Collaborative Care Consulting Psychiatrist Resources
The educational materials available on this site are designed to introduce a psychiatrist to collaborative care as well as provide support for implementation of a collaborative care consultation program. The first set of material describes the delivery of mental health care in primary care settings. The second set of material is devoted to reviewing approaches to provide primary care in mental health settings. The last set of material is designed for academic psychiatrists providing resident education about collaborative care.
After reviewing the materials a psychiatrist should be able to: 1) Make the case for integrated behavioral health services in primary care, including the evidence for collaborative care. 2) Discuss principles of integrated behavioral health care. 3) Describe the roles for a primary care consulting psychiatrist in an integrated care team. 4) Apply a primary care oriented approach to psychiatric consultation for common behavioral health presentations.
After reviewing the materials a psychiatrist should be able to: 1) Describe rationale for providing primary care services in the mental health setting. 2) List models of care used to provide primary care services in mental health settings. 3) Apply a systematic approach to target health behavior change and medical illness in a mental health setting. 4) Discuss program structure requirements to successfully deliver primary care services in the mental health setting.
Integrated behavioral health is a rapidly growing field in mental health and to date there are limited training resources on this topic. There is now a strong evidence base of over 60 randomized controlled studies demonstrating the efficacy of a collaborative care approach for delivering mental healthcare to patients in primary care settings. This clinical rotation curriculum introduces a senior resident to the role of the consulting psychiatrist in a collaborative care team. The curriculum describes both the structure of the clinical rotation and provides the educational content in the form of ‘mini-modules.’ In our model of collaborative care, the team consists of a care manager embedded in a primary care setting (usually MSW or other behavioral health provider), the primary care provider (both the source of referrals and the prescriber of any medications), and a consulting psychiatrist (provides weekly case load supervision and individual case reviews of four to six patients weekly). During this clinical rotation, the resident works directly with a consulting psychiatrist to participate in a one to two hour consultation with a care manager, also receives a one to two hour supervision with the attending, and may participate in interdisciplinary care team meetings. To support this clinic work, we have designed a set of six mini-modules to cover the fundamentals necessary to assume the role of a consulting psychiatrist on a collaborative care team. This curriculum trains a psychiatrist to function in any role at the interface of primary care and mental health.