mental illness: Does colocation of services matter? Psychiatric Services, 62, 922-928.
33. Kilbourne, A.M., Lai, Z., Bowersox, N., Pirraglia, P., & Bauer, M. (2011b). Does collocated care improve access to cardiometabolic screening for patients with serious mental illness? General Hospital Psychiatry, 33, 634-636.
34. Kilbourne, A.M., Goodrich, D.E., Lai, Z., Clogston, J., Waxmonsky, J., & Bauer, M.S. (2012). Life Goals Collaborative Care for patients with bipolar disorder and cardiovascular disease risk. Psychiatric Services, 63, 1234-1238.
35. Kilbourne, A.M., Goodrich, D.E., Lai, Z., Post, E.P., Schumacher, K., Nord, K.M.,⋯ Bauer, M.S. (2013). Randomized controlled trial to assess reduction of cardiovascular disease risk in patients with bipolar disorder: The Self-Management Addressing Heart Risk Trial (SMAHRT). Journal of Clinical Psychiatry, 74, e655-662.
36. Lin, E.H., Katon, W., Von Korff, M., Rutter, C., Simon, G.E., Oliver, M.,⋯ Young, B. (2004). Relationship of depression and diabetes self-care, medication adherence, and preventive care. Diabetes Care, 27, 2154-2160.
37. Lin, E.H., Rutter, C.M., Katon, W., Heckbert, S.R., Ciechanowski, P., Oliver, M.M.,⋯ Von Korff, M. (2010). Depression and advanced complications of diabetes: A prospective cohort study. Diabetes Care, 33, 264-269.
38. Lorig, K. (2002). Partnerships between expert patients and physicians. Lancet, 359 (9309), 814.
39. Ludman, E.J., Katon, W., Russo, J., Von Korff, M., Simon, G., Ciechanowski, P.,⋯ Young, B. (2004). Depression and diabetes symptom burden. General Hospital Psychiatry, 26, 430-436.
40. Lynch, C.P., Gebregziabher, M., Zhao, Y., Hunt, K.J., & Egede, L.E. (2014). Impact of medical and psychiatric multi-morbidity on mortality in diabetes: Emerging evidence. BMC Endocrine Disorders, 14, 68.
41. Mai, Q., Holman, C.D., Sanfilippo, F.M., Emery, J.D., & Preen, D.B. (2011). Mental illness related disparities in diabetes prevalence, quality of care and outcomes: A population-based longitudinal study. BMC Medicine, 9, 118.
42. Mitchell, A.J., Delaffon, V., Vancampfort, D., Correll, C.U., & De Hert, M. (2012). Guideline concordant monitoring of metabolic risk in people treated with antipsychotic medication: systematic review and meta-analysis of screening practices. Psychological Medicine, 42, 125-147.
43. MMWR (2012). Vital signs: Awareness and treatment of uncontrolled hypertension among adults - United States, 2003-2010. Morbidity and Mortality Weekly Report, 61, 703-709.
44. Morrato, E.H., Newcomer, J.W., Kamat, S., Baser, O., Harnett, J., & Cuffel, B. (2009). Metabolic screening after the American Diabetes Association's consensus statement on antipsychotic drugs and diabetes. Diabetes Care, 32, 1037-1042.
45. Nasrallah, H.A., Meyer, J.M., Goff, D.C., McEvoy, J.P., Davis, S.M., Stroup, T.S., & Lieberman, J.A. (2006). Low rates of treatment for hypertension, dyslipidemia and diabetes in schizophrenia: Data from the CATIE schizophrenia trial sample at baseline. Schizophrenia Research, 86, 15-22.
46. Nutting, P.A., Miller, W.L., & Crabtree, B.F. (2009). Initial lessons from the first national demonstration project on practice transformation to a patient-centered medical home. Annals of Family Medicine, 7, 249-253.
47. Park, M., Katon, W.J., Wolf, F.M. (2013). Depression and risk of mortality in individuals with diabetes: A meta-analysis and systematic review. General Hospital Psychiatry, 35, 217-225.
48. Piette, J.D., Richardson, C., Himle, J., Duffy, S., Torres, T., Vogel, M., & Valenstein, M. (2011). A randomized trial of telephonic counseling plus walking for depressed diabetes patients. Medical Care, 49, 641-648.
49. Rosenberg, D., Lin, E., Peterson, D., Ludman, E., Von Korff, M., & Katon, W. (2014). Integrated medical care management and behavioral risk factor reduction for multicondition patients: Behavioral outcomes of the TEAMcare trial. General Hospital Psychiatry, 36, 129-134.
50. Ruo, B., Rumsfeld, J.S., Hlatky, M.A., Liu, H., Browner, W.S., & Whooley, M.A. (2003). Depressive symptoms and healthrelated quality of life: The Heart and Soul Study. Journal of the American Medical Association, 290, 215-221.
51. SAMHSA. (2013). Results from the 2012 National Survey on Drug Use and Health: Mental Health Findings. NSDUH Series H-47, HHS Publication No. (SMA) 13-4805. Rockville, MD: Substance Abuse and Mental Health Services Administration.
52. Scharf, D.M., Eberhart, N.K., Schmidt, N., Vaughan, C.A., Dutta, T., Pincus, H.A, & Burnam, M.A. (2013). Integrating primary care into community behavioral health settings: Programs and early implementation experiences. Psychiatric Services, 64, 660-665.
53. Schneider, K.M., O'Donnell, B.E., & Dean, D. (2009). Prevalence of multiple chronic conditions in the United States' Medicare population. Health and Quality of Life Outcomes, 7, 82.
54. Shojania, K.G., Ranji, S.R., McDonald, K.M., Grimshaw, J.M., Sundaram, V., Rushakoff, R.J., & Owens, D.K. (2006). Effects of quality improvement strategies for type 2 diabetes on glycemic control: A meta-regression analysis. Journal of the American Medical Association, 296, 427-440.
55. Siantz, E. & Aranda, M.P. (2014). Chronic disease selfmanagement interventions for adults with serious mental illness: A systematic review of the literature. General Hospital Psychiatry, 36, 233-244.
56. Simon, G.E., Katon, W.J., Lin, E.H., Rutter, C., Manning, W.G., Von Korff, M., & Young, B.A. (2007). Cost-effectiveness of systematic depression treatment among people with diabetes mellitus. Archives of General Psychiatry, 64, 65-72.
57. Simon, G.E., Katon, W., Lin, E.H., Ludman, E., Von Korff, M., Ciechanowski, P., Young, B.A. (2005). Diabetes complications and depression as predictors of health service costs. General Hospital Psychiatry, 27, 344-351.
58. Van der Kooy, K., van Hout, H., Marwijk, H., Marten, H., Stehouwer, C., & Beekman, A. (2007). Depression and the risk for cardiovascular diseases: Systematic review and meta analysis. International Journal of Geriatric Psychiatry, 22, 613-626.
59. Von Korff, M., Katon, W., Lin, E.H., Simon, G., Ludman, E., Oliver, M.,⋯ Bush, T. (2005). Potentially modifiable factors associated with disability among people with diabetes. Psychosomatic Medicine, 67, 233-240.
60. Von Korff, M., Katon, W.J., Lin, E.H., Ciechanowski, P., Peterson, D., Ludman, E.J.,⋯ Rutter, C.M. (2011). Functional outcomes of multi-condition collaborative care and successful ageing: Results of randomised trial. British Medical Journal, 343, d6612.
61. Wagner, E.H., Austin, B.T., & Von Korff, M. (1996). Organizing care for patients with chronic illness. Milbank Quarterly, 74, 511-544.
62. Walsh, J.M., McDonald, K.M., Shojania, K.G., Sundaram, V., Nayak, S., Lewis, R.,⋯ Goldstein, M.K. (2006). Quality improvement strategies for hypertension management: A systematic review. Medical Care, 44, 646-657.
63. 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, 790-804.
64. Zulman, D.M., Asch, S.M., Martins, S.B., Kerr, E.A., Hoffman, B.B., & Goldstein, M.K. (2014). Quality of care for patients with multiple chronic conditions: The role of comorbidity interrelatedness. Journal of General Internal Medicine, 29, 529-537.