Data of Impact

The Collaborative Care Model and Patient Outcomes 

The Collaborative Care Model (CCM) was developed at the University of Washington in the 1990s. Since then, research has demonstrated that the CCM is a cost-effective approach that has been shown to decrease depressive symptoms and increase adherence to care for patients with mental health conditions. Additionally, it allows for improved access to patient-centered care, as well as improved access to psychotherapy in the primary care setting. Through symptom monitoring with the patient registry, the care manager works to facilitate effective communication between the patient, the care provider, and the psychiatrist. Within the perinatal setting, the model has the potential to improve outcomes for patients with perinatal mental health concerns through pharmacotherapy and psychotherapy.

Impact Areas

  1. Improves screening and treatment of perinatal mental health conditions (depression, anxiety, etc). 
  2. Reduces biases in care provision by creating systematic approaches to care provision and shared protocols for care delivery. 
  3. De-stigmatizes mental health for pregnant and postpartum people
  4. Educates obstetric clinicians on perinatal mental health and creates a cultural shift in the office wherein mental health care becomes a seamless part of the broader obstetric care.

Peer-reviewed articles on the Collaborative Care Model

Cost Effectiveness:

Grote, N. K., Simon, G. E., Russo, J., Lohr, M. J., Carson, K., & Katon, W. (2017). Incremental Benefit-Cost of MOMCare: Collaborative Care for Perinatal Depression Among Economically Disadvantaged Women. Psychiatric services (Washington, D.C.), 68(11), 1164–1171. https://doi.org/10.1176/appi.ps.201600411

Wolk, Courtney Benjamin, Eric Wilkinson, Cecilia Livesey, David W. Oslin, K. Ryan Connolly, Aaron Smith-McLallen, and Matthew J. Press. “Impact of the Collaborative Care Model on Medical Spending.” The American Journal of Managed Care 29, no. 10 (October 2023): 499–502. https://doi.org/10.37765/ajmc.2023.89438

Adherence to care:

Miller, E. S., Jensen, R., Hoffman, M. C., Osborne, L. M., McEvoy, K., Grote, N., & Moses-Kolko, E. L. (2020). Implementation of perinatal collaborative care: a health services approach to perinatal depression care. Primary health care research & development, 21, e30. https://doi.org/10.1017/S1463423620000110

Miller ES, Grobman WA, Ciolino JD, Zumpf K, Sakowicz A, Gollan J, Wisner KL. Increased Depression Screening and Treatment Recommendations After Implementation of a Perinatal Collaborative Care Program. Psychiatr Serv. 2021 Nov 1;72(11):1268-1275. https://doi.org/10.1176/appi.ps.202000563

Quality of depression care:

Melville, J. L., Reed, S. D., Russo, J., Croicu, C. A., Ludman, E., LaRocco-Cockburn, A., & Katon, W. (2014). Improving care for depression in obstetrics and gynecology: a randomized controlled trial. Obstetrics and gynecology, 123(6), 1237–1246. https://doi.org/10.1097/AOG.0000000000000231

Wolk, Courtney Benjamin, Eric Wilkinson, Cecilia Livesey, David W. Oslin, K. Ryan Connolly, Aaron Smith-McLallen, and Matthew J. Press. “Impact of the Collaborative Care Model on Medical Spending.” The American Journal of Managed Care 29, no. 10 (October 2023): 499–502. https://doi.org/10.37765/ajmc.2023.89438.

Deen, Tisha L., John C. Fortney, and Jeffrey M. Pyne. “Relationship Between Satisfaction, Patient-Centered Care, Adherence and Outcomes Among Patients in A Collaborative Care Trial for Depression.” Administration and Policy in Mental Health and Mental Health Services Research 38, no. 5 (September 1, 2011): 345–55. https://doi.org/10.1007/s10488-010-0322-z.

Reducing disparities:

Jennifer Hu, Tina Wu, Swathi Damodaran, Karen M. Tabb, Amy Bauer, Hsiang Huang, The Effectiveness of Collaborative Care on Depression Outcomes for Racial/Ethnic Minority Populations in Primary Care: A Systematic Review, Psychosomatics, Volume 61, Issue 6, 2020, Pages 632-644, ISSN 0033-3182, https://doi.org/10.1016/j.psym.2020.03.007. 

Rowan, Anderson B., Jessica Grove, Lindsay Solfelt, and Anna Magnante. “Reducing the Impacts of Mental Health Stigma Through Integrated Primary Care: An Examination of the Evidence.” Journal of Clinical Psychology in Medical Settings 28, no. 4 (December 1, 2021): 679–93. https://doi.org/10.1007/s10880-020-09742-4.

Ayalon, Liat, Patricia A. Areán, Karen Linkins, Marty Lynch, and Carroll L. Estes. “Integration of Mental Health Services into Primary Care Overcomes Ethnic Disparities in Access to Mental Health Services between Black and White Elderly.” The American Journal of Geriatric Psychiatry: Official Journal of the American Association for Geriatric Psychiatry 15, no. 10 (October 2007): 906–12. https://doi.org/10.1097/JGP.0b013e318135113e.

Bridges, Ana J., Arthur R. Andrews, Bianca T. Villalobos, Freddie A. Pastrana, Timothy A. Cavell, and Debbie Gomez. “Does Integrated Behavioral Health Care Reduce Mental Health Disparities for Latinos? Initial Findings.” Journal of Latina/O Psychology 2, no. 1 (February 2014): 37–53. https://doi.org/10.1037/lat0000009.